Cat anxiety: signs, causes and how to calm an anxious cat
Quick answer
Cat anxiety usually shows as quiet changes: hiding, over-grooming, weeing outside the litter tray, eating more or less, and more hissing or vocalising. Common causes are other cats, a house move, a new pet or baby, and too few safe places or litter trays. (iCatCare, iCatCare, Cornell)
Toileting and grooming changes can be medical, so a vet rules out illness first. Then calm an anxious cat by meeting its five environmental needs, and never punish it. (Merck, VCA)
Mild: try these steps
A sign or two that comes and goes, with no change in toileting or grooming. Check the five pillars at home and keep watching. (VCA)
Moderate: start a plan, talk to your vet
Any weeing outside the tray, any over-grooming, or many signs at once. Rule out a medical cause with your vet, then start a plan. (Merck, VCA)
Severe or sudden: see your vet now
Straining in the tray or passing little or no urine, especially in a male cat. A blocked bladder is an emergency. (Cornell)
Cat anxiety signs checker
Signs from International Cat Care, Cornell and Merck. Answer for the last few weeks. Anything you skip counts as no. The result updates as you go.
Your tally
Mild: try these steps
This is a sign tally, not a diagnosis. Only a vet can tell anxiety from pain or illness.
Signs by type (0 of 7 seen; 0 answered yes)
- Behaviour: hiding, vocalising, aggression0
- Eating and grooming0
- Toileting0
- Recent change (a likely cause, not a sign)0
Why
- Few or occasional signs: check your cat has a safe hiding place, separate resources and daily play, and keep watching for change. (a Zooming Paws tally rule, not a clinical cut-off) (VCA)
A guide, not a diagnosis. If you are worried, call your vet whatever this says.
In short
Key takeaways
- Signs of anxiety in cats are mostly changes in eating, grooming, toileting, hiding and how your cat reacts to people and other cats. (iCatCare)
- Weeing outside the tray and over-grooming are often medical. A vet always rules that out before calling it stress. (Merck, VCA)
- A cat straining to wee, or passing none, needs a vet now: death from a full blockage can come in under 24 to 48 hours. (Cornell)
- The fix starts at home: a safe place, separate resources, daily play, predictable handling and a home that respects smell. (VCA)
- Pheromone diffusers have mixed evidence. Use one as an extra, not as the plan. (Frank 2010, Mills 2011)
How the checker works
How the cat anxiety checker decides
The checker lists the stress signs International Cat Care, Cornell and Merck describe, and counts each one you answer yes or sometimes, grouped into behaviour, eating and grooming, and toileting. A recent new pet, baby or move is counted separately, because it is a likely cause rather than a sign. (iCatCare, Merck, Cornell)
Two answers always bring up a “Rule out medical first” note: any change in where your cat wees, and any over-grooming. Vets exclude medical problems before treating house soiling as behaviour, and over-grooming counts as behavioural only once no medical cause is found. Straining or passing little urine always gives the severe result. (Merck, VCA, Cornell)
The line between mild and moderate for everything else, three or more signs answered yes, is a Zooming Paws tally rule, not a clinical cut-off: no source gives a number of signs. It is a sign tally, not a diagnosis. (iCatCare)
Three worked examples
| Answers | Tally | Result and why |
|---|---|---|
| Hiding yes; vocalising sometimes; everything else no | Behaviour 2; total 2; yes 1 | Mild. Two signs, one of them only sometimes, and no toileting or grooming change. (iCatCare) |
| Over-grooming sometimes; new baby yes | Eating and grooming 1; recent change 1 | Moderate, with “Rule out medical first”: most cats with hair loss have a medical cause. (VCA) |
| Weeing outside the tray yes; straining sometimes; hiding yes; appetite yes | Toileting 2; behaviour 1; eating 1; total 4 | Severe: straining can mean a urethral obstruction, an absolute emergency. (Cornell) |
Scroll the table sideways to see every column.
Cat stress symptoms
Signs of anxiety in cats, and what else they can mean
Stress in cats is either acute, a sudden fright, or chronic, continuing or recurring for a long time. Acute fear looks like freezing, a tense crouch, dilated pupils, flattened ears and trying to escape. Chronic stress is quieter, and it is what most owners notice as cat anxiety. To read the posture side, see our guide to cat body language. (iCatCare)
| Sign | Also check for | Source |
|---|---|---|
| Hiding, withdrawing, resting more | Pain or illness; a vet visit if it is new | (iCatCare, PDSA) |
| Over-grooming, thinning fur | Fleas, allergies, infection, skin disorders | (iCatCare, VCA) |
| Weeing outside the tray, spraying | Urinary tract disease, cystitis, kidney or thyroid disease, diabetes, arthritis | (iCatCare, Cornell) |
| Hissing, swiping, biting, redirected aggression | Fear, pain, poor early socialisation | (iCatCare, Merck) |
| Eating more or less | Any illness; tell your vet | (iCatCare) |
| More vocalising | Fear, frustration, separation distress | (iCatCare, Fear Free) |
Scroll the table sideways to see every column.
If your cat has started biting or swiping, our guide on why your cat bites you covers fear, play and petting-related aggression in more depth. (Merck)
Causes
What causes cat anxiety? New pets, moves and litter-box problems
Cats are territorial and bond strongly to their home, so most causes are changes to that home or competition within it. Stress also matters for health: Cornell calls it an important factor in feline idiopathic cystitis. (iCatCare, Cornell)
| Cause | How common, by life stage | Tell-tale signs | What to do | Source |
|---|---|---|---|---|
| A new cat or pet | Any age; cats are naturally solitary and some never accept another cat | Hissing, hiding, spraying when a new cat arrives | Separate room first, swap bedding, introduce gradually, never punish | (iCatCare, Cornell) |
| Moving house | Any age | Hiding, unsettled behaviour in the new home | One quiet room with familiar things; keep indoors at least two to three weeks | (iCatCare) |
| A new baby | Sensitive cats especially | House soiling, avoiding new areas | Make changes gradually; high perches and hiding places out of reach | (iCatCare) |
| Litter-box problems | Any age; mobility problems in older cats | Weeing or pooing near, not in, the tray | One tray per cat plus one, scooped daily, in quiet places; vet check first | (iCatCare, Cornell) |
| Lack of resources or other cats | Multi-cat homes | Guarding food or trays, fights, over-grooming | Each resource per cat plus one extra, in separate locations | (iCatCare, VCA) |
Scroll the table sideways to see every column.
When left alone
Separation anxiety in cats
Separation anxiety in cats is real but little researched. In a 2020 owner survey of 223 cats, 13.45% met at least one criterion for separation-related problems. Among those cats, owners reported destructive behaviour in 66.67%, excessive vocalising in 63.33%, urinating in the wrong place in 60.00% and depression or apathy in 53.33%. The authors say these problems are hard to identify and their questionnaire is a starting point. (Machado 2020)
- Before you leave, a cat may hide, meow a lot, follow you or get between you and the door. While you are out, signs include weeing on your clothes or bed, not eating, vomiting and over-grooming. (Fear Free)
- Film your cat while you are out, keep a steady routine and practise short absences, rewarding calm. (PDSA)
- Schedule 10 to 15 minute play sessions at calm times, use puzzle feeders, and pick up your keys and coat without leaving. (Fear Free)
- Start with a vet visit, because these signs overlap with medical problems. (Fear Free, PDSA)
Environmental enrichment
How to calm an anxious cat: the five pillars
The American Association of Feline Practitioners and the International Society of Feline Medicine set out five pillars of a healthy feline environment. Meeting them can reduce stress and stress-related disease. (VCA)
- Provide a safe place. A private, often raised, retreat; at least as many safe spaces as cats. (VCA)
- Provide multiple and separated key environmental resources. Food, water, trays, scratching, play and resting areas apart from each other: one per cat plus one extra. (VCA, iCatCare)
- Provide opportunity for play and predatory behavior. Daily hunting-style play and food puzzles. (VCA, VCA)
- Provide positive, consistent and predictable human-cat social interaction. Let your cat choose contact; avoid unwanted picking up. (VCA, iCatCare)
- Provide an environment that respects the importance of the cat’s sense of smell. Leave your cat’s scent marks in place and avoid strong fragrances. (VCA)
Never punish a frightened or soiling cat. Cornell warns that hitting, kicking or screaming increases anxiety, International Cat Care says punishment makes the problem worse, and AVSAB’s position, written for dogs, is that only reward-based methods should be used. (Cornell, iCatCare, AVSAB)
Pheromones
Do pheromone diffusers work for cats? What the studies found
Synthetic feline pheromone diffusers are recommended for moves, new babies and introductions by International Cat Care. The trials are less clear. Here is what each abstract states. (iCatCare, iCatCare)
| Study | What it tested | Finding as stated | Evidence |
|---|---|---|---|
| Frank 2010, systematic review | Prospective studies from 1998 to 2008, cats and dogs (Frank 2010) | 11 of 14 reports gave insufficient evidence and 1 gave lack of support | Weak or early evidence |
| Mills 2011, meta-analysis | Treatments for urine spraying, 10 studies (Mills 2011) | Pheromonatherapy may help beyond placebo | Mixed evidence |
| Chadwin 2017, randomised trial | 336 shelter cats (Chadwin 2017) | No effect on stress scores or respiratory infection | No controlled studies found |
| DePorter 2019, pilot trial | Aggression in 45 multi-cat homes (DePorter 2019) | Scores fell in both groups; difference favoured pheromone | Mixed evidence |
| Shu 2022, pilot trial | Car travel, 150 cats (Shu 2022) | Fewer stress behaviours with pheromone spray | Mixed evidence |
Scroll the table sideways to see every column.
In short: a diffuser may help in some situations, especially spraying, but the evidence does not support it as a stand-alone treatment for anxiety. (Frank 2010, Mills 2011)
Getting help
When to see a vet vs a veterinary behaviourist
Start with your own vet. Cats with medical conditions do not always act sick, and many anxiety signs, from soiling to over-grooming, have medical causes the vet needs to rule out with an examination and tests. (Cornell, Merck)
A veterinary behaviourist is a vet who has gone on to certify with the American College of Veterinary Behaviorists after an internship, a residency of 3 to 5 years and a board examination. Because they are vets, they can treat both physical and behavioural diagnoses. A behaviour consultant or trainer may help with mild problems, but the title alone shows no qualification. (VCA)
Ask for a referral when behaviour is intense, unsafe, sudden or not improving. The same split applies to dogs: see our dog anxiety guide and the wider dog behaviour hub. (VCA)
Treatment
What a vet may discuss for cat anxiety
Treatment is a behaviour modification plan and changes to the home, sometimes with medication. Merck lists these drug classes used for behaviour problems in cats, for anxiety, aggression, compulsive disorders and urine marking: tricyclic antidepressants, selective serotonin reuptake inhibitors, azapirones and benzodiazepines, plus a monoamine oxidase inhibitor for cognitive dysfunction. Your vet may discuss whether any fits your cat. This page does not recommend any medicine. (Merck, Merck)
Red flags
Cat stress signs that need a vet
- Straining in the tray, crying while weeing, or passing little or no urine, especially in a male cat (Cornell, iCatCare)
- Blood in the urine or frequent licking of the genital area (Cornell)
- Sudden soiling in a cat that always used its tray (Cornell, iCatCare)
- Bald patches or broken skin from grooming (VCA)
- Not eating, or new aggression when touched (iCatCare, Merck)
What to do
What to do today for an anxious cat
- Write down what changed, when, and every sign you see. (iCatCare)
- Use the checker at the top of this page.
- Book a vet check if toileting, grooming or appetite has changed. (Cornell, VCA)
- Count your trays, bowls and hiding places against one per cat plus one. (iCatCare)
- Add a daily hunting-style play session and stop any punishment. (VCA, iCatCare)
FAQ
Questions people ask
- What are the signs of anxiety in cats?
- Common signs are hiding, over-grooming, weeing or spraying outside the litter tray, eating more or less than usual, more hissing or swiping, and more vocalising. Sudden fear looks different: freezing, a tense crouched body, dilated pupils and flattened ears. Many of these signs can also come from pain or illness, so a vet check comes before treating them as stress. (iCatCare, Merck)
- Can cats have separation anxiety?
- Yes, although it is far less studied than in dogs. In one owner survey of 223 cats, about 13% met at least one criterion for separation-related problems, most often destruction, excessive vocalising and urinating in the wrong place. Before you leave, an anxious cat may hide, meow or follow you to the door. See your vet first to rule out a medical cause. (Machado 2020, Fear Free)
- How do I calm an anxious cat?
- Work through the five pillars of a healthy cat environment: a safe hiding place, separate food, water, litter and resting spots, daily play that mimics hunting, gentle and predictable handling, and respect for your cat’s sense of smell. Never punish fearful behaviour, because that makes anxiety worse. If the signs carry on, your vet can build a behaviour plan with you. (VCA, Cornell, Merck)
- Do pheromone diffusers work for cats?
- The evidence is mixed. A systematic review found insufficient evidence for feline facial pheromone in most of the uses it examined, and a large shelter trial found no effect on stress scores. A later meta-analysis found pheromones may help with urine spraying, and small trials reported benefits for fights between housemate cats and for car travel. Use one alongside changes at home, not instead of them. (Frank 2010, Chadwin 2017, Mills 2011, DePorter 2019, Shu 2022)
- What causes stress and anxiety in cats?
- Other cats are a leading cause, especially having to share food, litter trays or resting places with a cat they do not get on with. House moves, a new pet or baby, changes in routine, unwanted handling, punishment, boredom and too few hiding places or clean litter trays are other common causes. Cats are territorial, so changes to their home matter more than owners expect. (iCatCare, iCatCare, Cornell)
- When should I take my anxious cat to the vet?
- Go now if your cat is straining in the litter tray or passing little or no urine, especially a male cat, because a blocked bladder is an emergency. Book a prompt visit for any new weeing outside the tray, over-grooming, appetite change or new aggression, since all of these can be medical. If the vet finds nothing, ask about a veterinary behaviourist. (Cornell, iCatCare, VCA)
Sources
Where this comes from
Every figure and threshold on this page comes from the veterinary sources below, and each one is linked where it is used. Where no source gives a cut-off, we say call your vet rather than invent one.
Stress in cats
International Cat Care - dated 26 September 2025 - read 2026-10-27
icatcare.orgSoiling indoors
International Cat Care - dated 26 September 2025 - read 2026-10-27
icatcare.orgCats and babies
International Cat Care - dated 26 September 2025 - read 2026-10-27
icatcare.orgMoving house with your cat
International Cat Care - dated 26 September 2025 - read 2026-10-27
icatcare.orgIntroducing cats
International Cat Care - dated 28 November 2025 - read 2026-10-27
icatcare.orgFeline Lower Urinary Tract Disease
Cornell Feline Health Center - dated October 2016 - read 2026-10-27
vet.cornell.eduFeline Behavior Problems: House Soiling
Cornell Feline Health Center - dated January 2015 - read 2026-10-27
vet.cornell.eduBehavior Problems in Cats
Merck Veterinary Manual (owner version) - dated April 2026 - read 2026-10-27
merckvetmanual.comDrugs Used to Treat Behavior Problems in Cats
Merck Veterinary Manual - read 2026-10-27
merckvetmanual.comFeline Environmental Needs Guidelines
VCA Animal Hospitals - read 2026-10-27
vcahospitals.comCat Behavior Problems - Compulsive Disorders in Cats
VCA Animal Hospitals - dated July 19, 2019 - read 2026-10-27
vcahospitals.comDo I Need a Trainer, a Behaviorist, or a Veterinary Behaviorist?
VCA Animal Hospitals - dated September 10, 2025 - read 2026-10-27
vcahospitals.comPosition Statements
American Veterinary Society of Animal Behavior - dated 2025 - read 2026-10-27
avsab.orgThey’re Not Loners: Cats Can Have Separation Anxiety, Too
Fear Free Happy Homes - read 2026-10-27
fearfreehappyhomes.comVet Q&A: How can I stop my cat getting separation anxiety?
PDSA - dated 28 May 2020 - read 2026-10-27
pdsa.org.ukIdentification of separation-related problems in domestic cats: A questionnaire survey
PLoS One (PubMed 32294083) - dated 2020 - read 2026-10-27
pubmed.ncbi.nlm.nih.govSystematic review of the use of pheromones for treatment of undesirable behavior in cats and dogs
Journal of the American Veterinary Medical Association (PubMed 20550445) - dated 2010 - read 2026-10-27
pubmed.ncbi.nlm.nih.govA meta-analysis of studies of treatments for feline urine spraying
PLoS One (PubMed 21525994) - dated 2011 - read 2026-10-27
pubmed.ncbi.nlm.nih.govEffect of a synthetic feline facial pheromone product on stress scores and incidence of upper respiratory tract infection in shelter cats
Journal of the American Veterinary Medical Association (PubMed 28763279) - dated 2017 - read 2026-10-27
pubmed.ncbi.nlm.nih.govEvaluation of the efficacy of an appeasing pheromone diffuser product vs placebo for management of feline aggression in multi-cat households: a pilot study
Journal of Feline Medicine and Surgery (PubMed 29757071) - dated 2019 - read 2026-10-27
pubmed.ncbi.nlm.nih.govEffect of a synthetic feline facial pheromone product on stress during transport in domestic cats: a randomised controlled pilot study
Journal of Feline Medicine and Surgery (PubMed 34493099) - dated 2022 - read 2026-10-27
pubmed.ncbi.nlm.nih.gov
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Last reviewed . Estimate only. For health questions, ask your vet.