When a caregiver tells me, “I don’t think the medication is working anymore,” I don’t question their commitment. I question the system around the dog.In this episode, I take you inside a case that started with good intentions, a prescription for fluoxetine, and no plan beyond the pill. Three years later, the dog was still struggling—and no one could explain why.We’ll look at:The common failure points in how behavioural medication is introduced and sustainedWhy medication without caregiver support, co-regulation, or behavioural tracking often leads to stagnationWhat needs to be in place before, during, and after medication to ensure it helpsThe concept of White Pathway moments—and why spotting them changes everythingThis isn’t a critique of medication. It’s a call for clarity, structure, and shared responsibility. Because when behavioural medication is the only thing in place, we don’t know what it’s helping—or what it’s missing.Whether you’re a professional, a vet, or a caregiver making hard decisions, this episode offers a structured, hopeful approach to using medication within a plan—not as the plan.Want to learn more, read my academic paper: https://www.researchgate.net/publication/391899664_Systems_Thinking_in_Dog_Medication

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