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Beyond Trazodone: When the “Chill Protocol” Isn’t Chilling

July 16, 2026 by Andy Roark DVM MS

Chihuahua looking slightly sedated sitting in pet carrier

Dr. Chris Pachel, DVM, DACVB, joins Dr. Andy Roark to tackle a problem every clinic knows too well, stressed pets, stressed owners, and appointments that start going sideways before the car even leaves the driveway. They dig into pre-visit pharmaceuticals beyond the usual gabapentin and trazodone, including when to increase doses, when sedation is masking anxiety (not fixing it), and how options like clonidine, benzodiazepines, and even dexmedetomidine can fit the patient in front of you. Chris also shares how his new Animal Behavior Clinic space in Portland is reducing stress fast, plus practical tips for at-home trial runs, safety planning, and cautions around acepromazine and “chill protocol” variations. Gang, let’s get into this episode.

You can also listen to this episode on Apple Podcasts, Amazon Music, Spotify, YouTube or wherever you get your podcasts!

ABOUT OUR GUEST

Dr. Chris Pachel

Dr. Chris Pachel is a board-certified veterinary behaviorist and is the owner and lead clinician at the Animal Behavior Clinic in Portland, Oregon. Dr. Pachel lectures extensively worldwide, teaches courses at multiple veterinary schools in the United States, and has authored numerous articles and book chapters for veterinarians and pet owners. He is a sought-after expert witness for legal cases and serves on the Editorial Advisory Board for dvm360. He is also a Vice-president of Veterinary Behavior for Instinct Dog Behavior and Training, as well as co-owner of Instinct Portland, which opened in the fall of 2020.

Filed Under: Podcast Tagged With: Life With Clients, Medicine

Andy Roark DVM MS

Dr. Andy Roark is a practicing veterinarian in Greenville SC and the founder of the Uncharted Veterinary Conference. He has received the NAVC Practice Management Speaker of the Year Award three times, the WVC Practice Management Educator of the Year Award, the Outstanding Young Alumni Award from the University of Florida’s College of Veterinary Medicine, and the Veterinarian of the Year Award from the South Carolina Association of Veterinarians.


Read more posts by: Andy Roark DVM MS

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