Cat Overgrooming and Bald Patches: Stress or Something Else?

First you notice the fur on the belly looks thin. Then there is a bald stripe down the inside of the back legs, and your cat seems to be licking constantly. A lot of people are told, or read online, that this is stress. Sometimes it is. But research shows that in most cats, there is a medical reason behind it, and it is worth finding first.

Quick answer: Cats that overgroom and make bald patches are often itchy or uncomfortable, not only stressed. In a study of 21 cats referred for suspected stress-related hair loss, 76% turned out to have a medical cause of itching, most often a reaction to food. Only 2 of the 21 had a purely behavioural cause. See your vet before assuming it is stress, and expect tests such as parasite checks or a food trial.

What overgrooming looks like

You may see the result rather than the licking itself: thin or stubbly fur, or bald patches, sometimes with normal looking skin and sometimes with red, scabby or broken skin. Note where the patches are and show your vet.

The study that changed the picture

What the research found: Waisglass and colleagues (Journal of the American Veterinary Medical Association, 2006) examined 21 cats referred with a presumed diagnosis of psychogenic (stress-related) hair loss. Medical causes of itching were found in 16 cats (76%), including 3 that also had a behavioural component. Only 2 cats (10%) had a purely behavioural cause. Adverse food reaction was diagnosed in 12 cats (57%) and suspected in 2 more. The authors concluded that psychogenic alopecia is overdiagnosed in cats.

It was a small study of cats seen at a referral centre, but its message is clear and widely cited: check for medical causes before blaming stress.

Common causes of overgrooming

CauseNotes
Adverse food reactionThe most common cause in the 2006 study
Environmental allergy (atopy)Also identified in the 2006 study
Stress or anxietyA purely behavioural cause was found in only 2 of 21 cats
Stress plus a medical cause3 of 21 cats had both

The study did not list every possible cause. Your vet will also consider other common reasons for itchy or sore skin, so the list above is a starting point, not a diagnosis.

What your vet may do

Book a vet visit if you see bald patches, broken or red skin, scabs, or constant licking. The 2006 study authors advised that thorough diagnostic testing should be done before deciding hair loss is behavioural. Depending on your cat, that can include skin checks, parasite treatment, and a strict food trial with a diet your vet recommends.

If your vet suggests a food trial, ask exactly how long to run it and what your cat may and may not eat during it.

What you can do at home

  1. Take photos. Photograph the patches every week so you and your vet can see whether things improve.
  2. Note what changed. New food, new litter, a house move, a new pet, or tension between cats. If your cats squabble, see why cats groom each other and then fight.
  3. Follow your vet’s plan exactly. If your vet starts a food trial, make sure everyone in the house knows the rules.
  4. Do not punish licking. It will not stop an itch and can add stress.
  5. Reduce stress where you can. RSPCA Australia advises one of each resource per cat plus one extra, in separate places, in multi-cat homes. That can help if stress turns out to play a part.
  6. Handle gently. If your cat dislikes being brushed or handled, our guide to a cat that hates being brushed may help with checking its coat.
Related habits: some cats also suck or chew fabric when stressed; see a cat that sucks on blankets. These habits can overlap, so mention all of them to your vet.

FAQ

Why is my cat licking its fur off?

Often because it is itchy, most commonly from a food reaction or allergy, according to a 2006 study. Stress can play a part, but a medical cause should be ruled out first.

Is overgrooming in cats caused by stress?

Sometimes, but less often than people think. In the 2006 study, only 2 of 21 cats referred for suspected stress-related hair loss had a purely behavioural cause.

Will my cat’s fur grow back?

Ask your vet what to expect for your cat once the cause is found and treated.

What is a food trial?

A period on a vet-recommended diet, used to test whether food is causing the itch. Your vet will explain how to run it.

When should I see the vet?

As soon as you notice bald patches, sore or broken skin, or constant licking.

The bottom line: bald patches from overgrooming are usually a sign of itchy skin, not just a stressed cat. See your vet, follow any tests or food trial carefully, and address stress alongside, not instead of, the medical side.

Sources

  • Waisglass SE, Landsberg GM, Yager JA, Hall JA. Underlying medical conditions in cats with presumptive psychogenic alopecia. Journal of the American Veterinary Medical Association, 2006;228(11):1705-1709. Summary via AVSAB
  • RSPCA Australia. What do I need to know about multi-cat households? Read

This article is for general information and is not a substitute for advice from your veterinarian.

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