Canine cognitive dysfunction is a gradual, dementia-like change that affects roughly 14–22.5% of dogs over 8.1 Vets use the acronym DISHAA for the signs:2

D
Disorientation — getting lost in familiar places, stuck in corners
I
Interaction changes — suddenly clingy, or suddenly avoidant
S
Sleep–wake changes — wandering or pacing at night
H
House-soiling — accidents in a dog who was reliable
A
Activity changes — pacing, or playing less
A
Anxiety — new fears, irritability

Many of these overlap with pain, arthritis, vision or hearing loss and other illnesses, so the vet will rule those out first.2 Treatment works best when it starts early — so mention changes as soon as you see them.3

What helps at home

Diets and supplements: mixed evidence

Antioxidant-rich diets helped most when combined with enrichment in lab beagles,5 and a Purina-funded trial of an MCT-enriched diet improved signs over 90 days.6 But a year-long trial in ordinary pet dogs found no effect from an enriched diet or training.7 The guidelines call the evidence for other supplements limited.1 Ask the vet before switching foods.

Sources

  1. 2023 AAHA Senior Care Guidelines for Dogs and Cats (JAAHA 59:1) — Dhaliwal R, et al., American Animal Hospital Association
  2. Cognitive Dysfunction Syndrome — Aly Cohen, DVM — Cornell Riney Canine Health Center
  3. Senior Pets (client brochure, 2023) — American Veterinary Medical Association
  4. Behavior Counseling: Senior Pet Cognitive Dysfunction — Ellen Lindell, VMD, DACVB; Debra Horwitz, DVM, DACVB; Gary Landsberg, DVM, DACVB — VCA
  5. Antioxidant diet and enrichment in aged beagles (Exp Gerontol, 2004) — Milgram NW, et al.
  6. MCT-enriched diet in dogs with cognitive dysfunction (Front Nutr, 2018) — Pan Y, et al. (Purina-funded)
  7. Enriched diet and training in aging pet dogs (PLoS ONE, 2020) — Chapagain D, et al.

Sources checked September 2026. This guide is general education, not veterinary advice for a specific dog.