
Hot Spots in Dogs: Causes and Treatment Through Anxiety Resolution
By Chad Singer, Founder of Canine Revolution Dog Training, Author of “The Ultimate Leash Training Manual: 5 Steps to a Well Behaved Dog”
Anxiety and hot spots often go hand-in-hand in dogs—here’s how to address both the behavior and the skin issue.
If you’ve noticed your dog obsessively licking one spot until it’s red, raw, and weeping, you’re dealing with a hot spot. These painful skin lesions can appear seemingly overnight, and while many owners rush to treat the wound itself, they often miss the real culprit: anxiety.
Hot spots in dogs aren’t just a skin problem—they’re frequently a combined behavioral problem. Your dog’s constant licking, chewing, and scratching might be their way of coping with stress, boredom, or fear. The cycle is vicious: anxiety leads to licking, licking creates hot spots, hot spots cause pain and irritation, which increases anxiety, which leads to more licking.
Hot spots in dogs are also often affected by unknown allergies, which can additionally cause underlying anxiety and compounding skin issues.
Let me walk you through all sides of this issue—the behavioral roots, allergies, and the physical treatment—so you can help your dog heal from the inside out.
Where Does Anxiety Come From in Dogs?
Before we can stop the licking, we need to understand why it starts. Anxiety in dogs develops through several pathways.
Genetics play a major role. If your dog’s parents, grandparents, or anyone in their lineage struggled with anxious behaviors, those tendencies can be passed down through genetics. Some breeds—German Shepherds, Golden Retrievers, Doodles, and Labradors—are particularly prone to anxiety and the skin problems that follow.
Learned anxiety is equally common. From puppyhood onward, small moments can accidentally teach your dog to be anxious. Maybe they got scared during a thunderstorm and you rushed to comfort them. Maybe their allergies created some hyperactive behavior traits and you constantly obsess over them. Maybe they learned that frantic behavior gets your attention. These micro-behaviors build up over time, and before you know it, your dog’s anxiety has become a fixed part of their behavior set.
We unintentionally reinforce it. When your dog licks obsessively and you pet them, talk to them in a soothing voice, or pick them up, you’re actually telling them that licking is the right response to stress. This reinforcement causes anxiety to escalate.
Can Anxiety Cause Hot Spots in Dogs, or Are They Always from Allergies?
Yes, anxiety absolutely causes hot spots. While allergies, fleas, and infections can trigger hot spots, anxiety-driven licking and chewing create the perfect environment for them to develop as well.
When your dog is anxious, they focus that nervous energy on their body—usually a paw, leg, flank, or tail base. The constant moisture from licking breaks down the skin barrier, bacteria moves in, and within hours you have a painful, oozing hot spot.
Separation anxiety is a major trigger. Dogs left alone for long hours without proper mental stimulation often develop hot spots on their paws or legs simply from stress licking. Noise phobias from thunderstorms and fireworks can send anxious dogs into licking frenzies that result in raw patches overnight. Constantly battling with allergies can also result in anxious dogs licking themselves all over.

How Do I Know If My Dog’s Licking Is from Anxiety or from Pain?
This is where observation becomes critical. Anxiety licking has distinct patterns:
- Your dog licks when you leave or when they’re alone
- The licking intensifies during stressful events (visitors, storms, schedule changes)
- They lick the same spot repeatedly, often creating symmetrical wounds on both sides
- The licking stops when they’re engaged in play, training, or focused activities
- You notice pacing, panting, whining, or destructive behavior alongside the licking
Pain-driven licking is different. Your dog will lick a specific injury site or joint, the licking doesn’t correlate with stress triggers, and they may guard the area or yelp when touched.
This can be tricky, because once a hot spot has started, it can become painful. Additionally, allergy related hotspots can result in the dog licking on one focused area, or beginning to lick multiple areas across the body. Focused licking on one area can turn a hot spot into a lick granulomas which is a callused hot spot. These are very hard to heal.
If you’re unsure, a vet visit rules out underlying medical causes like arthritis, allergies, or infections. Additionally consulting with your local dog nutritionist and allergy specialist, like All Is Well Pets in Summerville, South Carolina, can help you to conduct at-home tests for allergies and put together a plan to quickly overcome them. If the vet and dog nutritionist / dog allergy specialist clears your dog and the licking continues, you’re dealing with anxiety.
What Are the Most Common Signs of Anxiety in Dogs?
Anxiety manifests in multiple ways, and hot spots are just one symptom. Watch for:
- Hyperactivity and inability to settle – constant pacing, never lying down calmly
- Excessive panting when it’s not hot and they haven’t exercised
- Obsessive licking and chewing – paws, legs, flanks until they’re raw
- Destructive behavior – chewing furniture, doorframes, baseboards
- House soiling despite being housetrained
- Excessive vocalization – whining, barking, howling when alone
- Clinginess – following you room to room, unable to be separate
These behaviors feed into each other. An anxious dog might pace for hours, then settle into obsessive paw licking, creating hot spots that worsen their stress.
Why Does My Dog Lick One Spot Until It Turns Into a Hot Spot?
Dogs are creatures of habit. Once they start focusing on a particular spot, the licking becomes self-reinforcing. The initial lick might release endorphins, providing temporary stress relief from allergies or anxiety. This trains their brain that licking = feeling better.
As the spot gets irritated, it becomes itchy or tingly, which makes them lick more. The moisture and bacteria create infection, which makes it painful, which increases anxiety, which drives more licking. It’s a feedback loop that won’t break on its own.
Poor diet, boredom, and lack of mental stimulation make this worse. A dog without proper nutrition, enough exercise, training, or enrichment will channel their energy into repetitive behaviors. That’s why Doodles, German Shepherds, and working breeds often develop anxiety and hot spots—they’re intelligent dogs that need jobs to do. Short haired terrier breeds are known to easily develop allergy and skin issues, this is where a proper at-home allergy test and nutritional consultation make a huge difference as soon as you get your dog-before hot spots ever become a problem.
The Two-Part Approach: Resolving Anxiety AND Hot Spots
You can’t just treat the hot spot and expect it to stay healed. You also can’t just work on anxiety while the wound festers. You need both.


Part 1: Establish Routine and Structure
Anxious dogs are constantly anticipating what comes next without understanding the pattern. This uncertainty feeds their stress. Your first step is creating a reliable daily routine.
Structure reduces anxiety because it provides predictability. Your dog learns when they’ll eat, when they’ll walk, when they’ll train, when they’ll rest. This mental framework calms their spinning mind.
Start with consistent meal times, walk times, and training sessions. Don’t vary this schedule drastically. If breakfast is at 7 AM, make it 7 AM every day. If the evening walk happens at 6 PM, stick to it.
Rituals matter too. Maybe your dog sits before going through doorways. Maybe they go to their crate after evening training. These small rituals communicate leadership and give your dog a framework to operate within.
Part 2: Teach Behaviors That Promote Calmness
Once routine is established, begin training that directly reduces anxiety.
Eye contact is your foundation. An anxious dog’s attention is scattered—on the door, the window, the environment, anything but you. Teaching eye contact redirects that focus and builds engagement. Reward your dog every time they check in with you. This simple behavior becomes their anchor during stressful moments.
Loose leash walking implements boundaries. When you teach your dog to walk calmly beside you without pulling, you’re teaching impulse control and respect for structure. Anxious dogs that pull constantly are in a heightened state of arousal. Teaching them to walk calmly beside you creates a mental shift toward calmness.
Down-stay is your most powerful anxiety tool. The down position is physiologically calming for dogs. When they’re lying down, their heart rate drops, their breathing slows, and their nervous system begins to relax.
Teach the down with food lures first. Then build duration—start with 10 seconds, then 30, then a minute, and so on. Add distractions—practice while the TV is on, while someone walks by, while you move around the room. Finally, build distance—step away from your dog while they hold the stay.
A solid down-stay gives your anxious dog a job during stressful moments. Instead of licking their paw during a thunderstorm, they can hold a down-stay on their bed. You’ve replaced the anxious behavior with a calm, structured one.

Part 3: Treat the Hot Spot Physically
While you’re working on behavior, the hot spot needs medical attention.
First, prevent further damage. Use an Elizabethan collar (cone) to stop your dog from accessing the wound. This is non-negotiable—if they keep licking, the hot spot won’t heal.
Clean and dry the area. Trim the fur around the hot spot so air can reach it if needed. Clean it gently with Derma Ease hot spot spray from All Is Well Pets. This specific formula is designed with the best ingredients to heal hot spots on dogs faster than any other hot spot formulation.
Apply medication as directed by your vet. Some hot spots require topical antibiotics. Some cases need oral antibiotics if the infection is deep.
Monitor healing. Hot spots can heal within 3-7 days if licking stops and treatment is consistent. But if your dog’s anxiety or allergies aren’t addressed, they’ll create a new hot spot as soon as the collar comes off.
How Can Training Help Reduce My Dog’s Anxiety and Stop Them from Creating Hot Spots?
Training isn’t just about teaching commands—it’s about giving your dog mental clarity. An anxious dog’s brain is constantly racing. Training provides structure, burns mental energy, and builds confidence.
Mental stimulation is as important as physical exercise. A 20-minute training session can tire your dog as much as a 45-minute walk. For anxious dogs, this mental exhaustion is therapeutic.
Use nose work games, puzzle feeders, and scent detection exercises. Hide treats around the house and encourage your dog to find them. Practice obedience drills in different rooms and environments. Keep their brain engaged so it doesn’t default to anxiety licking.
When Should I See a Holistic Pet Service Provider or a Trainer for Anxiety-Related Hot Spots?
See a holistic pet service provider first to rule out medical causes—allergies, infections, hormonal imbalances, pain, nutrition. If your dog gets a clean bill of health but the licking continues, the issue is behavioral. Dealing with hotspots may also be a two part approach, you may need both allergy testing and training simultaneously.
A professional trainer can help you build the structure, routine, and obedience foundation that reduces anxiety.
A professional holistic pet service provider can perform skin and coat evaluations, allergy testing, nutritional counseling, and more to resolve the hotspots.
What Mistakes Do Owners Make That Accidentally Reinforce Anxiety Licking Behaviors?
The biggest mistake is comforting your dog when they’re anxious. When your dog is pacing, panting, or licking, and you pet them, talk to them soothingly, or pick them up, you’re rewarding that state of mind.
Other common mistakes:
- Allowing your dog to follow you everywhere, reinforcing clinginess
- No structure or routine, leaving your dog guessing what comes next
- Insufficient exercise and mental stimulation
- Giving attention on demand instead of requiring calm behavior first
- Removing the cone too early before the hot spot fully heals
The Role of Diet and Nutrition in Anxiety and Hot Spots
Once you’ve addressed behavior and the hot spot is healing, persistent skin issues might point to nutrition.
Food allergies can interact with anxiety to make hot spots worse. Common triggers include wheat, corn, and grain being the highest allergens, followed by specific meat proteins that their body reacts to which could include chicken or beef.
Omega-3 supplements support skin health and have mild anti-inflammatory effects. Probiotics support gut health, which influences anxiety levels.
Creating a Balanced Daily Routine for an Anxious Dog with Skin Issues
Here’s what a therapeutic daily routine looks like:
Morning:
- Consistent wake time
- Breakfast
- 10-minute training session (eye contact, down-stay)
- 20-30 minute walk (mental and physical exercise)
Midday:
- Quiet crate time or designated rest area
Evening:
- Dinner
- 10-minute obedience drill
- 20-30 minute walk
- Calm settle time on a dog bed near you
Before bed:
- Final potty break
- Crate or designated sleep area
This structure provides exercise, mental stimulation, training, and rest in predictable intervals. Your dog learns when to be active and when to be calm.
Key Takeaways
- Anxiety and hot spots are interconnected—you must address both the behavior and the skin issue
- Genetics, learned behaviors, allergies, and unintentional reinforcement all contribute to anxiety
- Signs of anxiety include hyperactivity, pacing, panting, obsessive licking, and destructive behavior
- Create a consistent daily routine to reduce your dog’s uncertainty and stress
- Teach eye contact, loose leash walking, and down-stay to build calm behaviors
- Treat hot spots with barriers, cleaning, and holistic support while working on anxiety
- Mental stimulation and structure are as important as physical exercise
- If behavior modification doesn’t fully resolve skin issues, consult a nutritionist for diet-related triggers
Hot spots from anxiety won’t heal until you address the root cause. Your dog isn’t licking to annoy you—they’re trying to cope with a mind that won’t settle. Give them structure, teach them calm behaviors, treat the physical wound, and fix the nutritional gaps / allergies and you’ll break the cycle for good.



