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In many regions, you need a note (presciption)from your Doctor, Psychiatrist or Nurse practictioner as
Here’s how to keep yourself from “Lumping” or asking too much of your dog while training delivery to your hand or lap.
Desensitization and counter conditioning are often paired together to achieve better results.
For example, a dog that is afraid of bicycles can see them so far away that the dog barely notices them (desensitization). When the dog sees the bicycle, some delicious food can be offered (counter conditioning). Over time the dog can start to see the bicycle closer and closer (desensitization) and still continue to receive food, which will result in a better and more positive response (counter conditioning).