Abstract
Background: Clients typically turn to their local veterinary practice as the first point of call when they are concerned about their pet's behaviour, unless they think it is purely a training problem. Therefore, it is essential that the whole veterinary team are aware of the medical considerations that can affect behaviour (including routine training). Many cases involve medical aspects which should be addressed as part of a multimodal approach to problem behaviour management, which may be the most efficient and effective way to support these cases.Aim of the article: This article outlines the medical considerations that should be made in first‐opinion practice when presented with a behaviour case in cats and dogs. It also discusses the role of the first‐opinion vet in case management and how good collaboration between the vet, a behavioural specialist and the pet owner can aid successful resolution.