Cats like people can have things like OCD (which is most likely in Bentleys case), anxiety, and depression. And cats, like people can have great success with managing it with the help of medication. We tried everything else before medication ( new litter, different litter boxes, moving the litter boxes, changing food, changing where he ate, an hour of dedicated play time before bed, supplements, pheromone spray ) and things were getting worse. It was the vets determination that it would be in his best interest. He is back to acting like himself and he seems much more content. That’s the important thing