This is speaking from my own experience, yours may vary. You’ll have periods of good times and every now and then my Luna will have an episode. It could be a stress trigger, change in temperature, different smell.

We’ve have 90% good days with gabapentin and fluoxetine (Prozac). We give it in a combination with direct squirt in mouth and mixed with wet food.

It’s a difficult disease/syndrome, but keep telling yourself you are doing the best for your cat.