Cats are naturally curious, and a flickering candle can easily catch their attention. While candles create a cozy atmosphere, not every candle is safe for homes with cats. Some release chemicals, fragrances, or essential oils that may irritate your cat’s respiratory system, while an open flame also increases the risk of burns and house fires.
The good news is that you do not have to avoid candles completely. Choosing the right candle, using it safely, and understanding the warning signs of exposure can greatly reduce the risks.
This veterinary-informed guide explains how candles affect cats, which ingredients are safest, what symptoms to watch for, and how to create a cat-friendly home without giving up your favorite scents.
Are Candles Bad for Cats?
In many cases, candles themselves are not toxic, but certain scented candles, essential oils, smoke, soot, and open flames can pose risks to cats. The level of danger depends on the candle’s ingredients, how often it is burned, ventilation, and your cat’s health.
Most healthy cats will not become seriously ill simply because a candle is burning nearby. However, repeated exposure to strong fragrances or toxic essential oils may irritate sensitive airways or cause poisoning if a cat licks spilled wax or concentrated oils.
The biggest risks include:
- Toxic essential oils
- Artificial fragrance chemicals
- Smoke and soot particles
- Open flames
- Burns from hot wax
- House fire hazards
- Curious cats knocking over candles
For households with kittens, senior cats, or cats with asthma, even mild air pollutants may cause more noticeable problems.
Why Cats Are More Sensitive Than Humans
Cats process many chemicals differently than people do. Their liver lacks enough of certain enzymes needed to break down some compounds found in fragrances and essential oils.
As a result, substances that seem harmless to humans can build up in a cat’s body and become harmful over time.
Cats are also affected because they:
- Spend much of their day indoors.
- Have highly sensitive noses.
- Groom themselves constantly.
- May inhale particles trapped in their fur.
- Can accidentally lick wax or oils from their coat.
Even small amounts of some essential oils can become dangerous after repeated exposure.
A Cat’s Powerful Sense of Smell
A cat’s sense of smell is estimated to be several times stronger than a human’s.
Strong fragrances that smell pleasant to us may overwhelm a cat and cause stress or discomfort.
Signs that a scent is bothering your cat include:
- Leaving the room
- Sneezing
- Squinting
- Hiding
- Excessive grooming
- Restlessness
These behaviors do not always indicate poisoning, but they suggest your cat dislikes the environment.
Indoor Air Quality Matters
Unlike outdoor pollutants that quickly disperse, indoor air can trap smoke particles and fragrance compounds.
Burning multiple candles in small rooms with poor ventilation increases airborne particles, making irritation more likely.
Opening windows and allowing fresh air to circulate can significantly reduce exposure.
Types of Candles and Their Safety
Not every candle carries the same level of risk.
Some burn cleaner than others, while some contain ingredients that veterinarians recommend avoiding around pets.
| Candle Type | Safety for Cats | Main Concerns |
| Unscented beeswax | Generally safest | Open flame |
| Unscented soy wax | Usually safe | Fire hazard |
| Coconut wax | Usually safe | Flame risk |
| Paraffin candles | Less ideal | Smoke, soot, petroleum byproducts |
| Strongly scented candles | Higher risk | Fragrance irritation |
| Essential oil candles | Can be dangerous | Toxic oils |
| Gel candles | Use caution | Artificial chemicals |
Although no candle is completely risk free, choosing cleaner-burning waxes and avoiding toxic fragrances can make a significant difference.
Scented vs Unscented Candles
Many pet owners wonder whether fragrance is the main problem.
In most cases, the fragrance ingredients create more concern than the wax itself.
| Feature | Unscented Candles | Scented Candles |
| Respiratory irritation | Low | Moderate to high |
| Essential oil exposure | None | Possible |
| Artificial fragrance exposure | None | Common |
| Indoor air pollution | Lower | Higher |
| Suitable for cats | Usually yes | Depends on ingredients |
Unscented candles made from natural waxes are generally considered the safer choice for homes with pets.
What Makes Some Candles Dangerous?
The wax itself is not always the biggest concern.
Many scented candles contain ingredients that become airborne when heated.
Potentially concerning ingredients include:
- Synthetic fragrances
- Essential oils
- Petroleum-derived compounds
- Artificial dyes
- Low-quality wicks
- Heavy soot-producing waxes
Premium candles often burn cleaner, but “natural” does not automatically mean pet safe.
Always read the full ingredient list whenever possible.
Essential Oils in Candles
Essential oils deserve special attention because some are toxic to cats.
When heated, these oils evaporate into the surrounding air, allowing cats to inhale tiny particles.
Even if the concentration in a candle is much lower than in pure essential oil bottles, repeated exposure may still irritate sensitive cats.
Essential Oils That May Be Harmful
Some commonly used candle scents that can pose problems include:
- Tea tree
- Eucalyptus
- Cinnamon
- Clove
- Peppermint
- Wintergreen
- Pine
- Citrus oils
- Birch
- Ylang-ylang
- Pennyroyal
These oils have been associated with toxicity or respiratory irritation in cats, particularly when exposure is prolonged or concentrated.
Safer Fragrance Choices
No scented candle is completely risk free.
However, mild fragrances used occasionally in well-ventilated rooms are generally less likely to cause problems than strong essential oil blends.
If your cat has asthma, allergies, or chronic respiratory disease, many veterinarians recommend avoiding scented candles altogether.
Paraffin Wax vs Soy Wax vs Beeswax
The type of wax affects how cleanly a candle burns.
Paraffin Wax
Paraffin wax is made from petroleum.
It is inexpensive and widely available.
While most occasional use is unlikely to poison healthy cats, paraffin candles often produce more soot and airborne particles than natural waxes.
Potential disadvantages include:
- More smoke
- Increased soot
- More indoor pollutants
- Artificial additives
Soy Wax
Soy candles generally burn cleaner than paraffin.
Benefits include:
- Less soot
- Longer burn time
- Better indoor air quality
- Often biodegradable
However, fragrance ingredients still determine much of the overall safety.
Beeswax
Many veterinarians and indoor air quality experts consider unscented beeswax among the best candle choices for pet-friendly homes.
Advantages include:
- Cleaner burn
- Minimal smoke
- Lower soot production
- Naturally pleasant scent without added fragrance
Even beeswax candles should never be left unattended around cats.
Candle Wicks Matter Too
Not all candle wicks are created equally.
Older candles sometimes contained lead-core wicks, although these have largely been phased out in many countries.
Today, most reputable manufacturers use:
- Cotton wicks
- Paper-core wicks
- Wooden wicks
Low-quality wicks may still produce excess smoke or uneven burning.
Choosing high-quality candles from trusted brands can help reduce indoor pollution.
Smoke, Soot, and Indoor Air Quality
Many people focus only on fragrance, but smoke and soot also affect cats.
Tiny soot particles can remain suspended in the air and settle on furniture, bedding, and your cat’s fur.
Cats may later ingest these particles while grooming.
Smoke exposure may contribute to:
- Eye irritation
- Sneezing
- Mild coughing
- Worsening asthma
- Respiratory discomfort
Burning several candles for hours every day increases these risks.
Black Soot Around the Home
If you notice black marks around candle jars, walls, or ceilings, your candles are producing excessive soot.
This is a sign that indoor air quality may be declining.
Consider switching to:
- Unscented candles
- Beeswax candles
- Soy candles
- Proper wick trimming
- Better room ventilation
Can Cats Get Sick From Candle Fumes?
Yes, some cats can become sick from candle fumes, especially if the candles contain strong fragrances, toxic essential oils, or produce excessive smoke. Cats with asthma, allergies, kittens, and senior cats are more vulnerable than healthy adults.
Most mild exposures cause temporary irritation rather than poisoning.
However, symptoms should never be ignored if they continue after the candle is extinguished.
Mild Symptoms
Cats exposed to irritating candle fumes may develop:
- Sneezing
- Watery eyes
- Mild coughing
- Nose irritation
- Temporary hiding
- Reduced activity
- Lip licking
- Increased grooming
These symptoms often improve after moving the cat into fresh air.
Moderate Symptoms
Some cats develop more noticeable reactions.
Possible signs include:
- Repeated coughing
- Wheezing
- Open-mouth breathing
- Vomiting
- Drooling
- Decreased appetite
- Lethargy
These symptoms require prompt veterinary advice.
Severe Symptoms
Although uncommon, severe reactions can occur after exposure to toxic essential oils or significant smoke.
Emergency warning signs include:
- Difficulty breathing
- Blue or gray gums
- Collapse
- Tremors
- Seizures
- Loss of consciousness
These situations require immediate emergency veterinary care.
Cats at Highest Risk
Certain cats are much more sensitive to airborne irritants.
Higher-risk groups include:
- Kittens
- Senior cats
- Cats with asthma
- Cats with chronic bronchitis
- Cats recovering from respiratory infections
- Cats with heart disease
- Brachycephalic (flat-faced) breeds
- Immunocompromised cats
Owners of these cats should be especially cautious about using scented candles indoors.
Veterinary Advice for Safe Candle Use
Most veterinarians agree that reducing unnecessary airborne irritants is one of the simplest ways to protect feline respiratory health.
Follow these practical guidelines:
- Choose unscented candles whenever possible.
- Prefer beeswax or soy wax over paraffin.
- Burn candles in well-ventilated rooms.
- Keep candles out of your cat’s reach.
- Never leave a burning candle unattended.
- Trim wicks before each use to reduce soot.
- Avoid burning multiple candles at once.
- Extinguish candles if your cat shows signs of irritation.
- Never allow your cat to lick melted wax or essential oils.
- Store candles securely when not in use.
Quick Safety Checklist
Use this checklist before lighting any candle in a home with cats.
| Question | Safe Answer |
| Is the candle unscented? | Yes |
| Is it made from beeswax or soy? | Yes |
| Is the room well ventilated? | Yes |
| Is your cat unable to reach the candle? | Yes |
| Is the wick trimmed? | Yes |
| Will someone supervise the candle at all times? | Yes |
| Does your cat have asthma or breathing problems? | Consider avoiding candles altogether |
By following these precautions, most cat owners can significantly reduce the potential risks associated with candle use while maintaining a comfortable and safe home environment.
Can Cats Eat Candle Wax?
Most candle wax is not highly toxic, but cats should never be allowed to eat it. Swallowing wax can cause stomach upset, choking, or an intestinal blockage, especially in kittens. If the wax contains essential oils or artificial fragrances, the risk is much higher.
Cats often investigate unusual textures by licking or chewing them. Melted wax, decorative wax melts, or spilled candle residue may attract curious cats, particularly kittens.
The danger depends on several factors, including:
- The amount swallowed
- The type of wax
- Whether it contains essential oils
- The size and age of the cat
- Whether additional ingredients are present
A tiny lick of plain, unscented wax is unlikely to cause serious harm in a healthy adult cat. However, ingesting large pieces of wax or scented products should never be ignored.
What Happens If a Cat Eats Wax?
Small amounts may pass through the digestive tract without causing problems.
Larger amounts may lead to:
- Vomiting
- Diarrhea
- Constipation
- Loss of appetite
- Abdominal pain
- Difficulty passing stool
Cats that swallow large chunks of hardened wax may develop an intestinal obstruction, which is a medical emergency.
Signs Your Cat May Have Swallowed Too Much Wax
Watch for symptoms during the next 24 to 48 hours.
These include:
- Repeated vomiting
- Refusing food
- Hiding
- Lethargy
- Straining in the litter box
- Pain when picked up
- Swollen abdomen
- Crying while attempting to defecate
If these signs develop, contact your veterinarian immediately.
Are Wax Melts Safe Around Cats?
Wax melts are often less safe than many traditional candles because they release fragrance without an open flame, encouraging people to use them for longer periods. Many contain concentrated fragrance oils or essential oils that can irritate or harm cats.
Unlike candles, wax melts are continuously heated, allowing fragrance compounds to spread throughout the home.
Potential concerns include:
- Stronger fragrance concentration
- Longer exposure times
- Toxic essential oils
- Curious cats licking melted wax
- Burns from warm wax warmers
Always check the ingredient list before using wax melts around pets.
Reed Diffusers vs Candles
Many people replace candles with reed diffusers, assuming they are safer.
Unfortunately, this is not always true.
Reed diffusers often contain concentrated essential oils that remain exposed to the air throughout the day.
If knocked over, a cat may:
- Walk through the liquid
- Groom it off their fur
- Lick spilled oils
- Develop skin irritation
- Experience poisoning
For many cats, a diffuser containing toxic essential oils may present a greater poisoning risk than an unscented candle.
What If Your Cat Licks Essential Oil Wax?
Cats should never lick wax containing essential oils. Even a small amount may irritate the mouth or stomach, while larger exposures can lead to poisoning depending on the oil involved.
Do not wait for symptoms to become severe.
Immediately:
- Remove the wax from your cat’s reach.
- Wipe away any residue on the fur using a damp cloth if it is safe to do so.
- Prevent further grooming until the area is clean.
- Contact your veterinarian if the candle contained essential oils.
- Monitor your cat closely for the next several hours.
Never try to induce vomiting unless specifically instructed by a veterinarian.
Fire Hazards Around Cats
Open flames are often a greater danger than candle ingredients. Cats can accidentally knock over candles while jumping, climbing, or playing, increasing the risk of burns and house fires.
Cats are agile, but they are also unpredictable.
A startled cat may:
- Jump onto a shelf
- Knock over a candle with its tail
- Pull a tablecloth
- Brush against a burning wick
- Spill hot wax
These accidents happen surprisingly quickly.
Where Should You Never Place a Candle?
Avoid placing candles:
- On windowsills
- On unstable shelves
- Near curtains
- Beside cat trees
- Close to scratching posts
- On coffee tables where cats frequently jump
- Near bedding
- On bathroom counters
Instead, use sturdy, elevated surfaces that your cat cannot access.
Never Leave Burning Candles Unattended
Even calm cats can suddenly become playful.
If you leave the room, extinguish the candle.
This simple habit greatly reduces the risk of:
- House fires
- Burn injuries
- Broken glass
- Melted furniture
- Curious kittens investigating flames
Can Cats Burn Their Whiskers?
Yes. Curious cats sometimes lean toward candle flames and singe their whiskers.
Whiskers are highly sensitive sensory organs that help cats judge distances and navigate their surroundings.
Burned whiskers may temporarily affect:
- Balance
- Spatial awareness
- Confidence while jumping
- Exploration
Although whiskers usually grow back, burns to the face or nose require veterinary examination.
Burn Injuries From Hot Wax
Hot wax can stick to the skin or fur, making burns more severe than brief contact with a flame.
Signs of a burn include:
- Red skin
- Swelling
- Blisters
- Missing fur
- Pain when touched
- Excessive licking
First Aid for Minor Burns
If your cat has a minor burn:
- Move them away from the heat source.
- Cool the area with cool (not ice-cold) running water for several minutes.
- Do not apply butter, oils, toothpaste, or home remedies.
- Prevent excessive licking if possible.
- Contact your veterinarian for guidance.
Large burns or burns involving the face, eyes, paws, or mouth require immediate veterinary care.
When to Contact a Veterinarian
Seek veterinary advice whenever your cat develops breathing problems, repeatedly vomits, or shows neurological signs after exposure to candles or fragrance products. Early treatment usually leads to better outcomes.
Call your veterinarian if your cat:
- Ate scented candle wax
- Licked essential oils
- Is coughing repeatedly
- Is wheezing
- Has difficulty breathing
- Is drooling excessively
- Develops tremors
- Stops eating
- Seems unusually weak
- Has been burned
Prompt medical attention is especially important for kittens and senior cats.
How Veterinarians Diagnose Candle-Related Problems
Your veterinarian will begin with a thorough history.
Be prepared to provide:
- The candle brand
- Wax type
- Fragrance ingredients
- Essential oils used
- Time of exposure
- Estimated amount swallowed
- Symptoms you’ve observed
Depending on your cat’s condition, diagnostic tests may include:
| Test | Purpose |
| Physical examination | Evaluate breathing, heart rate, and neurological status |
| Chest auscultation | Listen for abnormal lung sounds |
| Blood tests | Assess organ function |
| Urinalysis | Evaluate overall health |
| X-rays | Detect intestinal obstruction or aspiration |
| Oxygen monitoring | Measure blood oxygen levels |
Treatment for Candle or Fragrance Exposure
Treatment depends on the source and severity of exposure.
Possible veterinary treatments include:
- Oxygen therapy
- Intravenous fluids
- Anti-nausea medication
- Activated charcoal (only when appropriate)
- Pain medication
- Skin treatment for burns
- Hospital monitoring
- Surgery for intestinal blockage (rare cases)
Never give human medications unless prescribed by your veterinarian.
Recovery and Outlook
The prognosis is generally excellent when exposure is mild and treated early.
Recovery time varies depending on the problem.
| Condition | Expected Recovery |
| Mild fragrance irritation | A few hours to 2 days |
| Minor stomach upset | 1 to 3 days |
| Mild burn | Several days |
| Respiratory irritation | A few days with treatment |
| Essential oil poisoning | Depends on severity |
| Intestinal blockage | Several weeks after surgery |
Most cats recover completely when the source of exposure is removed quickly.
Preventing Candle-Related Accidents
Preventing accidents is much easier than treating them.
Adopt these simple habits:
- Choose unscented candles whenever possible.
- Burn candles only occasionally.
- Ventilate your home well.
- Keep candles behind closed doors if cats cannot be supervised.
- Store candles in secure cabinets.
- Avoid candles containing toxic essential oils.
- Clean spilled wax immediately.
- Keep kittens away from open flames.
- Consider flameless alternatives in active households.
Safe Alternatives to Candles for Cat Owners
If you enjoy a pleasant-smelling home, there are safer options than burning scented candles. The best alternatives improve your home’s atmosphere without exposing your cat to unnecessary smoke, fragrances, or open flames.
While no fragrance product is completely risk free, these options generally reduce hazards when used responsibly.
| Alternative | Cat Safety | Notes |
| Flameless LED candles | Excellent | No flame, smoke, or hot wax |
| Open windows | Excellent | Improves indoor air quality |
| Air purifier with HEPA filter | Excellent | Removes airborne particles and allergens |
| Regular cleaning | Excellent | Eliminates odor at the source |
| Baking soda for odor control | Good | Avoid direct contact with your cat |
| Unscented beeswax candles | Good | Use only with supervision |
| Fresh flowers (cat-safe only) | Good | Avoid toxic plants such as lilies |
Flameless LED candles provide the same cozy ambiance without the dangers of fire or smoke, making them the safest decorative choice for homes with curious cats.
Room-by-Room Candle Safety Guide
Different areas of your home present different risks for cats.
| Room | Recommendation |
| Living room | Use only on stable, elevated surfaces away from climbing areas |
| Bedroom | Avoid burning candles while sleeping |
| Bathroom | Keep candles away from towels and countertops cats may jump onto |
| Kitchen | Do not place candles near cooking oils or food preparation areas |
| Home office | Keep cords, papers, and candles separated |
| Cat room | Avoid candles altogether |
Remember that even well-behaved cats may suddenly chase a toy or become startled, increasing the chance of knocking over a candle.
Common Mistakes Cat Owners Make
Many candle-related incidents are preventable.
Avoid these common mistakes:
- Assuming all “natural” candles are safe.
- Burning multiple scented candles in a small room.
- Leaving candles unattended.
- Using candles near cat trees or shelves.
- Ignoring mild coughing or sneezing after lighting a candle.
- Allowing cats to investigate melted wax.
- Using essential oil candles around cats with asthma.
- Forgetting to trim the wick, leading to excess soot.
- Believing that wax melts are always safer than candles.
Small changes in your routine can greatly improve your cat’s safety.
Myths vs Facts
| Myth | Fact |
| All candles are toxic to cats. | Many unscented candles are relatively safe when used correctly. |
| Natural candles are always safe. | Natural wax does not guarantee that added fragrances or essential oils are safe. |
| If a candle smells mild to people, it is harmless to cats. | Cats have a much stronger sense of smell and may still be affected. |
| Essential oils are safe because they are plant-based. | Several plant-derived essential oils are toxic to cats. |
| A cat will instinctively avoid a flame. | Curious cats may investigate flames and accidentally burn themselves. |
| Wax melts are safer than candles. | Wax melts may expose cats to fragrance compounds for longer periods. |
Expert Tips for Using Candles Around Cats
Veterinary professionals and feline behavior experts recommend following these practical tips:
- Limit candle use to special occasions rather than daily use.
- Burn candles for short periods instead of several hours.
- Open a window to improve ventilation.
- Observe your cat’s behavior whenever introducing a new fragrance.
- Choose high-quality candles with simple ingredient lists.
- Keep emergency veterinary contact information readily available.
- Replace heavily scented products with unscented alternatives if your cat develops respiratory signs.
- Consider an air purifier if anyone in the household regularly uses candles.
Emergency Warning Signs
Stop using the candle immediately and seek emergency veterinary care if your cat develops:
- Open-mouth breathing
- Rapid or labored breathing
- Blue, gray, or pale gums
- Continuous vomiting
- Tremors
- Seizures
- Collapse
- Extreme weakness
- Loss of consciousness
- Significant burns
These symptoms may indicate poisoning, severe respiratory distress, or another medical emergency that requires prompt treatment.
Quick Summary Checklist
Before lighting a candle, ask yourself:
- Is it unscented?
- Is it made from beeswax or soy wax?
- Is it free from toxic essential oils?
- Is the room well ventilated?
- Is the candle out of your cat’s reach?
- Will you remain in the room while it burns?
- Does your cat have asthma or another respiratory condition?
If you answered “no” to any of these questions, reconsider using the candle.
Conclusion
Candles can make a home feel warm and relaxing, but they also introduce risks that many cat owners overlook. The greatest concerns are not the wax itself, but the combination of open flames, strong fragrances, essential oils, smoke, and soot.
For most healthy cats, an occasional unscented beeswax or soy candle burned in a well-ventilated room is unlikely to cause problems when used responsibly. However, households with kittens, senior cats, or cats with asthma should be much more cautious, as these pets are more sensitive to airborne irritants.
The safest approach is to choose high-quality, unscented candles, never leave them unattended, keep them well out of your cat’s reach, and watch your pet for any signs of discomfort. If your cat develops breathing problems, neurological signs, or ingests scented wax or essential oils, contact your veterinarian immediately.
By understanding the potential hazards and taking simple precautions, you can enjoy a comfortable home while protecting your feline companion’s health and safety.
FAQs
Q: Are scented candles toxic to cats?
A: Not all scented candles are toxic, but some contain essential oils or synthetic fragrances that can irritate a cat’s respiratory system or cause poisoning if ingested. Unscented candles are generally a safer choice, especially for cats with asthma or other breathing problems.
Q: Can candle smoke make my cat cough?
A: Yes. Smoke and soot from burning candles can irritate sensitive airways, causing coughing, sneezing, watery eyes, or wheezing. If symptoms continue after the candle is extinguished, your cat should be examined by a veterinarian.
Q: Is soy wax safer than paraffin wax for cats?
A: Soy wax usually burns cleaner and produces less soot than paraffin wax, making it a better option for indoor air quality. However, fragrance ingredients remain the most important safety factor, regardless of the wax type.
Q: Are beeswax candles safe for cats?
A: Unscented beeswax candles are among the safest choices because they generally produce less soot and contain fewer additives. Even so, they should always be burned under supervision and kept well away from curious cats.
Q: What should I do if my cat eats candle wax?
A: If your cat eats a small amount of plain, unscented wax, monitor them for vomiting, constipation, or loss of appetite. If the wax contained fragrances or essential oils, or your cat develops symptoms, contact your veterinarian promptly.
Q: Can kittens be around candles?
A: Kittens are naturally curious and more likely to investigate flames or chew on wax. It is safest to avoid burning candles around unsupervised kittens and to keep all candles completely out of their reach.
Q: Are wax melts safer than candles for cats?
A: Not necessarily. Wax melts often release fragrance for longer periods and may contain concentrated essential oils. They also pose a risk if a cat licks the melted wax or spills the warmer.
Q: Can cats burn their whiskers on candles?
A: Yes. Curious cats can accidentally singe their whiskers or suffer facial burns by getting too close to an open flame. Whiskers usually grow back, but burns should be evaluated by a veterinarian.
Q: What candle scents should I avoid around cats?
A: Avoid candles containing tea tree, eucalyptus, peppermint, cinnamon, clove, pine, wintergreen, citrus oils, pennyroyal, birch, and ylang-ylang, as these essential oils may be harmful to cats.
Q: What is the safest way to enjoy candles with cats at home?
A: Use unscented beeswax or soy candles sparingly, burn them only in well-ventilated rooms, never leave them unattended, keep them far from your cat’s reach, and stop using them immediately if your cat shows signs of respiratory irritation.

Benjamin Hayes is a Senior Cat Behavior Researcher with more than 15 years of experience studying feline behavior, companion animal welfare, and human cat interactions. He specializes in translating scientific research into practical, easy to understand guidance that helps cat owners better understand their pets’ behavior, communication, health, and daily care.