A cat who urinates outside the litter box, literally spraying their urine on everything, is one of the most stressful conditions around - both for your cat and you as their owner. Even more so if you’ve tried absolutely everything to help them stop. Here are the next steps to take…Check out the Our Pet's Health AcademyOne thing I always find helpful with cases that are not going as I would hope or expect is to go back to basics and check that nothing has been skipped over or overlooked because it was originally felt to be unlikely or insignificant.The first thing is to determine: is it peeing while assuming a normal position but outside the litterbox, or is it spraying on vertical surfaces?Next would come working through common medical problems. If these checks show nothing of concern then you can truly focus on the problem as a behavioral one.There are several different anti-anxiety medications out there, it can take a bit of trial and error to find the best single drug or combination.Given everything you have already tried, my final suggestion would be to see if there is a behavioral specialist that you could contact, be referred to, or the best would be visiting you at homeHead over to the show notes for more information and further resources