The standard advice is to take them more often so they get used to it. For a dog that's genuinely frightened, this reliably makes things worse.
Repeated exposure to something scary at full intensity doesn't build tolerance. It confirms the fear. What works is the opposite: exposure so mild the dog barely registers it, then increased so gradually they never get a chance to be frightened.
Here's a four-week version. Four weeks is a guide, not a schedule — some dogs take two, some take three months.
Week 1: the car doesn't go anywhere
Open the doors. Sit near the car with your dog and do nothing. Read something. Let them wander over and away as they like.
Feed dinner near the car, then over several days move the bowl closer, then onto the floor of the back seat, then further in. If they won't approach at any point, you've moved too fast — go back to where they were relaxed and stay there longer.
Goal: a dog that gets into a stationary car of its own accord and lies down.
Week 2: engine on, still not going
Same again, but start the engine once they're settled. Leave it running for thirty seconds. Turn it off. Something good happens. Get out.
Build up to a few minutes of idling. The car makes noise and vibrates and nothing bad follows. That's the entire lesson of the week.
Week 3: to the end of the street and back
The first trip should be genuinely short. Around the block. Two minutes.
Then home, and something good. Not the vet, not the groomer. If your dog has a favourite park, the first real destination should be that, even if it's further than you'd like.
Keep the early trips shorter than you think necessary. A dog that arrives home still calm has learned something. A dog that arrives home shaking has unlearned three weeks.
Week 4: somewhere worth going
Now start extending, and keep the ratio right: for every trip to somewhere the dog doesn't like, several to somewhere they do. If the only journeys are to the vet, the association rebuilds itself into what it was.
Things that help along the way
Face them forward. Sideways is worse for nausea, the same way reading in a car is worse than watching the road.
Give them a fixed place. Sliding around on every corner keeps a dog alert. A defined spot with sides and grip lets them stop bracing. This is the part our seat is for — but it belongs at week three, not week one. Introduce it in the stationary car first, or it becomes one more strange thing to worry about.
Keep it cool and don't feed beforehand. Two or three hours without food before a trip removes a variable.
Stay boring. Reassuring an anxious dog in a high, concerned voice tells them their concern was correct. Calm and uninteresting is what you're going for.
When it goes backwards
It will, usually after one bad trip — a long drive, a hot day, an unavoidable vet run. Don't push through. Drop back two steps and rebuild from there. It comes back faster the second time.
When to involve a vet
If there's drooling, lip licking or vomiting, treat it as nausea rather than fear until proven otherwise — a dog that feels sick in the car will look anxious about the car, and no amount of desensitisation fixes an inner ear.
If the panic is severe, or nothing shifts after a month of honest effort, ask your vet. There are medications for both nausea and situational anxiety, and for some dogs they're what makes the training possible rather than a replacement for it.
None of this is a substitute for veterinary advice for your particular dog. If your dog's distress is severe, start with the vet rather than with us.