Hey there, fellow travelers on this sometimes bumpy road called life. It’s April 16th, 2025, and if there’s one thing I’ve learned after years in the therapy world—both personally and professionally—it’s that healing isn’t a one-size-fits-all deal. We all have our unique stories, our unique struggles, and sometimes, the path to feeling better takes us down less conventional roads. Maybe you’ve been feeling stuck, or perhaps traditional talk therapy just hasn’t quite clicked for you in the way you’d hoped. I get it. Sometimes, we need something…different. Something experiential. That’s where intriguing approaches like equine therapy come into the picture.

Now, if your first thought involves picturing yourself awkwardly perched atop a horse trying to explain your childhood trauma, let me stop you right there! While riding *can* be part of some equine programs, it’s often not the main event, especially in equine-assisted psychotherapy. It’s less about horsemanship skills and much more about the profound connection and interaction that can happen between humans and these incredibly intuitive animals. Intrigued? Let’s explore this unique therapeutic path together.

Understanding Equine Therapy

So, what exactly *is* equine therapy? At its heart, equine-assisted therapy (EAT), often including equine-assisted psychotherapy (EAP) or equine-facilitated psychotherapy (EFP), involves partnering with horses in a therapeutic setting, guided by a mental health professional and often an equine specialist.12 Forget the couch; think barn, arena, or pasture. The goal isn’t to become an expert rider, but to engage in activities like grooming, feeding, leading, or simply observing the horses.110 These interactions become catalysts for emotional growth, self-discovery, and developing skills like emotional regulation, trust, communication, and responsibility.119

Working with horses for healing isn’t exactly a brand-new concept. Think about it – humans and horses have shared a bond for millennia. The ancient Greeks, including Hippocrates himself around 400 BC, recognized the therapeutic value of riding.91316 However, its use as a structured form of psychotherapy is much more recent, really gaining traction in the 1990s with the formation of organizations dedicated to setting standards.215 What started perhaps more focused on physical rehabilitation (like the incredible story of Liz Hartel, a polio survivor who won an Olympic medal in dressage1316) blossomed into recognizing the deep psychological benefits these interactions could offer.

Okay, but *how* does standing next to a 1,000-pound animal help with anxiety or trauma? It sounds a bit out there, I know. But there’s some fascinating stuff happening beneath the surface. Horses are prey animals, meaning they are incredibly attuned to their environment and the emotions of those around them – including us.519 They react honestly and immediately to non-verbal cues (our body language, our tension, our breathing). They don’t care about your past mistakes or your diagnosis; they react to how you *are* in the present moment.15 This “mirroring” provides instant, non-judgmental feedback.1719 If you approach hesitantly, the horse might remain distant. If you’re internally agitated, the horse might become restless. Working through these interactions with a therapist helps you become more aware of your own patterns, build trust (both in yourself and the horse), practice clear communication, and learn to regulate your emotions.117 Some research even suggests neurobiological effects, like increased oxytocin (the “bonding hormone”) during human-horse interactions5 and potential changes in brain activation.35

It’s crucial to remember that equine therapy isn’t meant to replace traditional counseling but rather to complement it.1 It offers a different avenue – experiential, sensory, outdoors – for processing challenges that might be difficult to articulate in an office setting.114 It gets you out of your head and into your body, interacting with the world in a tangible way.

Benefits of Equine Therapy for Mental Health

The potential upsides of working with horses are pretty wide-ranging. On the mental and emotional front, people often report:

  • Increased self-awareness: That real-time feedback from the horse is hard to ignore!119
  • Boosted self-esteem and confidence: Successfully connecting with or guiding such a large, powerful animal can be incredibly empowering.1417
  • Improved trust: Learning to trust the horse, the process, and ultimately, yourself.14
  • Better communication skills: Horses demand clear, congruent communication, both verbal and non-verbal.620
  • Enhanced boundary setting: Learning to establish personal space and respect the horse’s boundaries.6
  • Stronger emotional regulation: Recognizing and managing feelings like frustration, fear, or impatience during activities.117
  • Increased empathy: Developing understanding for the horse’s perspective and needs.17

Physically, the benefits aren’t just for those doing therapeutic riding (which can improve balance, coordination, and muscle tone230). Even groundwork activities can help lower stress levels. Just being outdoors, engaging in mindful activities like grooming, and connecting with the horse’s calm presence can reduce blood pressure and heart rate.31017 It pulls you into the present moment, away from anxious thoughts about the past or future.45 This focus on mindfulness and being grounded in nature is a significant aspect of the healing process for many.

Wondering what a session actually looks like? While every program and session is tailored, here’s a general idea of what you might expect:

  1. Safety First: Sessions usually start with introductions and a safety briefing. Working around large animals requires awareness and respect for guidelines.
  2. Meeting the Herd: You’ll be introduced to the horse(s) involved in the session. Sometimes you choose a horse you feel drawn to, other times the therapist guides the choice.28
  3. The Activity: This is where the experiential part happens. It could involve:
    • Observing the horses interacting with each other.
    • Grooming or feeding a horse.110
    • Leading a horse through an obstacle course or around an arena (sometimes without even a rope!).418
    • Engaging in groundwork exercises focused on communication and connection.220
    • *Occasionally*, depending on the model and goals, it might involve riding (therapeutic riding) or specialized therapies like hippotherapy (conducted by licensed PTs, OTs, or SLPs).214 But often, especially in EAP, your feet stay firmly on the ground.418
  4. Processing: Throughout and/or after the activity, the therapist facilitates discussion. How did that feel? What did you notice about the horse? What did you notice about yourself? What patterns emerged? How does this relate to other areas of your life?41018 This reflection is key to translating the experience into meaningful insights.

Remember, it’s not about “doing it right.” It’s about the process, the insights gained, and the connection formed.418

Integrating Equine Therapy in Holistic Mental Health Practice

One of the beautiful things about equine therapy is that it doesn’t exist in a vacuum. It integrates wonderfully with other therapeutic approaches.533 Think of it as another tool in your mental wellness toolkit. Insights gained while working with a horse—maybe about difficulty trusting, avoidance patterns, or communication breakdowns—can be brought back into individual talk therapy sessions for deeper exploration.634 Maybe you’re working through trauma using EMDR; the grounding presence of a horse and the focus on somatic (body) awareness in an equine session can potentially support that work.27 (Always discuss this with your therapists, of course!)

Equine therapy can be adapted for a wide range of needs and populations, too. It’s used with individuals dealing with anxiety, depression, PTSD, addiction, eating disorders, and more.1614 It can be incredibly effective for teens, offering a less intimidating environment than an office and helping them build skills like confidence and impulse control.16 Family or couples sessions in the arena can highlight communication dynamics and relationship patterns in a very real, immediate way.138 The activities are tailored by the therapeutic team to meet the specific goals and emotional needs of the participants.20

Building a balanced mental health routine is about finding what resonates and supports *you*. In 2025, we’re seeing a continued rise in interest for holistic and experiential approaches to wellness.2122 Weaving together different therapies—maybe a blend of individual counseling, group support, mindfulness practices, and something like equine therapy—can create a richer, more comprehensive path to healing. It acknowledges that we heal on multiple levels: cognitive, emotional, physical, and relational. Exploring different pathways allows you to find the combination that truly helps you move forward.

Key Considerations and Next Steps in Equine Therapy

If equine therapy sounds like something worth exploring, especially if you’re in the Cedar City, Utah area or surrounding regions, here are a few things to keep in mind:

  1. Credentials Matter: Look for programs facilitated by qualified professionals. This usually means a licensed mental health professional (like an LCSW, LMFT, LPC) working alongside a certified equine specialist.227 Reputable organizations like PATH Intl. (Professional Association of Therapeutic Horsemanship International) and EAGALA (Equine Assisted Growth and Learning Association) offer certifications and maintain standards for practitioners and centers.823 Don’t hesitate to ask about qualifications!3
  2. Safety and Horse Welfare: Ensure the facility prioritizes safety for both humans and horses. Are the horses well-cared for? Are safety procedures clear? Can you visit the facility beforehand?3 Reputable centers will welcome these questions.
  3. Therapeutic Model: Understand the approach used. Is it primarily psychotherapy (EAP/EFP), therapeutic riding, or equine-facilitated learning (EFL)?21427 Ensure the model aligns with your therapeutic goals.
  4. Logistics: Consider location, cost, and session frequency. While some insurance *might* cover aspects like hippotherapy if deemed medically necessary, EAP is often an out-of-pocket expense, typically ranging from $50 to $300 per session.3
  5. Do Your Research: Look up local providers (searching terms like “equine assisted therapy Cedar City Utah” or nearby areas might yield results).11293132 Read about their programs, check their credentials, and maybe even call for an initial chat to see if it feels like a good fit.

My final recommendation? View equine therapy not as a magic bullet, but as a potentially powerful component of your overall mental health journey. It’s about finding the right tools and supports that help you connect with yourself, navigate challenges, and build resilience. If the idea of working alongside these sensitive, majestic animals speaks to you, it might just be a path worth exploring.

What are your thoughts on alternative therapies like this? Have you ever considered or experienced equine therapy? I’d love to hear your perspectives in the comments below!


  1. Verywell Mind (2024-01-16) Using Equine Therapy as Mental Health Treatment.
  2. Wikipedia (N.A.) Equine-assisted therapy.
  3. Healthline (2023-02-13) A Guide to the Mental and Physical Benefits of Equine Therapy.
  4. Counselling Directory (2024-05-09) Equine Assisted Therapy (Hippotherapy).
  5. Dunham House (2024-11-28) The Complete Guide to Equine-Assisted Therapy.
  6. Sandstone Care (2023-07-12) Equine Therapy: 7+ Ways To Heal With Horses.
  7. Foothills at Red Oak Recovery (2021-07-13) What Happens During Equine Therapy?
  8. MSU Extension (2013-01-16) The science behind equine-assisted activities and therapeutic riding – Part I.
  9. Fort Warrior Ranch (N.A.) History Of Equine Therapy.
  10. Priory (N.A.) Equine therapy.
  11. Recovery.com (N.A.) 28 Best Utah Equine Therapy Rehabs (With Pricing).
  12. Eagala (2024-11-25) What are the Different Equine Therapy Benefits.
  13. Transcend Clinic (N.A.) The History of Equine Therapy.
  14. Turning Point of Tampa (2020-03-30) Benefits of Equine Therapy for Mental Health & Substance Use.
  15. All Points North (2024-06-10) Exploring the Benefits of Equine-Assisted Therapy for Mental Health.
  16. life-changing power of the horse: Equine-assisted activities and therapies in the U.S. (2014-07-01).
  17. Integrative Life Center (2021-10-14) What are the Benefits of Equine Therapy?
  18. Nurse Sarah Barker (2024-04-09) Equine Therapy: Benefits, Process, and History.
  19. Reins of Hope (N.A.) Equine-Assisted Therapy.
  20. Aspire Equestrian (N.A.) Equine Assisted Therapy.
  21. Scottmax.com (2025-04-01) 40 Horse Industry Statistics To Know [April 2025 Update].
  22. South China Morning Post (2025-01-09) 5 wellness retreat trends in 2025.
  23. Colorado State University (2022-09-06) Certifications in Equine Assisted Services: Comparing Apples to Oranges.
  24. ResearchGate (2024-03-07) Mechanisms and Benefits of Equine Therapy for Enhancing Mental Health.
  25. The Business Research Company (N.A.) Equine Healthcare Market Analysis And Forecast Report 2025-2034.
  26. The Business Research Company (N.A.) Equine Healthcare Market Report 2025.
  27. Berger Counseling Services (2017-03-04) Choosing an Equine Assisted Psychotherapy Team.
  28. Wasatch Crest (N.A.) Equine Therapy in Park City & Heber, UT.
  29. Mountain Valley Recovery (N.A.) Equine-Assisted Therapy for Addiction Utah.
  30. Awakenings Treatment Center (2023-10-19) The Science Behind Equine Therapy for Addiction.
  31. Sunrise Residential Treatment Center (2025-01-29) Equine Therapy.
  32. Crossing Arrows (N.A.) Equine Therapy | Utah | Crossing Arrows.
  33. EverythingEQ (2024-01-16) Equine-Assisted Therapy: Healing Through Horses.
  34. Tennessee Valley Recovery (N.A.) Benefits of Equine Therapy for Addiction and Mental Health.
  35. Mississippi State University Vet Med (N.A.) Enhancing Mental Health for Veterinarians: The Impact of Psychotherapy Incorporating Equine (PIE).
  36. High Hopes Therapeutic Riding (N.A.) Equine Specialist in Mental Health & Learning (ESMHL).
  37. CounselingPsychology.org (N.A.) How to Become an Equine-Assisted Therapist.
  38. Pathways to Mental Health (N.A.) EAGALA-frequently-asked-questions.pdf.

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