Your Guide To Mental Health Support Animals

What’s an emotional support animal and how do i get one?

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A version of this article was originally published by Mental Health America.

Taking care of an animal can be a great way to improve your mental health. But not every landlord allows pets. You can get around this if a mental health professional certifies that you need an emotional support animal. There are other types of service animals too—it’s important to understand what you’re trying to get, because the steps are different for each type.

Emotional support animals (ESAs)

An emotional support animal (ESA) is just what it sounds like—a pet that provides emotional support. ESAs don’t need any special training (beyond the normal training a pet needs). Dogs and cats are the most common, but any domesticated animal can be an ESA.

ESAs are covered under the Fair Housing Act. This allows people with an ESA to have their pet in their home even if there is a "no pet" policy. The law also prevents additional pet fees for ESAs. Small ESAs can also travel with you on a plane free of charge.

In order to get the benefits of an ESA, you will need a “prescription” from a mental health professional. This is basically just a signed letter stating that you have a mental health condition and that your pet helps you deal with it. Some landlords and airlines will accept a letter from a medical doctor, but usually it needs to be a therapist or a psychiatrist.

ESAs aren’t allowed into public places that don’t normally allow pets. For that, you’d need a service animal.

Service animals (dogs only)

The Americans with Disabilities Act (ADA) defines service animals as dogs that are individually trained to perform tasks for the benefit of an individual with a disability. This can be a physical, sensory, psychiatric, intellectual, or other mental disability. Only dogs are legally considered service animals. Other domestic animals are covered only as emotional support animals or therapy animals.

Qualifying for a service dog is simple. Actually getting one is a bit harder. To qualify for a service animal, all you need to do is get written documentation from your healthcare provider that you have and are being treated for an emotional or psychiatric disorder or disability and require the assistance of an animal because of it. The work a dog has been trained to do must specifically relate to your condition. Training a service dog yourself can be difficult and can take years. Usually you would get a service dog from someone else who has already trained it.

Psychiatric service dogs (PSDs)

A psychiatric service dog (PSD) is a specific type of service animal trained to assist those with mental illnesses. These include post-traumatic stress disorder (PTSD), schizophrenia, depression, anxiety, and bipolar disorder. For example, a dog may assist someone with PTSD in doing room searches or turning on lights. Or it might help someone in a dissociative episode from wandering into danger. Providing companionship, calming anxiety, or providing a sense of safety merely by its presence are not legally considered "tasks.”

If you’re not sure whether to get an ESA or a PSD, think about what your specific needs are. Is this animal going to assist you in tasks you wouldn’t otherwise be able to do? You’ll probably need a service animal. Are they primarily going to provide companionship, non-judgmental positive regard, and affection? That sounds more like an ESA, which is much easier to get anyway.

Therapy animals

Therapy animals are used in therapeutic settings, like hospitals or nursing homes. Some examples might be a cat that lives at a treatment facility, a dog that is taken to visit people in a disaster area, or a horse used in equestrian therapy. Therapy animals provide affection and comfort to people, but they are different than PSDs or ESAs. They are screened for their ability to perform a specific type of therapy, and they are handled by professionals.

Before getting any kind of pet or service animal, it is important to seriously consider the responsibilities that come along with it. Think about whether you can care for it physically, mentally, and financially. Service animals in particular are a big commitment. ESAs are a little easier since they don’t need special training, but any pet is still a commitment. If you can’t handle a dog, consider a lower-maintenance pet like a cat or a fish.