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What is an emotional support animal?

2024-09-18 16:09:13 33

Emotional Support Animals (ESA) are animals that provide emotional comfort and support, usually to help people with psychological, emotional or mental health problems. Unlike working dogs such as guide dogs, emotional support animals do not need to be specially trained to complete specific tasks. Their main role is to relieve the symptoms of mental health problems such as anxiety, depression, and post-traumatic stress disorder (PTSD) of their owners through companionship, comfort and emotional connection.

Emotional support animals can be dogs, cats, or other kinds of animals such as rabbits, birds, guinea pigs, etc., as long as they can emotionally support their owners and help them maintain emotional balance and mental health.

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The role of emotional support animals

  1. Emotional comfort: Emotional support animals help their owners reduce anxiety, depression and loneliness through companionship, touch and interaction.

  2. Relieve stress: Being with emotional support animals can produce endorphins, reduce stress levels and improve mood.

  3. Provide companionship: Emotional support animals can provide companionship to people suffering from loneliness or depression, reducing their loneliness and helplessness.

  4. Help stabilize emotions: Emotional support animals can provide comfort and reduce emotional fluctuations when their owners are emotionally unstable, which is especially helpful for people with post-traumatic stress disorder (PTSD).

How to get an emotional support animal?

There is usually a formal process to get an emotional support animal, here are the steps:

1. Consult a doctor or mental health professional

The first requirement for an emotional support animal is a recommendation from a professional medical or mental health professional. Usually, this professional will be a licensed psychologist, psychiatrist, therapist, or other mental health professional. They will evaluate the patient's mental state and determine if an emotional support animal is appropriate for the patient's treatment.

During the evaluation, the doctor may determine the effectiveness of an emotional support animal based on the patient's symptoms, such as anxiety, depression, PTSD, or other emotional disorders. If the emotional support animal is considered helpful, the doctor will provide an Emotional Support Animal Recommendation Letter (ESA Letter).

2. Get an Emotional Support Animal Letter

An Emotional Support Animal Letter (ESA Letter) is a letter from a licensed medical or mental health professional. It attests to the patient's emotional health issues and the potential for an emotional support animal to help the patient's mental health. This letter is a key piece of documentation to legally own an emotional support animal.

Letters typically include the following information:

  • Details and signature of the medical professional

  • Explain the patient's mental health condition

  • Explain the need for an emotional support animal

Note that emotional support animal letters are usually valid for one year and need to be renewed after that.

3. Choosing an Emotional Support Animal

Once a recommendation letter is obtained, the patient can choose an appropriate animal as an emotional support animal. Emotional support animals do not need to be of a specific species or professionally trained. Any animal that can provide emotional comfort and support to the patient can become an emotional support animal. Common emotional support animals include:

  • Dogs: Because they are friendly and loyal, they can quickly establish a deep emotional connection with their owners.

  • Cats: Gentle and independent, they are suitable for owners who need more emotional support but may not go out often.

  • Other small animals: Such as rabbits, birds, guinea pigs, etc., are also often chosen as emotional support animals, especially for owners who live in small spaces.

4. Rights of Emotional Support Animals

Although emotional support animals are not considered service dogs, ESAs still have special rights in some circumstances, including:

  • Housing Rights: Under the Fair Housing Act, landlords are generally required to provide reasonable accommodations to patients with emotional support animal recommendations, even if their property policies do not allow pets.

  • Travel Rights: Many airlines allow emotional support animals to travel with their owners, but some may require a doctor's recommendation and other relevant documentation in advance.

Differences between emotional support animals and service dogs

There are clear differences between emotional support animals and service dogs, mainly in terms of training and duties:

  1. Training: Service dogs are specially trained to perform specific tasks to help their owners, such as guide dogs and hearing dogs. Emotional support animals do not require special training, and their main duty is to provide emotional support through companionship.

  2. Legal protection: Service dogs are fully protected by the Americans with Disabilities Act (ADA) and can enter public places and transportation. Emotional support animals have narrower legal protections, mainly in housing and some air travel.

  3. Mission: Service dogs are trained to perform specific tasks, while emotional support animals are primarily for emotional support and companionship.

How to care for emotional support animals?

Emotional support animals need careful attention from their owners to ensure their physical and mental health:

  • Health checks: Take emotional support animals to the veterinarian regularly to ensure they are in good health.

  • Daily care: Provide appropriate food, water, and cleanliness. Make sure they live in a comfortable environment.

  • Emotional care: Emotional support animals also need the love and care of their owners to ensure they feel safe and cared for. Building a close relationship with them is not only beneficial to the animal, but also helps the owner's own emotional health.


Emotional support animals have brought great help to those with psychological and emotional distress. Through companionship, comfort and support, emotional support animals can significantly improve the quality of life of their owners. The process of obtaining an emotional support animal is relatively simple, and the key is to get a recommendation from a professional mental health expert. Obtaining emotional support animals in the right way and providing them with appropriate care can provide important support on the road to mental health.


Below are some common types of Emotional Support Animals (ESA) and their characteristics:

Animal TypesCharacteristicsSuitable People
DogsLoyal, friendly, easy to train, and can quickly establish a deep emotional connection with the ownerPeople who need emotional comfort, companionship, and additional activity support
CatsGentle and independent, easy to adapt to indoor environment, and form a close relationship with the ownerOwners who need quiet companionship and are suitable for living in a small space
RabbitGentle temperament, small size, easy to care for, and able to provide emotional support through interactionOwners who like small pets and need emotional comfort but do not go out often
Guinea PigGentle temperament, suitable for petting and interaction, can relieve anxiety and lonelinessPeople with limited living space and interested in small animals
BirdsSmart, easy to interact with the owner, and provide emotional support through singing or imitating soundsPeople who need easy companionship and are interested in birds
Mini pigsHigh intelligence, rich emotions, can provide comfort to the owner through interaction and companionshipPeople who are looking for a more unique and emotional animal as a companion
HamstersSmall size, relatively simple to care for, can provide soothing emotions through petting and interactionOwners who live in limited space and seek small pets for companionship
LizardsQuiet and easy to care for, especially some gentle breeds such as bearded dragonsPeople who are interested in reptiles and need a pet with little emotional support and easy to care for
FishEasy to care for, highly ornamental, can provide psychological relaxation by observing the activities of fish in the aquariumPeople who are interested in aquatic life, need visual comfort and are suitable for living in a small space
HorseEspecially used on farms or nursing homes, can form a deep emotional connection with the ownerPeople who need more outdoor activities and can take care of large animals
Small animalsSuch as small turtles, mice, etc., which are easy to take care of and can provide some emotional support through daily interactionPeople who need small, low-maintenance animals and are interested in interacting with animals

Different types of emotional support animals are suitable for different people. Which animal to choose as an emotional support animal depends on the owner's personal needs, living environment and preferences.


Emotional Support Animals (ESA) provide help for many mental health issues, but they also have some pros and cons. Here is a detailed analysis of the pros and cons of emotional support animals:

Pros of Emotional Support Animals

ProsExplanation
Emotional Support and ComfortEmotional support animals help owners relieve anxiety, depression, post-traumatic stress disorder (PTSD) and other mental health issues through companionship and interaction, bringing psychological comfort and emotional support.
Relieve lonelinessMany people feel less lonely with the company of emotional support animals, especially those who live alone or are socially isolated.
Reduce stress and anxiety levelsStudies have shown that interacting with pets can reduce blood pressure and stress hormone levels, and emotional support animals can help owners stay calm and emotionally stable during stressful times.
Improve mood and overall well-beingEmotional support animals can increase the joy and happiness of their owners in their daily lives. The interaction and companionship of pets can promote the secretion of endorphins and oxytocin in the body, which can help improve mood.
No special training requiredUnlike service dogs, emotional support animals do not need to be specially trained to perform specific tasks. Any animal that can provide emotional support can serve as an ESA.
Housing Rights ProtectionUnder the Fair Housing Act, individuals with an emotional support animal recommendation have the right to live with an emotional support animal even in places where pets are prohibited.
Adding structure to daily lifeCaring for emotional support animals (such as feeding, walking, etc.) can help owners establish a regular routine, add structure and purpose to their lives, and help them get out of depression and low mood.
Help build social connectionsHaving a pet may promote social interactions with other pet owners or lovers, especially when taking an emotional support animal with you in public places, which can serve as a bridge between people and increase social opportunities.

Disadvantages of emotional support animals

DisadvantagesExplanation
Care BurdenEmotional support animals require care from their owners, including feeding, cleaning, and health care, which can be a burden for people with poor mental health.
Limited Legal ProtectionEmotional support animals do not have the same legal rights as service dogs, for example, they cannot freely enter public places such as restaurants, stores, or workplaces.
Cause allergies or hygiene problemsSome animals may cause allergies in their owners, or cause hygiene problems due to hair, excrement, etc., especially when living in a small space.
Financial burdenKeeping a pet requires expenses, including food, health checks, vaccines, accidental injuries, etc., which may be a burden for people with limited financial conditions.
Restrictions on going outPeople with emotional support animals may encounter difficulties in travel, especially when they need to take public transportation, stay in a hotel or travel, because many places have restrictions on carrying pets. Although some airlines allow emotional support animals on board, there are still restrictions.
Potential dependenceSome people may become too dependent on emotional support animals and are unwilling to socialize with others or cope with life challenges alone, which may limit their independence and psychological recovery process.
Impact on public environmentSome emotional support animals may bark, run around or be disobedient in public environments, causing inconvenience to others, especially untrained animals, which may not perform well in certain situations.
May affect relationships with othersNot everyone likes or can accept animals, especially in a shared living or working environment, and bringing emotional support animals may affect others or even cause conflicts.
Limited outdoor activitiesPeople who have emotional support animals may need to change their lifestyle, such as reducing outdoor time or activities, in order to care for the animals, especially those pets that need regular exercise, such as dogs.
Emotional BurdenWhen an emotional support animal becomes ill or dies, owners may experience greater emotional trauma and grief, especially those who rely too heavily on the animal for emotional support.


Emotional support animals can be very helpful to those who need emotional and psychological support, and they can provide many benefits, including emotional comfort, reduced anxiety, and improved quality of life. However, emotional support animals also come with responsibilities and burdens, especially in terms of care, legal rights, and financial costs. Therefore, before deciding to get an emotional support animal, it is best to carefully weigh the pros and cons and make sure you can handle the responsibilities and get the psychological help it provides.


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