Therapy Dogs & Service Dogs For Mental Health

Medically reviewed by Andrea Brant, LMHC
Updated January 4th, 2025 by BetterHelp Editorial Team

Psychiatric assistance dogs (PADs), also known as therapy dogs, are used to help people with mental illnesses like depression, anxiety, bipolar disorder, and others to manage their symptoms and handle other associated challenges. Therapy dogs are professionally trained by a dog handler and certified to provide therapy sessions, comfort, and support as well as to perform other helpful tasks (i.e., retrieving medication for anxiety attacks, distracting the individual from damaging behaviors, etc.). 

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What is the history of therapy dogs?

Therapy dogs and other therapy animals have been used at least since the 1600s, when the staff at an English Quaker health retreat encouraged their patients with mental health conditions to interact with the animals they kept there. Interacting with dogs, cats, horses, and pigs, even for just a few minutes, was found to be cathartic to the individuals at this retreat who were experiencing mental health concerns. A therapy dog was recognized for their ability to provide emotional support and comfort, helping people cope with various mental health challenges.

Which conditions might someone have therapy dogs or animals for?

Typically, only humans with serious mental health disorders can qualify for a service dog, sometimes called therapy dogs. These service animals need to be approved by their medical doctor to be covered by insurance. Post-traumatic stress disorder (PTSD), schizophrenia, bipolar, autism, agoraphobia, and anxiety are just a few examples of the kind of mental health conditions that a patient with a therapy dog may have. The role of a therapy dog in supporting these patients is essential in helping them cope with their conditions.

The Americans with Disabilities Act defines service dogs as: “service animal means any dog that is individually trained to do work or perform tasks for the benefit of an individual with a disability, including a physical, sensory, psychiatric, intellectual, or other mental disability.” These service dogs need to be approved by a medical doctor to be covered by insurance.

What are some different kinds of animal-assisted therapy?

There are several different kinds of animal-assisted therapy that these patients can choose from if having an individually trained service dog or therapy dog is not an option for them. Some trained therapy dogs accompany their handlers to nursing homes, hospitals, schools, and therapy sessions to provide emotional support to the patients. These therapy dogs are called “comfort dogs”. 

The difference between therapy dogs and emotional support dogs is how many people they work with. An emotional support animal typically helps one individual, whereas therapy dogs work with multiple people in different settings such as hospitals, schools (especially during stressful times, such as finals week), or disaster areas. A therapy dog often plays an essential role in emotional recovery in these settings, offering calm and comfort to those in need. The Alliance of Therapy Dogs is a certification program for therapy dogs. The benefits of therapy dogs may include improved mood, increased self-esteem, and decreased depression. Having a therapy dog nearby can provide not just emotional support but also a sense of safety and well-being, contributing to the overall therapeutic experience.

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How psychiatric assistance animals can help

Psychiatric assistance animals and therapy dogs may have many positive effects on the well being of their owners. Good therapy dogs may be able to drastically improve the quality of life for someone living with a mental health condition. The therapeutic benefits of PAGs are still being studied, but here are a few of the suspected health benefits of psychiatric assistance animals:

  • A therapy dog can perform room searches and safety checks, offering reassurance to individuals who feel unsafe in their surroundings.
  • A therapy dog can remind their handler to take medication
  • A therapy dog can interrupt acts of self-harm.
  • A therapy dog can turn lights off and on.
  • A therapy dog and service animals can protect disoriented individuals from dangers.
  • A therapy dog and other psychiatric assistance animals can distract the handler during moments of anxiety.
  • A therapy dog can alert others for help.
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Learn more about dog therapy and other treatment options

Other ways to get support for mental health conditions

Therapy dogs may not be an option for everyone. Not all individuals can afford, accommodate, or care for therapy dogs or the training these dogs require. In addition, the symptoms of some mental health conditions may not be meaningfully improved by the presence of a pet, even trained therapy dogs. For some people, having a dog adds responsibility and stress rather than providing relief.  That said, there are other ways to receive helpful mental healthcare. Meeting with a qualified therapist in therapy is one that’s both common and highly effective, and is typically recommended even for those who also have therapy dogs.

Research suggests that speaking with a therapist online can offer similar benefits to speaking with a therapist in person in many cases. One study found that online cognitive behavioral therapy (CBT) “allows treatment of patients with many different psychiatric conditions at a lower cost than traditional CBT”. Online therapy also represents a more available option for those who aren’t able to locate a therapist in their local area or who have trouble getting to therapy sessions regularly for any reason. For those interested in virtual therapy, a therapy platform like BetterHelp may be worth considering. You can get matched with a licensed therapist whom you can meet with via phone, video call, and/or online chat to address the mental health challenges you may be facing. 

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Takeaway

Psychiatric assistance dogs may be helpful to people with certain mental health conditions in certain situations. Seeking the support of a qualified therapist in therapy is another way to address mental health conditions. A trained dog can provide emotional support and companionship, which may be especially beneficial during therapy sessions. However, in some cases, the presence of a dog should not replace professional care and therapy but rather complement it.
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