What is Equine Therapy?

So You Counsel Horses?
Explaining Equine Assisted Therapy

by Meagan Good, MA, LPC; Founder of Take Heart

December 19, 2023

“So you counsel horses?”

 

I get this question all the time. The term “equine assisted therapy” is new for a lot of people! Let’s start by breaking it down, then discussing the benefits of equine assisted psychotherapy specifically, since that is our main focus at Take Heart.

First, “equine assisted therapy” is an umbrella term for a wide variety of services that utilize horses to help people. It can include therapeutic riding for individuals with physical limitations, services for veterans, reading and speech therapies, and mental health therapies. Fun fact: I chose to include this umbrella term when I named Take Heart (Counseling & Equine Assisted Therapy), because I wanted to leave room for more than mental health services one day if we are able to provide more.

 

“Equine” is a term for “relating to horses.” Horses (and donkeys – can’t forget our sweet Harry!) are part of the Equus genus, along with zebras.

 

“Assisted” is sometimes used interchangeably in the field with “facilitated.” I prefer “assisted” personally, because I believe the horses are an important assistant in the work, but I don’t like to put as much responsibility on them as the clinician for facilitating the work. It’s not a big difference, but to me it is more fair for the horse, since the clinician, not the horse, went to graduate school to learn how to facilitate a therapy session. 😉

 

“Psychotherapy” is a broad term for mental health therapies where you are working with a trained mental health professional. “Therapy” is a broad term, and can include all kinds of therapies, such as physical or speech therapy. Right now, Take Heart’s therapeutic services are all surrounding psychotherapy – essentially, counseling with horses. Counseling is a more commonly spoken term – but the phrase “equine assisted counseling” is not commonly used. I have no idea why!

 

So “equine assisted psychotherapy” is working with a trained mental health professional, with the assistance of a horse in the session. Sometimes I describe it like art therapy: paint and paintbrushes are tools used to facilitate healing in a session. In equine assisted therapy, the horses are so much more than a tool; we bring them into the sessions because learning to interact with horses and build a relationship with them is what facilitates healing in a session.

Next, and more importantly, is understanding why we bring horses into counseling. What’s the benefit? Isn’t it easier to just meet in an office?

 

The answer is multifaceted, because there are a lot of reasons why equine assisted psychotherapy differs from and helps people in a way that is unique! I am not against traditional therapy, so as you read through these reasons, please keep in mind that there is absolutely a place for traditional therapy. I’m just obviously a bit biased towards equine assisted psychotherapy, because I get to see its benefits every day. And the point of this post is to help break down the difference! The best equine therapy is that which integrates solid, evidence-based psychology with solid, evidence-based horsemanship.

 

In traditional therapy, you sit in a room across from your counselor and talk about things. You might talk about your past, and strategize about how to make the changes needed to become a healthier you. You might be asked to try a new skill in the coming week, and talk about how it went in next week’s session. The room is probably nicely decorated, comfortable, and clean. Your therapist is probably dressed professionally and may take notes while you talk. All of this is good – but equine assisted psychotherapy is going to look and feel very different.

 

At Take Heart, you arrive at the farm and your therapist greets you… probably along with a barn cat or dog. Working outdoors and with horses means your therapist is dressed according to the weather, and hopefully you are too (or we have some extra boots/coats as needed!). Their laid-back attire might include jeans, boots, and a cowboy hat! We walk up to the barn, or out to the arena or pasture where we’ll hold the session for the day. In your session, we will likely be doing a specific activity based on your goals, that will help you practice new skills in-the-moment with your horse partner. We go slow and pause to discuss what’s happening, then go right back into the activity. The activities are tailored towards each individual’s goals, and designed to help with gaining insight into core issues, as well as help you grow and learn through hands-on experience and real-time feedback from the horses. Horses are honest and their responses in the moment help bring meaning and empathy as we heal and change.

Ok, so it looks different. Why is that beneficial?

 

For many people, the down-to-earth, casual environment creates a level of safety that feels different from entering a professional office space. “Come as you are” is important in building a sense of belonging. We are designed to “belong” somewhere –we heal in community – so this feeling is important.

 

The outdoors is something that many people don’t get much of anymore. More and more people live the vast majority of their days indoors. Lots of research (which I won’t get into here) points to the decline of physical and mental health because of this shift in our daily living. So being out in the fresh air, sunshine or rain, seeing sky and trees and grass and animals, engaging all our senses, incorporating natural movement through walking and interacting with the animals – these all have an impact that is positive as we work on our mental health.

 

Talk therapy can only go so far. More and more research is showing the necessity of engaging our whole being in healing. We often hear from clients that traditional therapy didn’t work for them. This isn’t necessarily their fault or their old therapist’s fault! Our wounds run deep throughout our whole being – hard things, chronic stress, traumatic events… it is all stored in our body, not just in our brain. We can’t only process something verbally – we must also process it emotionally and physically. For some people, just being outdoors and incorporating natural movement is enough as we talk through things. For others, we slow down the talking and spend time processing through rhythmic movement (riding a horse, walking, stretching, rocking on chairs, etc) and through connecting with our emotional experience (naming things more deeply than “sad/mad/scared” has immense value). For many people, without processing things more holistically, talk therapy will never work, because they aren’t yet at a point in their healing where they can just implement strategies to help them change. It’s like telling someone to “just stop doing that” or “calm down.” They can’t! They need to learn how to process their experience in other ways, to get to where they can logically process and talk through healing and growth.

 

For example, someone struggling to leave an abusive partner won’t be able to “just leave” without finding and building up their internal sense of self-worth. To truly embody that self-worth requires them to explore their past, develop awareness and regulation of their physical, emotional, and cognitive experience, and learn to make choices and set boundaries (and hold them) to support that self-worth. They can practice all of these skills in a safe, nonjudgmental environment with the horses and their therapist. Once the self-worth is truly internalized, they take it with them into every environment – which empowers them to do something as difficult as leaving an abusive partner.

 

The ability to do an activity and practice what we’re talking through is also immensely beneficial. Imagine sitting through an algebra class and not practicing solving equations as you go – you’re just supposed to remember what you learned and then go out and apply it. That’s hard! Some people probably could do it, but there is an obvious benefit to practice as you learn during class. Having the horse giving real-time feedback is like having a kind and helpful teacher working alongside you. The horse is able to respond in the moment, which gives you opportunity to respond… it’s a real relationship with real dynamics and back-and-forth. Horses are also nonjudgmental and very forgiving of our mistakes, offering us a lot of grace as we learn. But they also won’t lie to us – they’ll let us know there was a mistake made! This is where the clinician comes in with their training in horsemanship to help clients understand what the horse is saying in the moment.

 

For example, one activity we often utilize is asking the horse to connect with us. It’s a “simple” activity that allows for a lot of nuance, so we can tailor the direction of the session based on what the client needs most. We might do this out in a field, or bring a horse into a smaller arena, then ask the client to approach and request that the horse comes over to them. Some clients march right over boldly and pet the horse on the face. Some horses are pretty comfortable with that and enjoy the “scratchies,” while others will pin their ears, tense up their body, and maybe try to move away from that invasion of their space. Some clients will stay back and ask the horse to come to them, maybe timidly or unsure about why a horse would ever choose to come to them. The clinician can help clients interpret what’s happening and make choices about what they might like to change, to better the relationship with the horse. Then the client might try again in a new way. In learning these relationship skills with the horse, the client will gain insight into their own styles of interacting (that might be healthy or need some adjusting), understanding where that style began – maybe past wounds have influenced how the client approaches new relationships or new situations. We might need to pause and check in with our own bodies, too – maybe the client is holding some tension about doing a task they think they have to accomplish perfectly or they will fail. So in our sessions, we are working in a multifaceted way to develop understanding and self-awareness, empathy and other-awareness (because sometimes it’s not you!), building new skills, regulating our nervous systems, identifying deeply-held beliefs, and creating change in our thoughts and behaviors based on our new understandings. It’s pretty powerful stuff! And it’s pretty hard to write about, because there is so much nuance. To describe every piece of what’s happening even with this simplified example, could easily fill an entire book!

But it leads me to one more important piece of “what is equine assisted psychotherapy.”

 

That we have qualified and credentialed mental health professionals at Take Heart is key. There are many equine assisted therapies out there, with well-meaning people facilitating sessions, that sometimes end up retraumatizing people. The very nature of working with horses tends to appeal to people who have been very wounded by people in their lives who should have protected them. I believe this is because animals often feel safer for these people, than other people do. The beautiful part of this is that the animals create a bridge of trust between the client and therapist. The dangerous part is when these people are working with “therapists” who are NOT properly trained or credentialed. This work brings up the most vulnerable pieces of ourselves, and well-meaning but untrained therapists sometimes don’t handle those pieces with the trauma-competent care needed by the client. (Check out our blog on trauma-informed vs. trauma-competent for more on that!) Our clinicians are all trained in trauma-focused equine assisted psychotherapy and undergo extensive start-up and continuing on-site training to ensure that we are offering our services with both compassion AND competence.

Well, after reading this, you can see I’m still working on my “elevator speech.” It’s hard to succinctly define equine assisted psychotherapy and describe its benefits to someone new. There is still so much more I could say to explain my passion for this work – but let it suffice to say, it is a privilege to do this powerful work with clients and see horses healing hearts every day. It has changed my own life, and I’ve seen it change hundreds more over the last 10 years since I opened Take Heart. If you’re on the fence wondering if equine assisted psychotherapy is for you or your family – give it a try. You won’t regret it.

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