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What Is an Emotional Support Animal?

Two brown dogs

Animals can provide joy and companionship. Animals can also provide emotional support to people with mental health concerns. These animal companions are known as emotional support animals (ESAs), and they have been growing in popularity in recent years.

An emotional support animal is an animal companion that offers some type of benefit to an individual with some form of disability. The animal is intended to provide companionship and support that will help alleviate at least one aspect of the disability. Dogs are the most common type of emotional support animal, but cats are quite common as well. Other types of animals, such as miniature horses, can also serve as ESAs.1

Dogs are the most common type of emotional support animal, but cats are quite common as well. Other types of animals, such as miniature horses, can also serve as ESAs.1

Benefits

Why would an individual choose to use an emotional support animal? Research has long supported the idea that animals can provide significant mental health benefits. One research review found that owning a pet has positive effects on mental health by fostering emotional connectivity and helping people manage in times of crisis.2

  • Less anxiety. Simply petting an animal can create a relaxation response and elevate mood.
  • Trauma support. Pets can provide comfort to people who are dealing with difficult situations, including those who have experienced some type of trauma.
  • Improved physical health. Studies have found that emotional support animals help to lower blood pressure, decrease respiration rates, and improve the ability to cope with pain.
  • Fewer feelings of loneliness. Animals can provide companionship, which is especially important for people who live alone and experience symptoms of depression and anxiety.
  • Reciprocal care and love. Caring for an emotional support animal can also help give people a sense of purpose. Not only do animals provide unconditional love and companionship, but they also require care and love in return, which can be emotionally rewarding.

Controversy

While there is some evidence pointing to the value of emotional support animals, not everyone agrees that they are always necessary. Some mental health experts have suggested that support animals may be overused.4

The number of emotional support animals appears to be growing every year. United Airlines, one of the largest airline carriers in the US, reported a 75% increase in the number of emotional support animals flying on the airline between the years 2016 and 2017.

One study published in PLOS ONE found that the number of emotional support animals found in the state of California had increased 10-fold between 2002 and 2012.9

Airlines, other businesses, and federal regulators are now considering additional rules regarding the use of ESAs, including:

  • Limiting the number of species that may be allowed to be used as support animals
  • Requiring owners to submit documentation in advance as to their use of an emotional support animal
  • Stating that the animal is housebroken and safe to be around other people

The increased demand for ESA’s sometimes places therapists in a bind as well. More and more, patients request letters of documentation supporting their need for an emotional support animal from their psychologist, therapist, or doctor.

Why are so many people interested in having a support companion? Many experts attribute it to the fact that the law allows these individuals with disabilities to bring an emotional support animal on a plane at no additional cost.5 Normally, airlines require people to pay an extra fee to bring their pets on a flight, but with a letter stating that they need an emotional support animal, people can avoid this fee.

The Air Carrier Access act suggests that a wide variety of animals may be permitted to board flights as emotional support animals, although airlines are able to use their discretion in cases where animals are too heavy, large, or disrupting as well as those prohibited in other countries.10

The problem is that the law is vague in defining exactly who needs an ESA. This has led to many people attempting to obtain letters supporting their need for an emotional support animal in order to travel with their pet without having to pay to bring the animal on board the flight.

People also occasionally obtain letters from physicians and psychologists in order to justify keeping an animal in their rental home or apartment. Because the Fair Housing Act requires landlords to allow renters to keep emotional support animals in their residence, tenants may sometimes have their pet designated as an emotional support animal to keep their pets in their homes.

We at LoveDog Foundation take our non profit program very seriously and work with the referral providers along with their respective clinicians to determine whether or not a loved one is appropriate for an ESA dog. If the referred client does not qualify “medically” for an actual ESA or Service Dog, we are happy to help them select an appropriate companion canine and train the dog appropriately based on their needs. The client however would be required to pay for the training out of pocket or come up with their own fundraiser to cover the training costs. Our Foundation and donors cover the costs for clients with a true medical need for an ESA or related type support dog.

For more information about Love Dog Foundation, please email [email protected].