Service dogs for mental illness

Deborah C. Escalante

Psychiatric service dogs (PSDs) are dogs that are specially trained to work with people who have certain kinds of mental illnesses or learning disabilities. These dogs can help their owners perform tasks that they otherwise might not be able to do or help them to live a more independent lifestyle.

Types of Service Animals

PSDs are trained animals that aren’t to be confused with other types of service animals.

‌Emotional support animals.Emotional support animals (ESAs) are pets or animals that can provide you with emotional support during difficult times. Unlike PSDs, ESAs don’t need any special training. They can be any kind of domestic animal, not just a dog. However, dogs and cats are the most common choices when it comes to emotional support animals.

ESAs aren’t trained to do specific tasks in the way that service dogs are. They can simply offer you comfort and help you relax during stressful situations.

Service animals. The Americans with Disabilities Act (ADA) says that service animals are dogs that are trained to work with people who have disabilities. Each dog is individually trained to help people with tasks that they might not otherwise be able to do. Service dogs can help guide people with vision, mobility, or physical difficulties.

“The ADA defines a person with a disability as a person who has a physical or mental impairment that substantially limits one or more major life activity.” To qualify for a service dog, you must be diagnosed with a disability. Depression, stress, or anxiety are only considered a disability if they limit what you can do. For instance, some people cannot go to the store on their own. Others can’t leave their homes, can’t work, or go to public places when it’s crowded. If you have depression or anxiety but are still able to go through your day without limitations, you do not qualify for a service dog under the ADA.

The dog must allow you to go places and face situations that you would not be able to without a service dog.

Taking care of an animal can be a great way to improve your mental health [1]. 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. Unlike service dogs, ESAs aren’t allowed into other public places that don’t normally allow pets.

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 often it needs to be a therapist or a psychiatrist.

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 [2]. 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.

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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.

Can you take care of an animal?

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. If even that is too much, try starting with a plant or a stuffed animal, or another form of treatment.

Show References

  1. Mental Health Foundation. (2022). Pets and mental health. Retrieved from https://www.mentalhealth.org.uk/explore-mental-health/a-z-topics/pets-and-mental-health
  2. Brennan & Nguyen. (2014). Service Animals and Emotional Support Animals
    Where are they allowed and under what conditions? Retrieved from https://adata.org/guide/service-animals-and-emotional-support-animals

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At CertaPet, we are a dedicated team focused on one thing: Getting people in need the help they deserve as quickly as possible. Whether from a psychiatric service dog or an emotional support animal, our easy and painless 3 step process will direct you down the path to regaining the power to live a life free from stress and worry.

The purpose of this article is to inform and educate people about the service dog world, the differences between a therapy dog, another term for a psychiatric service dog, and a support dog or emotional support animal.

We relay how they can help all people who suffer from a mental illness, how they are specifically trained, and how we can help you acquire one for yourself.

What is Mental Illness?

service dog for mental illness

Mental illnesses are health conditions involving changes in emotion, thinking or behavior (or a combination of these). Mental illnesses are associated with distress and/or problems functioning in social, work or family activities.

Mental illness does not discriminate; it can affect anyone regardless of your age, gender, geography, income, social status, race/ethnicity, religion/spirituality, sexual orientation, background or other aspect of cultural identity. While mental illness can occur at any age, three-fourths of all mental illness begins by age 24.

Mental illnesses take many forms. Some are mild and only interfere in limited ways with daily life, such as certain phobias (abnormal fears). Other mental health conditions are so severe that a person may need care in a hospital. Psychiatry.org gives great insight into this complicated, yet common, subject.

Common Treatments and Coping Mechanisms for Mental Illness

Learning you have a mental health condition can be upsetting and dealing with associated symptoms can be daunting. But there is hope. There are a variety of treatments available for mental health conditions. Don’t be afraid to ask for help.

The most popular, traditional medicine treatments are:

  • Psychotherapy or Counseling
  • Prescription Medicine
  • Support Groups
  • Exercise and Creativity Based Therapies
  • Eye Movement Desensitization and Reprocessing (EMDR) therapy
  • Hospitalization or a Residential Treatment Program
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As more and more people seek holistic alternatives when developing their treatment plans, the use of assistance animals such as psychiatric service dogs is becoming more commonplace. The complete discussion of treatments and alternatives can be found here.

What are Psychiatric Service Dogs?

A psychiatric service dog (PSD) is a type of assistance animal/emotional support animal that’s trained to perform specific tasks for individuals living with a mental illness. These unique tasks are directly related to the handler’s disability.

The ADA, Americans With Disabilities Act, has compiled Frequently Asked Questions and comprehensive, revised requirements, specifically about assistance dog use, service animals, psychiatric service dogs, and more.

Most of us are accustomed to seeing guide dogs supporting those with physical disabilities like a hearing or sight impairment. However, a psychiatric service animal helps people with typically unseen, unnoticeable disabilities.

For example, veterans with post-traumatic stress disorder (PTSD) who experience panic attacks or similar challenges can greatly benefit from the service of a PSD. Those who live with symptoms like social phobia, depression or other depressive disorders can also find the service of a PSD to be incredibly beneficial.

CertaPet’s Blog is updated weekly and full of informative articles, testimonials, and data from mental health and professionals. For a more in-depth overview of this complicated subject, read our full article.

Click the below video to learn more about psychiatric service dogs. 

How Can Service Dogs Help with Mental Illness?

service dog mental illness

Service dogs are most commonly thought of as helping the physically impaired. However, as mental health becomes a more acceptable topic, psychiatric service dogs are starting to make a public appearance. Psychiatric service dogs help people cope with a mental disorder and improve their quality of life with specifically trained behaviors. From keeping crowds at bay to fetching medication, here are a few ways a service dog can help someone with a mental disorder.

Mental Health Benefits

Just having a dog in your life, through their innate characteristics, can combat your mental  health issues greatly. Certified and trained service dogs are an optimized, personalized version, able to tackle even more problems for you; to name a few:

  • Reduce anxiety and Treat Panic Attacks
  • Aid children with Autism and ADHD
  • Helping people with PTSD, Bipolar Disorder, and depression
  • Reducing the Risk of Addiction

To find out even more, look here.

Physical Health Benefits

Not only can a psychiatric service dog, or emotional support dog, help reduce stress, improve daily life and decrease mental illness symptoms but, their influence includes the drastic improvement of your physical well being also.

It’s truly remarkable the amount and variety of physical benefits therapy dogs can provide their dutiful owners. The main ones are improved heart health, decreased blood pressure and cardiovascular risk, improved overall health from increased activity and exercise, and less physically isolating and anti-social.

As your training with the chosen service animal evolves into a loving relationship, the cycle of mental and physical improvement becomes second nature and cyclical. With years of scientific research as the proof.

The American Kennel Club compiled this comprehensive list.

Specific Tasks Service Dogs Can Perform to Support Their Owner

We have several articles on our website’s blog page to help gain greater understanding about the lengths service dogs can go towards improving your well being. This one in particular describes in great detail this topic.

A therapy dog, psychiatric service dogs of many breeds, use their bodies, mouths, bark and voice to support their owner in a variety of situations.

Here are just some of the many ways that a PSD can help their owner:

  • Tactile Stimulation, Deep Pressure Therapy, Pressure and Warmth Stimulation
  • Grounding, Interrupting, and Interaction
  • Guidance and Balance
  • Medication Alert or Reminder
  • And Many other assistive actions

Emotional Support Dog vs. Psychiatric Service Dog: What’s the Difference?

mental illness service dog

PSDs and ESAs are both a type of assistance animal that a licensed mental health professional or doctor can prescribe to someone as part of their treatment plan.

However, only PSDs are recognized in the United States as official ‘service animals’ under the Americans with Disabilities Act. As legally recognized service animals, they’re entitled to the following rights:

  • Public Access Rights (under the Americans with Disabilities Act they can accompany their owner into grocery stores, restaurants, etc.)
  • Travel Rights (under the Air Carrier Access Act, they can accompany their owner in the airline cabin and the owner does not have to pay a pet fee)
  • Fair Housing (under the Fair Housing Act, they can live in housing units even if there’s a no pets policy)
  • Educational Facility Access (under the Individuals with Disabilities Education Act, they can accompany their owner into schools, colleges, universities, etc.)

ESAs on the other hand, do not have the same privileges when it comes to public access and travel, due to new DOT regulations put into place on January 11, 2021. Many major airlines now only recognize ESAs as pets, which means owners will have to pay a pet fee. (More information on these regulations and the airlines that have changed the policies here: https://www.certapet.com/new-dot-regulations-for-emotional-support-animals/ ). However, people can still enjoy fair housing rights with their ESAs, even if they live in a no pets unit.

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The reason for this difference is that PSDs have to be specially trained to perform a certain task or type of work that helps support a person living with a disability (ESAs on the other hand receive no special training – they’re just meant to offer comfort through their companionship).

To be considered a service dog, a PSD must be trained to perform a specific task (examples here: https://www.certapet.com/how-to-train-a-psychiatric-service-dog/ ), which is why partnering with a professional trainer is the best option.

We’re currently onboarding our professional dog trainers and will be offering this option very soon. In the meantime, those interested in getting a psychiatric service dog, or emotional support, animal can begin the process by seeing if they qualify for a PSD through our free screening here: https://www.certapet.com/psychiatric-service-dog-screening/.

How to Get a Service Dog for Your Mental Illness

adopting service dog for mental illness

In order to obtain a psychiatric service dog, or therapy dog, you must receive a recommendation from a licensed mental health professional or a doctor. This ‘prescription’ takes the form of a letter, which will be written on your health professional’s letterhead and include their license number.

There are no limitations to the breed of dog you can use as your psychiatric service dog. Your PSD can therefore either be a dog you already own, a dog you adopt from a shelter or rescue group, or a dog you receive from a service dog organization. Keep in mind, however, that the dog must be specially trained to perform certain tasks in order to be recognized as a service dog under the Americans with Disabilities Act.

CertaPet wants you to get a service animal as quickly as possible. And we know our services can do just that through our certified telemedicine evaluation and rapidly submitted recommendation letters. If you have additional questions, read these Healthline and Top Dog Tips articles.

How to Train a Service Dog for Your Mental Illness

training service dog for mental illness

In the sections above, we touched on the different training methods of an emotional support assistance dog. Here are some more details, along with a supporting blog post, regarding the typical training of a service, therapy, or support dog.

There are two components of an effective training regimen for all service dogs. First, the General Public Access Test is performed to instill good manners in service animals, ensuring that they behave appropriately in public settings. The second step, the specialized task/work training is done, which satisfies the requirement of all PSDs to be able to perform a specific action that’s directly related to their handler’s disability.

No matter the underlying causes of your mental illness, or how it affects which aspects of your life, this two step training process can not only create a service dog out of any dog but tailor their abilities to combat each and every symptom the handler may encounter.

The Best Service Dog Breeds for Mental Illness

Any breed of dog could be transformed into an emotional support dog or psychiatric service animal. It could be a dog you have owned for years or one you just picked up from a shelter or adoption agency. But, like with most things, there are a handful of dog breeds that are superiorly adept than the rest.

Our blog and Pet Guide’s website have compiled lists and details for you:

  1. Labrador Retriever
  2. Standard Poodle
  3. Havanese
  4. Miniature Schnauzer
  5. German Shepherd
  6. Cavalier King Charles Spaniel
  7. Lhasa Apso
  8. Doberman Pinscher
  9. Border Collie
  10. Boxer

Conclusion

Are you interested in getting a psychiatric service dog?

Here at CertaPet, we can help. Certapet is an online telehealth platform that improves access to mental health care in the U.S. with a focus on providing services to individuals who are seeking animal assisted interventions as part of their treatment plan.

We are currently coordinating with emotional support dog trainers who specialize in the service animal space and who will soon work in tandem with our network of licensed mental health professionals to make the process of getting and training a psychiatric service dog affordable, convenient, and hassle-free.

We’ll have more information available soon about our Psychiatric Service Dog Training options. In the meantime, you can take our FREE pre-screening below to see if you qualify for a PSD!

FAQs

Can you have a service dog for a Mental Illness?

Absolutely, yes. Service dogs and emotional support animals are trained to assist in the activities of daily living for those who have one or more mental health conditions, including anxiety, depression, ADHD, Bipolar Disorder, and/or post traumatic stress disorder.

How do you qualify for a psychiatric service dog?

We have a fast, easy, and stress free way to determine just that. We start with a free screening, move on to a telemedicine evaluation from a licensed professional, and finish with a personalized plan and ESA letter of qualification.

What can a psychiatric service dog do?

Under the ADA, a service animal is defined as a dog that has been individually trained to do work or perform tasks for an individual with a disability.  The task(s) performed by the dog must be directly related to the person’s disability.

Can I use any breed of dog as an emotional support dog or psychiatric service animal?

Any breed of dog can take to the psychiatric service training well and you can even use one you already own. However, there are particular breeds that excel in these kinds of emotional, stressful, and difficult situations.

How are support dogs trained?

Service dogs can be trained by you, the handler, or by you with the assistance of a certified trainer. A third option is to adopt a service animal from an accredited training organization for service dogs.

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