Helping With Horses: What You Need to Know About Equine-Assisted Psychotherapy

EAP Treatment for Addiction - Luxury Rehab

Horses have stood side-by-side with humans for centuries. And now, we’re working with horses to treat addiction and mental illness.

Equine assisted psychotherapy (EAP), also known as equine assisted therapy (EAT) or simply equine therapy, is a rapidly growing form of addiction recovery. It involves using horses to achieve therapeutic goals as designed by a health professional, the benefits of which include improved motor skills, sensory processing, and better social interaction.

Here’s what you need to know about equine therapy, and why it’s an effective way to treat those challenged by addiction and mental health issues.

What Is Equine-Assisted Psychotherapy?

Equine assisted psychotherapy is a highly specialized form of therapy that uses horses to help treat those suffering from trauma and addiction. Founded at the Sierra Tucson treatment center in Arizona, equine therapy has now been introduced in North America, in the U.K. and across much of Europe, and for good reason. Don Lavender, Programme Director at Camino Recovery, explains:

“It’s become a really effective therapy. We are working with addicts to teach how to work with personal boundaries and the boundaries of the self and others, as well as some healing. It’s therapeutic for the human because they get to learn connection with others. If they’re isolated and they’re using drugs, they will learn how to replace that with connection.”

Get a peek into equine therapy with Don Lavender from our visit to Spain.

Equine therapy takes an activity-based approach to healing to promote personal growth, responsibility and positivity. It’s designed to break down the barriers that prevent positive communication and encourage healthy interactions, first with the horse, and then with those around us.

How Does Equine-Assisted Psychotherapy Work?

The common misconception about equine assisted psychotherapy is that it involves horseback riding. In actuality, there is no riding of horses involved in this form of treatment. Instead, equine therapy is about groundwork. It’s about learning how to speak the language of the horse and build a connection with it through a series of ground-based activities.

One example is lunging. In short, lunging is getting the horse to move around the pen with you. You can pull on a horse’s rope and drag it around the pen next to you, or you can develop a “join up” and walk in unison with the horse at its own free will. It’s the latter that you want to achieve, but to do this requires the patient to understand, read and tend to the horse’s emotions.

A big reason why equine assisted psychotherapy is so effective is that the horse emulates a non-judgmental, open and entirely honest human being. They are a “divine mirror” to human emotion and give a patient the ability to understand how certain actions and behaviors affect those around them.

sierra tucson equine psychotherapy
Sierra Tucson in Arizona uses equine therapy to “explore emotional regulation, relationships, and present-moment mindfulness.”

What Are the Benefits of Equine Therapy?

Oftentimes, those suffering from addiction, trauma and mental health issues suffer in silence. It’s not a matter of having no support around you, but rather, it’s about failing to open up and validate hardship.

Working with horses, then, breaks down these barriers to effective communication and healing. It helps people adjust their perceptions and focus on attending to the needs of something other than themselves, and consequently, it builds a bond of trust and support.

When it comes to horses, we consider them to be non-judgmental creatures. As Don explains:

“Horses are perfect animals to do this, because every cell of their being is to join up and connect.”

And that’s what using equine therapy in treatment is all about. It’s about togetherness and understanding the needs and requirements of other people, it’s about building confidence and self-esteem, and it’s about improving both verbal and non-verbal methods of communication.

Healing Through Experience

Psychotherapy is often dubbed “talking therapy.” In the media, it’s depicted as a person lying on a sofa explaining their problems to a therapist and the therapist asking, “how does that make you feel?” And for many, this is an effective way of treating addictions and trauma, but treatment shouldn’t be limited to verbal communication.

Equine-assisted psychotherapy is a non-verbal method of therapy that uses experiential principles1 to encourage positive behavior. To accomplish simple tasks, a patient must first learn and understand “the language of the horse” and build a connection through non-verbal communication methods like body language.

From there, they can begin to understand how their communication approach affects the horse and learn how to improve on it, working to better understand themselves—it’s the understanding of one’s self that’s the ultimate goal to better recovery.

Find out more about the best treatment centers offering equine therapy.


Frequently Asked Questions

What is equine-assisted psychotherapy?

Equine-assisted psychotherapy is a therapeutic approach that involves interacting with horses as a means of promoting emotional growth and healing.

What conditions can be treated with equine-assisted psychotherapy?

Equine-assisted psychotherapy can be effective for treating a variety of mental health and behavioral issues, including anxiety, depression, PTSD, addiction, and relationship problems.

What should I look for in an equine-assisted psychotherapy program?

When choosing an equine-assisted therapy program, look for a reputable rehab with certified therapists, trained horses, and comprehensive surrounding support.

4 Ways Art Therapy Boosts Your Addiction Recovery

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The first days at rehab can be kind of, well … awkward. You’re in a totally new environment, you’re surrounded by strangers and you’re not sure what to expect. And you have to begin the process of sorting through all the painful and confusing emotions you’ve been experiencing.

That’s where addiction-focused art therapy comes in. Far more than a hokey craft class, art therapy is a sophisticated component of addiction treatment that helps you create a safe space for self-expression, build trust with your treatment team and easily access parts of yourself that other forms of therapy can’t. And at world-class rehabs, art therapy programming is robust, comprehensive and delivered by consummate professionals who have extensive experience using art for therapeutic gain. All of which bodes very, very well for your recovery.

1. Art Therapy Is the Yin to Talk Therapy’s Yang

It’s not always easy to put a whirlwind of painful emotions into words. In fact, you may not even be consciously aware of everything you’re experiencing. Communicating visually, however, can be great for those who are having a hard time doing so verbally. And, you can access parts of your subconscious that conventional therapies like CBT don’t reach. During the creative process, things can come out that you’ve never thought of before—meaning huge breakthrough opportunities for you.

McLean Borden Art Therapy

“Art therapy works more quickly than talk therapy and a lot of healing happens. It’s exciting to watch a person be vulnerable and be safe in that. I ask questions; I don’t interpret. There is no fear of being analyzed or judged as being a terrible artist,” says one art therapist.

Art therapists provide a safe space for people in recovery to express themselves:1 they provide direction and facilitate the process between you and your art. When you make progress in the studio, you begin to reconnect with your sense of self-worth, and form connections with your counselors. This makes your entire treatment experience more effective and enjoyable.

2. Art Lets You Discover Yourself

Because it reaches down to a subconscious level, art therapy can help you uncover the root cause of your addiction. While addiction distorts reality,2 leading us to have a skewed perception of ourselves and those around us, art therapy provides a conduit for self-reflection that ultimately leads to a better, more accurate sense of self.

With each project you complete, you’ll gain a sense of accomplishment that boosts your progress both in the studio and outside of it. You’ll be able to take that newfound confidence into all other aspects of your treatment—and your life.

3. Creative Outlets Help Safeguard Against Relapse

There’s an added benefit to all that creative skill-building: you can bring it with you into recovery. A huge part of staying sober is developing healthy ways to deal with the things that used to trigger you to use substances, and creativity is an excellent way to channel uncomfortable emotions into something positive. Using the creative process as a coping mechanism gives you new insight, improves your judgment and helps you deal with stress and process trauma.

Since boredom is one of the most common addiction relapse triggers,3 it’s important to fill the time you used to spend using substances with activities you find fun and interesting. What better way to do that than by turning the skills you picked up into a new hobby?

4. Art Makes You Feel Like a Kid Again—And That’s Great for Your Recovery

Getting your hands dirty, pushing paint around a canvas and engaging your sense of wonder unlocks your inner child—a vital connection point for staying in touch with your true self. Art is proven to relieve stress4 by processing emotions and focusing your attention on the beauty around you, all of which results in a happier you! You may even discover a talent or passion you never knew you had.

For the Best Art Therapy, Go With a Luxury Rehab

Not all art therapy programs are created equal. If you’re looking for a rehab center that offers art therapy as a core component of your addiction treatment, your best bet is to go with a luxury rehab. World-class rehabs often offer much more robust specialty programming, with the staff, environment and resources necessary to create the best experience possible.

Look for a rehab that has:

Professional Art Therapists

Many art therapists at luxury rehabs hold advanced degrees in art therapy and have extensive experience using art to work through addiction, trauma and mental health disorders. Duffy’s Rehab in Napa Valley staffs a qualified, registered art therapist who are experienced in working with people of all ages and with a wide range of difficulties and diagnoses. The Cabin Chiang Mai’s art therapists integrate art therapy with evidence-based practices for a comprehensive, holistic approach to addiction treatment.

Dedicated Art Facilities

At a luxury rehab, you’ll have every material imaginable at your disposal: pens, pencils, pastels, crayons, paints, plaster of Paris, clay, canvas and paper in all shapes and sizes. You’re not limited in your mediums, and neither is your expression. You can work in whatever feels comfortable and right for you.

An Inspiring Setting

White River Manor art therapy
Marlize leading an art therapy session in the gardens at White River Manor in South Africa.

Premium rehabs are often set in secluded, naturally beautiful locations—and there’s nothing like connecting with serene natural beauty to let you relax into your environment and get your creative juices flowing. White River Manor’s art studio is housed in a spacious lodge with large doors open onto their 100-year-old garden, the space filled with birdsong, soothing music, aromatherapy candles and paintings, masks and other artworks done by their residents, who may even choose to paint on their walls.

“I don’t think I will be able to do this kind of work in an office environment … because the beauty of the garden actually lends itself to the process of art therapy,” says White River Manor’s art therapist, Marlize van der Merwe.

Who Benefits From Art Therapy in Rehab?

In short, everyone. Art therapy is effective in treating a plethora of behavioral issues including addiction, anxiety, depression and trauma. And no, you don’t have to be artistically inclined to reap its benefits. You only have to show up with an open mind, and see where the process takes you.

Ready to start your creative recovery journey? See our list of premium rehabs offering art therapy.

Cover photo: A scene from the art studio at McLean Borden Cottage, a luxury rehab in Maine


Frequently Asked Questions About Art Therapy in Rehab

Can art therapy treat addiction?

Yes. Art therapy allows for self-discovery and helps you access parts of your subconscious that conventional therapies might not reach. This can treat behavioral issues, like addiction.

Does art therapy work for addiction?

Yes. Art therapy helps uncover and heal root causes of addiction. While addiction distorts reality, creative self-expression is grounding and promotes self-reflection. This can lead to a more accurate sense of self.

What activities help you stay sober?

Art is a healthy way to relieve stress and process trauma. Since boredom is a common relapse trigger, finding a healthy coping mechanism like art helps you channel emotions into something positive.