Equine facilitated psychotherapy (EFP) is a unique, up and coming form of mental health treatment that incorporates direct interaction with an equine partner. EFP is led by a mental health practitioner who is also an equine professional. EFP can also be set up with a team of therapist, equine professional, client, and equine. In either format the equine acts as a co-therapist for the client, and guides the direction of the session in real time. 

By nature, horses are sensitive and emotionally intuitive creatures who rely on each other in a herd to protect themselves from predators. Because of this they are highly responsive to external stimuli, are constantly interacting with the environment around them, and display complex and nuanced communication patterns. Given the size and nature of the animal, safety is an essential component of any EFP practice. Clients are made aware of all safety protocols and at times redirected to maintain safe and positive interactions with the horse. This component often aligns nicely with psychotherapy treatment goals, particularly for those clients who may engage in risky or unsafe behaviors. 

During an EFP session the client is encouraged to tune in to the equine and the cues that he or she demonstrates. This in turn supports the client in understanding and responding to social cues, allows healthy connection to form and embodies mindfulness with the “in the moment” feedback provided by the horse. EFP has proven effective for many populations, and can be adapted to fit the needs of the participating client. EFP has supported positive outcomes in the treatment of anxiety, depression, ADHD, PTSD, substance use disorders, and eating disorders to name a few. Research into the efficacy of this treatment for mental health continues to expand across the US and internationally.