While equine therapy has been employed as a more inviting modality for those who are otherwise treatment resistant, can it really be a replacement for traditional talk therapy? Certainly, with substance abuse cases, and with adolescents, practitioners have often relied on the addition of horses to elicit responses that would otherwise not be possible in human encounters. Horses are much less threatening than people, and simply being in their presence can result in a physiological calm, that can then pave the way to effective communication with a therapist. But is equine therapy enough to tackle some of the weighty therapeutic issues people face, or is talking things through with a licensed professional necessary?

Avid equine enthusiasts have long attested to the healing power of horses, and swore by their time with them, yet these people are also familiar with horses, and more than likely not entirely mystified by their responses. In almost an instinct, when a loved horse behaves in particular way, his owner will adjust her behavior accordingly, thereby providing the response that the horse is searching for. As an example, a typically bold horse may suddenly become quite tentative, and require more strength and leadership from his rider. Should the rider not respond with this, the situation would escalate, and perhaps become dangerous. And while this scenario involves some understanding for those not accustomed to horses, it happens in a matter of seconds.

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While those familiar to horses would contend that horses, in general, are good for any type of person, therapists, for whom which equine therapy is a new, untested field, have not been so quick to jump on the bandwagon. Many of the concerns expressed have surrounded the relative lack of evidence available indicating the efficacy of work with horses, but also, lack of clarity as to what particular diagnosis may be helped by equine therapy. Certainly these concerns are not without validity as we have learned that with the fertile emergence of all types of experiential therapies, some approaches are not helpful, and in some ways harmful, for certain types of clients.

So in considering the introduction of equine therapy for clients, we must be clear just who can be helped by our equine friends, as with other experiential methods, equine therapy is not for everyone. However, from the beginning, equine therapy was promoted for all types of clients, with the largest and most prominent usage surrounding eating disorders. Remuda Ranch, in Wickenburg, Arizona (www.remudaranch.com), has in many ways been a trendsetter in this movement. This particular center, which is designed exclusively for the treatment of pervasive cases of eating disorders, incorporates horses with every client, and the equine therapy program enjoys a large share of treatment time.

Of late, equine therapy has been espoused as an effective treatment for addictions, with the majority of centers promoting this, among other experiential therapies as a way to engage and ascertain information from clients who might otherwise be treatment resistant. The frontrunner in this approach has been Sierra Tucson, (www.sierratucson.com) the prominent rehabilitation center in Tucson Arizona. Like Remuda Ranch, equine therapy is a part of every client’s program, and the center’s sister site, Miraval (www.miravalresorts.com), a less intense and more akin to a “health spa,” uses equine therapy in majority to restore balance and wellness to clients’ lives.

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