How Equine-Assisted Therapy Helps Kids and Teens Regulate Big Emotions
- Dr. Fountain and Associates

- Nov 6
- 4 min read
Updated: Nov 22
Quick answer (TL;DR)
Equine-based sessions give children a structured environment where their emotional state and behaviour have clear, immediate effects. Horses respond to tone, body language, pace, and energy; so kids can see in real time how self-regulation and communication change outcomes.
With a clinician facilitating, those skills can then be applied at home, in school, and in other relationships.
Why horses? A practical, not-so-mystical explanation
Horses are large, sensitive prey animals. They constantly scan for safety, subtle shifts in our posture, breath, or tone that matter to them. That sensitivity creates immediate biofeedback for kids: dysregulated energy often makes a horse react such as step away; calmer, more grounded energy invites connection. It’s not magic; it’s nervous-system science plus a very honest partner.

The three levers that make it work
Embodied feedback: Kids see the consequence of their internal state in real time (horse approaches, pauses, backs up).
Motivation through relationship: Many children are more eager to “try again” with a horse than in a traditional office setting.
Guided translation: A therapist helps connect the dots: “When your breathing slowed, Shadow came closer. Where could you use that same tool when in math class or with your friends?”
What equine-assisted therapy actually looks like
Sessions happen outdoors or in a barn arena with a mental health professional and an equine specialist. All work is on the ground (no riding required). Activities might include:
Approach & retreat: Learning to read cues, respect boundaries, and manage impulses.
Leading with intention: Practicing assertive (not aggressive) communication through body language.
Grooming for calm: Using rhythm and breath to co-regulate with the horse during brushing.
Obstacle tasks: Planning, teamwork, and frustration tolerance while leading a horse through cones or poles.
The therapy goal isn’t horsemanship for its own sake; it’s skills transfer, emotional regulation, flexible thinking, and social communication that carry into daily life.
Common challenges that benefit from equine-assisted therapy
Anxiety and worry loops: Grounding with breath, posture, and focus helps shift out of fight-or-flight.
Emotional dysregulation and meltdowns: Horses reward steady energy; kids learn to notice early signs and down-shift.
Social communication differences: Clear, nonverbal cueing with horses builds confidence and perspective-taking.
Confidence and self-esteem: Successfully completing a task with a 1,000-pound partner is a powerful mastery experience.
Attention and executive functioning: Planning steps, sequencing tasks, and staying present are built into barn work.
Reality check: equine-assisted therapy is not a silver bullet. It works best inside a broader care plan—parent coaching, school strategies, and, when needed, other individual, group or family therapy. This is why a proper initial consultation with a licensed professional such as a psychologist or psychological associate that is able to create a larger treatment plan that integrates supports and needs into a broader care plan is crucial.


The regulation toolkit kids actually practice –
an experiential approach
Name it to tame it: Labeling “butterflies,” “tight chest,” or “fast thoughts” out loud before approaching the horse.
Breath pacing: Inhale through the nose, slow exhale through the mouth (try counting 4 in, 6 out).
Power of posture: Soft knees, lowered shoulders: body language that communicates calm leadership.
Micro-choices under stress: When an obstacle goes wrong, pick one next step (reset cone, revisit breath, try again).
Repair attempts: If a cue was too sharp, pause and reconnect: an essential relationship skill.
These aren’t abstract ideas. Kids get instant feedback: calmer breath → calmer horse → task success. That loop is sticky; it tends to show up in other ways such as at home before homework or completing other tasks. The more kids get to ACTUALLY practice these skills in real-time throughout sessions the more successful they become at applying and mastering skills.
Safety, ethics, and what a qualified program looks like
A reputable service will include:
A licensed clinician plus an equine professional present during sessions.
Horses selected and trained for therapy work, with clear welfare standards.
Ground-based activities and proper safety gear (helmet, proper footwear etc)
Clear goals and measurable outcomes (e.g., mood tracking, frequency of outbursts, morning routine success rate etc.).
Informed consent, risk protocols, and clean, well-maintained facilities.
If you’re comparing programs, ask about staff credentials, treatment planning, and how they track progress beyond “my child loves it.”

What parents can do between sessions
Borrow the barn rituals: Partner with your child’s equine-therapist to learn and know the strategies and rituals used and taught in session. For example, two calm breaths before tough transitions; a simple “check body, check voice” moment.
Use visual cues: A small horse icon on a routine chart can remind your child of the skills they practiced.
Praise the process: “I noticed you softened your shoulders before asking for help; that helped make the morning smoother.”
Expect plateaus: Progress is rarely linear. Celebrate small wins, then keep going.
FAQs (the real ones)
Do children ride?
No. Therapy is on the ground because that’s where regulation and communication skills develop safely. What if my child is fearful?
That’s okay. Working from a comfortable distance still builds tolerance and confidence.
Is this evidence-based?
The field is growing and equine-therapy has been shown to now be evidence-based for many difficulties. Many elements (behavioral activation, somatic awareness, exposure, relational work) are well-established; equine modalities integrate these with a highly engaging context.
Will the results last?
They last longer when parents reinforce skills at home and when therapy goals are tight and specific.
What about CBT, DBT, or other structured therapies?
Those approaches don’t get replaced — they’re still used. Equine sessions become the context where CBT skills, emotion regulation strategies, or behavioural techniques can be practiced in real time with immediate feedback. It’s integration, not a different treatment model.
When equine-assisted therapy is a smart next step
If talk-only approaches lead to shutdown, avoidance, or quick escalation, a more embodied and feedback-rich format can help. The barn offers a setting where motivation increases naturally. Horses are beautiful, calm, powerful animals and simply being around them can lift mood and reduce tension. Add to that the immediate relational feedback they give, and many kids find they’re more willing to try again and stay engaged. Book a free intake call to see if equine-assisted therapy is right for you: https://drfountain.janeapp.com/ office@drfountain.ca (905) 655-5813






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