A person talking with a mental health professional
Mental Health · 4 min read

How to Talk to Your Mental Health Provider About an ESA

Tips for discussing emotional support animals with your therapist or psychiatrist.

By ESA Crew Editorial Team · Published January 2026

Bringing up the topic of an emotional support animal with your therapist or psychiatrist can feel daunting. Here are some tips to help you have a productive conversation.

Before Your Appointment

Take some time to reflect on how your animal helps you. Consider writing down:

  • Specific symptoms your animal helps with (anxiety, depression, loneliness, panic attacks)
  • How your daily routine improves when your animal is present
  • Any reduction in symptoms you've noticed since having your animal

Starting the Conversation

You don't need to use formal language. A simple approach works best:

  • "I've been thinking about how my pet helps with my mental health."
  • "I've noticed I feel much better when my animal is around. Could an ESA letter be appropriate for me?"
  • "I've read about emotional support animals and I think it could help my treatment."

What Your Provider Will Consider

Your provider will evaluate whether an ESA is clinically appropriate based on:

  • Your diagnosis and current treatment plan
  • Whether an ESA provides genuine therapeutic benefit
  • Whether the animal is part of a reasonable treatment approach

Important

A provider will only issue an ESA letter if they determine it is clinically appropriate. Be honest about your symptoms and experiences.

Don't Have a Provider?

If you don't currently have a mental health provider, ESA Crew can connect you with a licensed professional for an evaluation. Start your assessment today to begin the process.

A person with their support animal

Ready to Get Your ESA Letter?

Start your confidential online assessment today and connect with a licensed mental health professional.

Evaluations are conducted by licensed mental health professionals. A letter is only issued when clinically appropriate.