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.
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.