Why Animal-Assisted Interventions Are Not Automatically Effective: The Truth Behind Therapeutic Impact
- Esther Adams-Aharony

- Dec 8, 2025
- 5 min read

Animal-assisted interventions have grown rapidly in popularity, becoming a meaningful part of mental health care, medical environments, educational settings, and community programs. People often assume that simply bringing an animal into a therapeutic space guarantees emotional comfort and healing. While animals can provide profound benefits, the belief that effectiveness happens automatically overlooks the complexity of the therapeutic process. Not every interaction leads to meaningful emotional change, and not every session with a therapy animal results in the same outcome.
Understanding the nuanced factors that influence effectiveness is essential for practitioners who want to provide responsible and evidence-informed services. Therapy animals do not function as passive comfort tools; they operate within a dynamic system involving human behavior, emotional states, environmental cues, and the unique temperament of the animal. When all these variables align, the results can be extraordinary. However, when they do not, the impact may be limited or uneven.
This blog explores the deeper truth behind why animal-assisted interventions work for some clients, some settings, and some moments—while falling short in others. By looking beyond assumptions, we can recognize what truly creates therapeutic change and how to support it with intention and ethical care.
Why Therapy Animals Do Not Guarantee Emotional Healing
One of the most common misconceptions is that the presence of a therapy animal automatically reduces distress or improves a client's emotional state. While animals can offer grounding, comfort, and connection, they do not uniformly produce the same response in every individual. Factors such as personal history, cultural background, trauma symptoms, neurodivergence, and comfort with animals can all influence how a client reacts. A therapy animal may soothe one person while overwhelming another.
Additionally, the emotional environment in which the session takes place plays a significant role. Noise levels, group dynamics, the emotional tone of the facilitator, and the animal’s own state of regulation can enhance or diminish therapeutic impact. When these elements are not aligned, the experience may feel less supportive or even emotionally activating for certain clients. This reinforces the importance of skilled facilitation rather than relying solely on the animal’s presence.
Therapy animals are not magical healers; they are partners in a relational process. Their ability to support healing depends on the quality of the interaction, the client’s readiness, and the therapist’s awareness of both human and animal needs. Recognizing this complexity helps practitioners avoid over-promising outcomes and instead focus on creating conditions where meaningful connection can unfold.
How Human, Animal, and Environmental Factors Interact in AAI
Animal-assisted interventions involve a minimum of three key participants: the client, the facilitator, and the therapy animal. Each member of this triad brings their own emotional landscape, communication style, and behavioral tendencies into the session. When these elements interact harmoniously, the potential for healing increases. When they clash, therapeutic effectiveness may decline. This is why AAI is considered a relational system rather than a singular technique.
Human factors include a client’s emotional regulation, moment-to-moment internal states, attachment patterns, and previous experience with animals. The therapist’s attunement, pacing, and ability to read both human and animal cues also shape the session. Meanwhile, the therapy animal’s behavior, comfort, training, and sensitivity determine how they respond during interactions. The session becomes a dynamic constellation of influences, each contributing to the overall outcome.
Environmental elements cannot be ignored. Lighting, noise, weather (in equine settings), physical layout, and unpredictability in the surroundings all impact how safe and grounded the animal and client feel. By recognizing the interplay of these factors, practitioners can better prepare therapeutic environments and adjust their approach as needed. This awareness leads to more consistent and supportive outcomes.
Why Evidence-Based Structure Matters in Animal-Assisted Therapy
Animal-assisted interventions become more effective when supported by structured assessments, intentional goals, and therapeutic frameworks. Relying solely on intuition or spontaneity may produce occasional positive outcomes, but it does not create a reliable foundation for clinical practice. Evidence-based structure ensures that interventions are tailored, purposeful, and aligned with the client’s needs. It also protects the wellbeing of therapy animals by preventing emotional overload or unclear expectations.
Clear structure allows therapists to monitor what is working and why. It encourages practitioners to assess client goals, observe behavioral patterns, and intervene thoughtfully when emotional or relational shifts occur. This level of intentionality transforms a simple interaction with an animal into a therapeutic experience rooted in clinical skill. Structure also supports transparency with clients and other professionals, strengthening credibility within multidisciplinary care systems.
When practitioners approach AAI with research-informed awareness, they create space for the interaction to become transformative rather than incidental. Understanding that therapeutic impact requires more than the animal’s presence empowers the field to grow with integrity, consistency, and compassion.
Transformative AAI Requires Intention, Awareness, and Ethical Practice
The most effective animal-assisted interventions are guided by careful observation, thoughtful pacing, and a deep understanding of both human and animal behavior. Practitioners must remain attentive to the needs, consent, and stress levels of the therapy animal while holding space for the client’s emotional experience. This balancing act is what makes AAI an art as much as a science. When done well, it offers a unique pathway to emotional regulation, nervous-system stability, and meaningful relational repair.
Therapy animals thrive when their roles are clearly defined and when practitioners advocate for their comfort and agency. Clients thrive when interactions are attuned, respectful, and grounded in evidence-based understanding. The more intentional and informed the practitioner, the more opportunities arise for genuine transformation. By shedding the myth of automatic effectiveness, the field opens the door to deeper, more sustainable growth.
Looking at AAI through an honest, research-informed lens does not diminish its power. Instead, it elevates the practice into something truly remarkable—an approach that honors both human vulnerability and the wisdom of the animals who walk beside us.
This article is for psychoeducational purposes only and is not a substitute for mental health treatment. For personalized support, please contact a licensed therapist in your local area.
ABOUT THE AUTHOR
Esther Adams, Psy.D., MSW, is a trauma-informed psychotherapist recognized for her integrative approach that blends psychology, spirituality, and somatic healing. Through her practice, Strides to Solutions, she provides EMDR therapy, resilience coaching, and innovative animal-assisted interventions, including equine and canine-supported therapy. Her work is grounded in compassion, nervous-system awareness, and practical tools that help clients build safety, regulation, and emotional resilience.
As a certified EMDR therapist, published scholar, educator, and advocate for holistic mental health care, Dr. Adams brings both clinical depth and intuitive insight to her work. Her background in psychology and social work allows her to bridge evidence-based practice with mind-body healing, meeting clients where they are and guiding them through trauma recovery, anxiety, and major life transitions. She is dedicated to helping individuals reconnect with their inner strength, restore balance, and create meaningful, empowered change.



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