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Contribution of the Patient-Horse Relationship to Substance Use Disorder Treatment

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A study published in Frontiers in Psychology explored how relationships with horses can support people recovering from substance use disorders (SUD). The research looked at patients’ lived experiences in equine-assisted treatment programs, focusing on the unique bond that forms between human and horse.


What They Did

  • Participants: Patients engaged in substance use disorder treatment programs that included equine-assisted activities.

  • Focus: Researchers examined how patients perceived and described their relationships with horses during treatment.

  • Methods: Qualitative interviews captured patients’ reflections, emotions, and insights about their equine experiences.


Key Findings

  • Non-judgmental Presence: Patients emphasized that horses accepted them without judgment, fostering feelings of trust and safety.

  • Emotional Awareness: Working with horses helped participants recognize and regulate emotions, often in ways they struggled to do with humans.

  • Motivation for Change: The horse–patient bond encouraged responsibility, consistency, and self-reflection—all critical for recovery.

  • Therapeutic Value: The unique relationship with horses was described as a powerful complement to traditional treatment, offering healing through connection and presence.


Why It Matters

For individuals in recovery, equine therapy provides more than just an activity—it creates a relationship that nurtures self-awareness, responsibility, and hope. The horse’s responsiveness can help patients reconnect with themselves and strengthen their recovery journey.


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