Emotional support animals (ESAs) provide genuine therapeutic benefit, but inadequate welfare standards for animals used in this role harm both the animals and the people they support.
Animals used as emotional support animals can themselves suffer significant welfare harms if placed in inappropriate environments or situations. Dogs with anxiety who are asked to manage owner anxiety without their own needs being met experience chronic stress. Animals taken into crowded, noisy environments without positive training experience fear. The ESA designation does not ensure the animal is suited for the role or that their welfare needs are met. An ESA relationship that harms the animal is neither ethical nor genuinely therapeutic.