Equine-assisted therapy is growing rapidly but welfare standards for the horses involved are inconsistently applied, raising concerns about horse wellbeing.
Therapy horses face a unique paradox: they are praised for tolerating high-contact, high-demand interactions while the signs that they find interactions stressful are read as evidence of suitability. Horses that stand still during rough handling are assumed to like it; behavioral equine scientists recognize that this learned helplessness may indicate the opposite. Evidence-based therapy horse welfare requires ongoing behavioral assessment, not just compliance monitoring.