What Really Qualifies a Dog as an Emotional Support Animal? Everything You Need to Know

September 17, 2025 |

Emotional support animals (ESAs) are common domestic animals that provide therapeutic support to certain individuals, including those who are disabled or elderly. An ESA provides companionship, affection, non-judgmental positive regard, and a focus in life. Most ESAs are dogs, but they can also be cats or other animals. For someone to be prescribed an ESA by a medical professional, they must have a verifiable disability.

Have you ever wondered what makes a dog qualify as an emotional support animal (ESA)? Maybe you’ve seen people with dogs in places where pets aren’t typically allowed, or perhaps you’re considering getting an ESA yourself. As someone who’s researched this topic extensively, I want to break down exactly what qualifies a dog as an emotional support animal in simple, clear terms

The Basics: What IS an Emotional Support Animal?

An emotional support animal provides therapeutic benefits to a person with a mental health or psychiatric disability. Unlike regular pets, ESAs offer comfort, companionship, and emotional support that helps alleviate symptoms of their owner’s condition.

The key thing to understand is that any dog can be an emotional support animal – there are no restrictions on breed, size, or age. Your furry friend could be a tiny Chihuahua or a massive Great Dane – what matters is the emotional support they provide you, not their physical characteristics.

ESAs vs. Service Dogs: Know the Difference

Many people confuse emotional support dogs with service dogs but they’re actually quite different

Emotional Support Dogs Service Dogs
No specific training required Individually trained to perform tasks
Provide comfort through presence Perform specific tasks related to disability
Limited public access rights Allowed in most public places
Prescribed for mental/emotional conditions Assist with various disabilities
Any breed can qualify Any breed can qualify (though some are more common)

As the American Kennel Club (AKC) notes, “The key difference between a service dog and an emotional support dog is whether the animal has been trained to perform a specific task or job directly related to the person’s disability”

What Officially Qualifies a Dog as an ESA?

To officially qualify your dog as an emotional support animal, you need:

  1. A diagnosed mental health condition or disability – You must have a condition that substantially limits one or more major life activities.

  2. A letter from a licensed mental health professional – This is THE most important requirement! Without this, your dog is simply a pet in the eyes of the law.

  3. The professional must determine the animal is necessary – The mental health professional must confirm that your dog helps alleviate symptoms of your condition.

As LegalClarity explains, qualifying mental health conditions may include:

  • Anxiety disorders
  • Depression
  • Post-traumatic stress disorder (PTSD)
  • Phobias
  • Other conditions that substantially impact daily functioning

The ESA Letter: Your Golden Ticket

The ESA letter is the critical document that transforms your pet into a legally recognized emotional support animal. For this letter to be valid, it must:

  • Come from a licensed mental health professional (therapist, psychologist, psychiatrist, etc.)
  • Be written on professional letterhead
  • Include the professional’s license number and date
  • State that you have a diagnosed mental health condition
  • Explain that the animal is necessary for your mental health
  • Be current (typically dated within the last year)

Without this letter, your dog legally remains just a pet, regardless of how much emotional support they provide you.

Legal Protections for ESAs: What You Should Know

ESAs do have some legal protections, but they’re more limited than many people realize:

Housing Rights ✓

Under the Fair Housing Act, landlords must make reasonable accommodations for emotional support animals, even in buildings with “no pets” policies. They cannot charge pet fees or deposits for ESAs.

Air Travel ⚠️

Important 2021 update! The rules have changed. As of January 2021, the Department of Transportation revised the Air Carrier Access Act. Airlines are NO LONGER required to treat emotional support animals as service animals. Most airlines now treat ESAs as regular pets, which means you’ll likely have to pay pet fees and follow pet policies.

Public Access ❌

ESAs are NOT granted public access rights under the Americans with Disabilities Act (ADA). This means restaurants, stores, and other public places can legally deny entry to your emotional support animal.

How Do I Know If I Qualify for an ESA?

If you’re wondering whether you might qualify for an emotional support animal, ask yourself:

  • Do you have a diagnosed mental health condition?
  • Does your condition significantly impact your daily life?
  • Would the presence of an animal help alleviate your symptoms?

If you answered yes to these questions, the next step is speaking with your mental health provider. They can evaluate whether an ESA would be beneficial for your specific situation.

The Benefits of Having an Emotional Support Dog

For those who qualify, ESAs can provide tremendous benefits:

  • Reduced anxiety – The presence of your dog can help calm anxious thoughts
  • Alleviated depression – Dogs provide companionship and purpose
  • Increased motivation – Having to care for your dog establishes routine
  • Sense of security – Many people feel safer with their ESA nearby
  • Decreased loneliness – Dogs offer unconditional love and companionship

One of my clients told me, “My emotional support dog doesn’t just make me feel better – she gives me a reason to get out of bed on my hardest days.”

Common Misconceptions About ESAs

There’s a lot of misinformation out there about emotional support animals. Let’s clear up some common myths:

  • Myth: Any pet can be called an ESA
    Truth: Only animals prescribed by a mental health professional qualify as ESAs

  • Myth: ESAs need special training
    Truth: Unlike service dogs, ESAs don’t require specific task training

  • Myth: ESAs can go anywhere their owners go
    Truth: ESAs have limited public access rights compared to service animals

  • Myth: You can get an ESA letter online instantly
    Truth: Legitimate ESA letters come from mental health professionals who are actively treating you

The Process of Getting an ESA

If you think an emotional support animal might benefit your mental health condition, here’s what to do:

  1. Consult with your mental health provider – Discuss how an ESA could help with your symptoms

  2. Get properly evaluated – Your provider will determine if an ESA is appropriate for your condition

  3. Obtain your ESA letter – If approved, your provider will write you an official ESA letter

  4. Choose the right dog – Select a dog whose temperament and needs match your lifestyle

  5. Understand your rights and responsibilities – Learn what protections you do and don’t have

A Word of Caution About ESA Registration Services

Be very careful about websites claiming to “register” your emotional support animal or selling ESA certificates, vests, or ID cards. There is NO official registry for emotional support animals. These sites are often scams.

The ONLY documentation you need is the letter from your licensed mental health professional. Don’t waste your money on unnecessary “registration” services.

Responsibilities of ESA Owners

Having an emotional support animal comes with responsibilities:

  • Proper care – Your ESA must be well-cared for, with regular vet visits
  • Good behavior – Your dog should be well-behaved and not pose a threat to others
  • Respect boundaries – Don’t try to take your ESA where they aren’t legally permitted
  • Honesty – Never misrepresent a pet as an ESA if you don’t have a legitimate need

The Transitions to Adulthood Center for Research notes that ESAs “must be able to be manageable in public and does not create a nuisance.”

Final Thoughts: Is an ESA Right for You?

An emotional support dog can be life-changing for someone with a qualifying mental health condition. However, it’s not something to pursue just for convenience or to bypass pet restrictions.

If you genuinely have a mental health condition that would benefit from the companionship of a dog, talk to your mental health provider about whether an emotional support animal is right for you.

Remember, the true value of an emotional support animal isn’t in the legal accommodations they might provide – it’s in the genuine emotional support, comfort, and improved quality of life they bring to those who truly need them.

Have you had experiences with emotional support animals? I’d love to hear your thoughts and questions in the comments below!

what qualifies a dog as an emotional support animal

Which Animals Can Be Emotional Support Animals?

Any domesticated animal may qualify as an ESA. Not just dogs and cats but other animals such as rabbits, ferrets, and birds – even rats and mice. An ESA can be any age, and, unlike working service animals, they don’t need any specific task-training. This is because their very presence helps mitigate symptoms associated with someone’s psychological and/or emotional disability. The only suitability requirement is that the animal should be manageable in public and is not a nuisance in or around the home. Click here to see some unusual ESAs.

What Is an ESA Dog Required to Wear?

Federal law does not stipulate that service dogs or ESA dogs must wear any distinctive clothing or harness. However, an owner should make their dog look as official as possible to prevent confusion when taking them places.

Are There Requirements to Owning a Service Dog?

FAQ

What conditions qualify for an ESA dog?

Other conditions that typically qualify for an emotional support animal include:
  • Anxiety disorders, such as generalized anxiety disorder (GAD), social anxiety, and specific phobias.
  • Attention-deficit/hyperactivity disorder.
  • Post-traumatic stress disorder (PTSD)
  • Autism spectrum disorder (ASD)

Do landlords in Nebraska have to allow emotional support animals?

Emotional support animals are not recognized or protected in Nebraska, but accommodations may be made under the Fair Housing Act.

What are the criteria for an emotional support dog?

You can qualify for an emotional support dog if you have an emotional or mental illness(es) that can be considered a disability, which means that your condition is so severe that it significantly limits your ability to do everyday tasks.

What does it take to get a dog certified as an emotional support dog?

… called an emotional support animal (ESA), the pet needs to be prescribed by a licensed mental health professional to a person with a disabling mental illnessFeb 24, 2021