Equine-Assisted Therapy vs. Hippotherapy: Understanding the Key Differences
- Felicia Parris

- 4 hours ago
- 3 min read
Therapy doesn’t always take place in a traditional office setting. For many individuals, healing happens through meaningful experiences that engage both the body and mind. Two powerful, horse-based therapeutic approaches, Equine-Assisted Therapy and Hippotherapy, have gained recognition for their ability to support emotional, physical, and psychological growth. While these therapies may sound similar, they serve different purposes and are guided by distinct treatment goals.

At DeLand Treatment Solutions, we help individuals explore holistic and evidence-based therapies that align with their unique needs. Understanding the differences between equine-assisted therapy and hippotherapy can help you determine which approach may best support your healing journey. For personalized guidance, call (386) 866-8689 today.
What Is Equine-Assisted Therapy?
Equine-Assisted Therapy (EAT) is a mental health and behavioral therapy that involves structured interactions with horses. These sessions are guided by licensed mental health professionals and trained equine specialists. Unlike traditional riding programs, equine-assisted therapy often occurs on the ground, focusing on activities such as grooming, leading, observing, and interacting with horses.
Core Goals of Equine-Assisted Therapy
Develop emotional regulation
Strengthen problem-solving abilities
Promote mindfulness and presence
Because horses are highly sensitive to human emotions, they provide immediate, honest feedback, making them powerful partners in emotional growth.
Who Benefits From Equine-Assisted Therapy?
Equine-assisted therapy is commonly used for individuals experiencing:
Trauma and PTSD
Behavioral challenges
Emotional regulation difficulties
Low self-confidence
Relationship struggles
For example, someone who has difficulty trusting others may learn how to establish boundaries and build connection through interactions with a horse, skills that can later transfer into daily relationships.
What Is Hippotherapy?
Hippotherapy is a medical and physical therapy treatment that uses the movement of a horse to support physical, neurological, and sensory development. Unlike equine-assisted therapy, hippotherapy involves riding the horse and is conducted by licensed physical therapists, occupational therapists, or speech-language pathologists.
The horse’s rhythmic, repetitive movement closely mimics the natural movement of the human pelvis during walking, which helps stimulate neuromuscular responses in the rider.
Core Goals of Hippotherapy
Improve balance and coordination
Increase muscle strength and tone
Enhance posture and motor control
Support sensory integration
Improve speech and communication (when used by speech therapists)
Who Benefits From Hippotherapy?
Hippotherapy is often recommended for individuals with physical or neurological challenges, including:
Cerebral palsy
Autism spectrum disorder
Stroke recovery
Developmental delays
Multiple sclerosis
Sensory processing disorders
Children and adults alike may benefit from this structured, movement-based therapeutic approach.
Key Differences Between Equine-Assisted Therapy and Hippotherapy
While both therapies involve horses, their goals, methods, and professional oversight differ significantly.
1. Focus of Treatment
Equine-Assisted Therapy focuses on emotional and psychological growth
Hippotherapy focuses on physical, sensory, and neurological improvement
2. Type of Interaction
Equine-Assisted Therapy typically involves ground-based activities
Hippotherapy involves riding the horse to utilize its movement
3. Providers
Equine-Assisted Therapy is guided by mental health professionals
Hippotherapy is delivered by licensed physical, occupational, or speech therapists
4. Treatment Outcomes
Equine-Assisted Therapy supports emotional insight, coping skills, and behavior change
Hippotherapy improves motor function, posture, balance, and coordination
How Horses Enhance the Healing Process
Horses offer a unique therapeutic experience because they are nonjudgmental, intuitive, and responsive. Their size and sensitivity encourage individuals to:
Be present in the moment
Practice calm, intentional communication
Develop self-awareness
Build confidence through accomplishment
This connection often helps clients access emotions and insights that may be difficult to reach in traditional therapy settings.
Can These Therapies Be Used Together?
Yes. In some treatment plans, equine-assisted therapy and hippotherapy may complement one another, especially for individuals who experience both emotional and physical challenges. A well-rounded treatment approach considers the whole person, addressing mental, emotional, and physical well-being.
At DeLand Treatment Solutions, our clinicians work closely with clients to determine which therapies best align with their goals and recovery journey.
Why Choose DeLand Treatment Solutions?
We believe healing happens when treatment is personalized, compassionate, and comprehensive. Our team offers:
Supportive, client-centered environments
Innovative therapeutic approaches
Guidance in selecting the right therapies for your needs
Your journey is unique, and your treatment should be too.
Explore Holistic Healing Options Today
Whether you’re seeking emotional growth, trauma recovery, or improved physical functioning, equine-based therapies can offer powerful, life-changing benefits. Understanding the differences between equine-assisted therapy and hippotherapy empowers you to make informed choices about your care.
📞 Call DeLand Treatment Solutions at (386) 866-8689Let us help you explore the therapeutic options that support healing, growth, and long-term well-being, starting today.



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