Service Dogs for Anxiety and Depression

Edited and medically reviewed by Patrick Alban, DC | Written by Deane Alban

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Service dogs are specially trained to assist people with mental health conditions such as anxiety, depression, or post-traumatic stress disorder.

Anxiety and depression have reached near epidemic proportions. (1)

In the United States alone, over 45 million adults experience some form of anxiety disorder.

Depression affects 17 million adults, with half of those also having some form of anxiety disorder.

It’s been proven that dogs add to your overall happiness and positively affect your life, and this is especially true for those suffering from anxiety or depression.

Some of the key ways dogs help are by increasing oxytocin (the “love” hormone), decreasing the stress hormone cortisol, and by providing opportunities for exercise and socialization. (2)

The mental health benefits of having a pet dog are pretty impressive, but service dogs are trained to do even more for you.

Types of Service Dogs for Anxiety and Depression

Terms like service dog and therapy dog are often used interchangeably, but they are not the same thing.

Here is a look at various options to consider when looking for canine help for your anxiety or depression.

Service Dogs

Service dogs are trained to perform specific tasks for a person with a disability such as hearing loss or sight impairment.

But these dogs can also assist people with a mental health condition such as anxiety, depression, or post-traumatic stress disorder.

According to the Americans with Disabilities Act (ADA), examples of  service dogs include: (3)

  • guide dog or seeing eye dog
  • hearing or signal dog
  • psychiatric service dog
  • seizure response dog
  • sensory signal dogs (for autism)


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Service dogs are allowed everywhere you go, such as into restaurants or retail stores.

Service dogs are allowed to live with you in any residence, even those that typically don’t allow dogs.

They’re trained to support one specific person.

Service dogs are not required to wear a vest, although they often do.

In some countries, identifying documentation is issued to professionally trained service dogs who have demonstrated the ability to behave in public.

Oddly, in the United States where there is no formal certification system that is required or approved by the ADA. (4)

However, each state has it’s own requirements regarding certification, licensing, and training requirements.

You can learn about the requirements in your state at University of Michigan’s Table of State Service Animal Laws.

Psychiatric Service Dogs

Psychiatric service dogs are a specific type of service dog.

To qualify for a psychiatric service dog, a person must receive a diagnosis of mental illness by a mental health professional.

These dogs are trained to help people with anxiety, depression, bipolar disorder, schizophrenia, and post-traumatic stress disorder. (5)

A psychiatric service dog is trained to assist someone with a mental health condition that stops them from performing tasks.

Some tasks they help with are bringing medicine during an anxiety attack, leading somebody to help you, and putting pressure against you to calm you down.

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These dogs are able to sense changes in your body when you are about to have a panic attack.

The dog will paw at your leg and interrupt what would be destructive behavior so that you will refocus on him.

If somebody suffers from claustrophobia, the dog can be trained to stand in between you and others so that you gain more control of your personal space.

For the above reasons, many organizations try to place psychiatric support dogs with returning veterans who suffer from PTSD.

Emotional Support Dogs

An emotional support dog is not trained to physically help with its day-to-day actions, but instead calms its owner just by its presence.

Unlike service dogs, emotional support dogs don’t require a specific type of training.

Emotional support dogs are mostly regarded as pets, meaning they aren’t allowed everywhere that service dogs are.

Emotional support dogs are used for disabilities such as anxiety, depression, bipolar disorder, phobias, and panic attacks.

An emotional support dog can also be of great benefit for both children and adults on the autism spectrum.

To obtain an emotional support dog, you’re required to present a letter from your a mental health care professional.

Therapy Dogs

The term therapy dog is often used generically to describe all kinds of service dogs, but, in fact, they have a very distinct role.

Therapy dogs go with their owners to volunteer in settings such as schools, hospitals, and nursing homes.

These dogs need to have a calm demeanor and get along with all people, but they are not considered service dogs and do not have the same rights and privileges.

Therapy dogs can bring great comfort to those with anxiety, depression, or PTSD.

They can help ease the loneliness experienced by seniors.


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One study found that Alzheimer’s patients who spent time with therapy dogs experienced a better quality of life and spent more time recounting memories. (6)

This chart sums up the similarities and differences between the three main types of assistance animals.

chart comparing three main types of assistance animals
The three main types of assistance animals. (Image courtesy of

How Service Dogs Help Anxiety and Depression

Symptoms of depression can include disinterest in daily life and favorite activities, periods of self-isolation, and trouble getting out of bed and caring for yourself.

Some symptoms of anxiety can include difficulty working from outside the house, reduced social contact due to being overwhelmed, anxiety attacks, and issues with fear.

The presence of a service dog can help on all fronts.

Here are some of the many ways service dogs work their magic!


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1. Dogs Assure You’ll Get Exercise

Dogs need exercise, and you’ll be getting a lot of exercise right along with them.

Dog owners walk significantly more and are more active overall than those without dogs. (7)

It’s been repeatedly shown that exercise helps a wide range of mental health disorders including anxiety disorders, depression, ADHD, schizophrenia, and post-traumatic stress disorder. (8910)

A landmark Duke University study found exercise to work better for depression than the popular antidepressant Zoloft. (1112)

Some of the ways exercise improves mental health is by increasing circulation to the brain and raising levels of feel-good brain chemicals including endorphins, norepinephrine, serotonin, and dopamine. (1314)

Walking your dog assures that you’ll get outside, and simply spending time in nature can boost your mood and calm your anxiety.

And while you’re outside in sunny weather, you have the opportunity to create vitamin D, an essential nutrient with many antidepressant properties.

2. Dogs Ward Off Loneliness

An affectionate dog provides unconditional love and friendship.

Walking your dog can help you feel less isolated because you’ll meet other people on your walks.

Don’t be surprised if people stop to admire your dog or ask you questions about her.

Interestingly, a dog can provide the same emotional benefits as having friends of the human variety. (15)

Your relationship with your dog can also improve your existing relationships with other people.

3. Dogs Give You a Sense of Purpose

If you are feeling down, having a dog gives you a sense of purpose, a reason to get up and face the day.

They also provide you with much-needed structure.

Dogs need to be regularly fed and walked and are very good at reminding you if you are falling behind schedule.

Even though dogs are a lot of work, having responsibility for them promotes mental health by building self-esteem.

When you learn that you’re capable of taking care of another creature, you start to realize that you are capable of taking care of yourself.

Caring for someone or something else helps you to not focus on yourself as much which can alleviate symptoms of anxiety and depression.


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4. Dogs Reduce Stress

Dogs create a sense of calm and confidence and, amazingly, can even warn you of an oncoming anxiety attack.

Spending time with a beloved pet can reduce fear, stress, and anxiety, and make you generally happier. (1617)

A review of 69 studies found that regular interaction with animals reduces many stress-related parameters. (18)

Spending time with your dog increases oxytocin levels in both you and your pet. (19)

One study found that having a dog can reduce stress even better than a close friend. (20)

Stress has often been described as “time traveling” — worrying about the future and ruminating about the past.

But your dog’s presence can work like meditation by keeping you fully in the present moment.

How to Get a Service Dog for Anxiety or Depression (or train your own)

If you believe that a service dog could benefit you, there are a few things you must know.

Not everyone qualifies for a service dog and, even if you do, it can be quite expensive and is not covered by insurance or Medicaid.

Service dogs are a big responsibility in both time and money.

And, it’s important to note that at the end of the day, a dog is still a dog, so you have to go through training to learn how to successfully work with them.

The dog has to learn your commands and you have to practice together every day.

A great resource is’s Ultimate Guide to Getting a Service Dog where you’ll find lists of organizations that can help guide you through the process.

If you would like to train your pet dog to become your service dog, you can learn what is required in’s Step-by-Step Guide to Becoming a Service Dog.



Lastly, not everyone with anxiety or depression needs an actual service dog.

You may already have a beloved pet that brings you a lot of comfort or you may want to consider getting a pet dog if you don’t already have one.

You can also train your pet dog to be an emotional support dog which does not have to be as highly trained as a service dog.

While any breed can be an emotional support dog, some breeds are easier to work with than others.

Golden retrievers, labs, and labradoodles (or other types of doodles) are considered good choices due to their intelligence and calmness.

Service Dogs for Anxiety and Depression: Take the Next Step

Both pet dogs and service dogs provide an abundance of emotional benefits.

Service dogs are trained to help their humans with their specific needs.

Service dogs can ease symptoms of depression and anxiety through exercise and routine, while also providing calmness and comfort.

They learn to be attuned to your needs and provide friendship and unconditional love.

Even for those who don’t require a service animal, a family pet is still a wonderful addition to the family that will bring happiness to your everyday life.