Equine-assisted psychotherapy with acceptance and commitment therapy for older adults: A promising approach to enhancing psychological flexibility

Abstract

Equine-Assisted Psychotherapy (EAP) is a therapeutic approach which promotes mental wellbeing through a range of activities with horses. Acceptance and Commitment Therapy (ACT) is an evidence-based therapy which promotes acceptance and committed actions in line with an individual’s values. The current evidence base suggests that an integrated approach, utilising aspects of both ACT and EAP, may offer a unique approach to therapy. This research update briefly outlines both therapeutic approaches, and considers their potential synergy, before positing that a combined approach could be an effective therapy for older adults, given the unique setting, emphasis on values and sensory stimulation. We conclude by discussing potential challenges and the service contexts of a combined EAP and ACT approach, and how we intend to evaluate this approach.