Seven-year-old Belle Swersey on her first day of riding lessons Seven-year-old Belle Swersey on her first day of riding lessons at Friends for Tomorrow in Lincoln, Massachusetts.

Belle Swersey knows firsthand how therapeutic horseback riding can be. The 7-year-old girl, who is in remission from a rare type of muscle cancer called rhabdomyosarcoma, has been using equine therapy to help ease her pain for the past 2½ years.

"Horseback riding helps me forget about my cancer. It's fun," said Belle. Belle's dad, Jonathan Swersey, was skeptical of the practice at first, but he soon realized that it was transforming his daughter's ability to cope with the side effects of chemotherapy and radiation.
"It's helped her a lot with pain management. When Belle started, she was taking oxycodone, and the oxycodone was really ineffective for her pain. It was really incredible to watch her riding a horse for the first time. She had no sense of pain whatsoever," Swersey said.
Belle significantly reduced her reliance on oxycodone after starting the therapeutic riding program, he said. The equine therapy was more effective at treating her pain than medication.
"I also feel very strongly that it gives her a sense of control over things in her life when she hasn't always had a lot of choices about things," Belle's father added. "And the fact that the horses are such big animals, I think, also makes her feel stronger."
"In our situation, we were willing to try anything that might help," Belle's father said. "And I think it's been shocking and so wonderful to see how effective it's been.
"I just can't even begin to tell you how thankful we are to be able to have this."

Veterans & Mustangs

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U.S. News & World Report

Equine Therapy: How Horses Help Humans Heal

Children & Veterans

SITTING WITHIN THE confines of a traditional office, talking things out with a therapist between four walls, doesn't always work for kids and adults grappling with tough mental, emotional and behavioral health issues. For some people, adding equine-assisted psychotherapy may be an option. Hanging out with horses could feel more natural and nonthreatening – and you don't even have to ride.

Vulnerable Creatures

"I use horses to help folks heal," says Holly Hansen, an equine-assisted psychotherapist.  She's part of a team approach that uses a mental health professional, an equine specialist and horses to treat people with emotional trauma and addiction.

This on-the-ground therapy incorporates a connection between troubled humans and highly sensitive animals. "Horses, while they're very large animals, are very vulnerable," Hansen says. As prey animals, horses are hyper-vigilant, constantly scanning their environment for potential danger. "People who've experienced trauma can really relate to that," she says.

She recalls a client she treated at a previous workplace, a man with chronic relapses of drug and alcohol abuse. Along with receiving regular office therapy, he reluctantly agreed to walk out and sit in the adjoining pasture where horses grazed. After a couple weeks, the horses came closer and closer. Finally, a single horse approached and got down near him. The trusting relationship that gradually developed led to a breakthrough for the man, Hansen says. Instead of temporary abstinence, he achieved real and lasting recovery.

Hansen is hard-pressed to name a type of client who wouldn't benefit from equine therapy.

Equal Footing

Amanda, a 13-year-old student, shows up at the main barn in a state of frustration over backbiting friends and middle-school drama. Her session begins with a short walk to a nearby field alongside equine specialist Maria Kimble and therapist Heather Kirby. The adults, in T-shirts, shorts and caps, are dressed for horses and the heat on this August day.

About three-fourths of the center's clients are under 18. Kids are dealing with issues including attention deficit and eating disorders, trauma and post-traumatic stress disorder, autism, and emotional and behavioral modification.

At the pasture area, the rest of the treatment team – two horses named Hope and Uncanny – awaits in two stalls within a small fenced area. All stand and interact.

"We refer to it as equal footing," Woessner says. Some clients don't even touch the horse, at least for a session or two, she says, because of extreme fear or anxiety. Some interact with horses over the fence. She recalls how one young boy with a history of horrible early neglect and abuse taught a horse how to kick a ball.

Uncanny, a thoroughbred quarter horse mix, is Amanda's favorite. Throughout the session, as the horses nuzzle Amanda's back or otherwise compete for her attention, Kirby and Kimble will help her draw parallels between the animals' behavior and situations among Amanda and her friends.

While petting Uncanny's mane, Amanda vents about school acquaintances who butt in. Hope continues to nuzzle Amanda, at one point forcing her to kneel and speak underneath the horse to her therapist. "Do you like her to do that?" Kimble asks. "No." "How would you tell Hope not to do that?"

As the humans talk about setting limits and learning social skills, the horses seem to be listening. Amanda, by simply standing with an air of confidence and assertiveness, wordlessly claims her own space as the large, pushy horse moves away.

Walking back to the main barn, Amanda appears happier and more relaxed. Her mother is waiting, and Amanda greets her with smiles, giving her a rundown of the session. ("Sort of role play," Amanda says.)

Afterward, as Amanda chats with the therapists, her grateful mother makes it clear these visits aren't just pleasant interludes. Amanda has been receiving equine therapy since March, following her latest of multiple hospitalizations for emotional issues including self-harm. Equine therapy is "beneficial," Amanda's mother says, and "an eye-opening experience."

Riding to Recovery

Horseback riding and on-the-ground equine therapy are methods used to help veterans with PTSD or traumatic brain injury.

 Therapeutic horseback riding also addresses a variety of mental-health issues.

"I work with the veterans individually, along with their riding instructor, to help them formulate goals they'd like to work on," Lisle says. To cope with short-term memory deficits, for instance, veterans might learn strategies to help remember the chronological order of steps for securing the bridle and saddle on the horse, or the harness for carriage driving."

Soon, veterans are able to walk, then trot on the horse. "You're able to take control of that horse and be in charge as the rider," Lisle says, and self-confidence grows. Among veterans who have issues with anxiety or hyper-vigilance related to traumatic brain injury or PTSD, horse therapy can help them relax and feel more comfortable as they build trusting bonds.

The before-and-after difference is often vast. "Those veterans start out where they're just participating in in-house therapies, and they really aren't very independent or functional as much out into the community," Lisle says. "They may stay at home most of the time, and they don't have resources. Horseback riding also gives them those resources."

After 10 or so weekly sessions with horses, vets notice they're adjusting better and are more relaxed in their daily lives. "Perhaps they're applying for a job," Lisle says. "Or they're out in the community in some other setting and they realize, 'Wow, this is really helping me.'"


Lisa Esposito, Staff Writer