Meet Tailz: Emotional Support Animal

How Dogs Can Support AuDHD Nervous Systems: Stress Relief, Structure, and Connection

As Tailz and I celebrate 13 years together, and his 15th birthday in January 2026, I aim to create more resources and connections to support the love and connection Emotional Support Animals bring into our lives.

Tailz has been a grounding presence in my life since January 2013, when we met at the Oregon Humane Society - six months after I moved to the Pacific Northwest from Tennessee/North Carolina.

Over the past 13 years, he has been a steady, grounding presence through major life transitions, the global pandemic, and my own AuDHD discovery journey.

Tailz has quietly taught me the value of pauses: taking breaks, finding my breath, and making room for play (and cheese) - especially as I transitioned from public service and school social work into clinical social work and private practice.

In fall 2024, Tailz was diagnosed with a terminal illness. He is often curled up at my side during telehealth sessions, quietly living out his golden era in a nest of blankets while offering a gentle, steady presence.

You may see him from time to time, and I may occasionally need to adjust scheduling slightly to accommodate his care needs.

Meet: Tailz

What an Emotional Support Animal Is (and Is Not)

An Emotional Support Animal (ESA) is a companion animal that provides therapeutic benefit to a person with a mental health condition by supporting emotional regulation, grounding, and daily functioning.

ESAs can be meaningful supports for some people—but there’s a lot of confusion about what they are and what they aren’t.

An ESA is not:

  • a service animal

  • a pet “certification” or registration

  • a guarantee of public access

Emotional Support Animal (ESA) Documentation

This practice does not provide online ESA certifications, instant ESA letters, or one-time ESA documentation services.

  • ESA letters are considered medical-legal documentation and are handled with care.

    This means:

    • Letters are written only for current therapy clients

    • The need for an ESA must be clinically supported

    • Documentation reflects ongoing assessment, not urgency or preference

    • Letters are based on functional impairment and mitigation, not comfort or convenience

    ESA letters are not guaranteed, regardless of diagnosis, session count, or housing timelines.

  • ESA documentation may be considered for clients who demonstrate:

    • Clinically significant anxiety, trauma responses, or emotional dysregulation

    • Clear functional benefit from an existing animal

    • A legitimate disability-related housing need

    • A treatment context where animal support is part of broader care

    Having a mental health diagnosis does not automatically qualify someone for an ESA letter.

  • For current clients:
    ESA support can be discussed as part of ongoing therapy when it is clinically appropriate. This includes looking together at how an existing animal supports regulation, daily functioning, and quality of life within the broader context of your care.

    For prospective clients:
    ESA letters are not provided without an established therapeutic relationship. If you’re interested in therapy for support around regulation, burnout, trauma, or AuDHD identity integration, we can explore whether working together is a good fit—separate from any expectation of ESA documentation.

  • Clear expectations help protect everyone involved.

    • ESA letters do not provide public access rights (such as entry to stores, restaurants, or airplanes)

    • Housing providers may legally request verification in accordance with housing law

    • I do not complete third-party ESA “registrations” or online certification forms

    • ESA documentation does not guarantee housing approval or policy exemptions

    My role is to provide accurate, ethical clinical documentation based on assessed need not to overstate symptoms, bypass policies, or misrepresent clinical information.

Emotional Support Animal (ESA) Sample Treatment Goals

  • Problem Area: Adjustment-related anxiety, grief, and emotional dysregulation

    Goal Statement:
    Client will reduce emotional distress related to adjustment to a recent AuDHD diagnosis, as evidenced by improved emotional regulation and increased ability to tolerate diagnostic-related stressors.

    Clinical Rationale (ESA-appropriate):
    Therapy will focus on processing diagnosis-related emotional responses and developing regulation strategies. An existing companion animal may be incorporated as one of several grounding supports to assist with emotional regulation.

  • Problem Area: Adjustment-related disruption in routines, roles, and executive functioning

    Goal Statement:
    Client will improve functional stability during adjustment to AuDHD diagnosis by increasing consistency in daily routines and engagement in adaptive coping strategies.

    Clinical Rationale (ESA-appropriate):
    Treatment will address executive functioning supports and routine development. Care-related routines associated with an existing animal may support time orientation and task initiation as part of broader treatment planning.

  • Problem Area: Stress reactivity related to environmental, relational, or housing demands

    Goal Statement:
    Client will develop effective coping strategies to reduce stress reactivity associated with diagnosis-related environmental demands and improve perceived sense of safety and regulation.

    Clinical Rationale (ESA-appropriate):
    Therapy will target stress management and nervous system regulation. An existing animal may serve as a stabilizing presence while primary interventions focus on adaptive coping and self-regulation skills.

Emotional Support Animal (ESA) Sample Treatment Interventions

  • Facilitated in-session exploration of co-regulation strategies using the presence of the client’s existing companion animal to support grounding and emotional regulation, while reinforcing independent regulation skills.

  • Supported client in identifying how regulation skills practiced with the animal (e.g., breathing, pausing, sensory grounding) can be transferred to other environments without reliance on the animal’s presence.

  • Assisted client in tracking emotional state, distress intensity, and recovery time in moments with and without the companion animal present to increase self-awareness and reduce over-attribution of regulation to a single support.

  • Collaboratively explored how existing animal-care routines may support time orientation, task initiation, and daily structure during adjustment to AuDHD diagnosis, while monitoring for increased executive load or stress.

  • Facilitated therapeutic exploration of the emotional meaning the client assigns to their companion animal in the context of identity integration, safety, and adjustment to diagnosis, with attention to balance and autonomy.

  • Supported client in developing coping strategies for diagnosis-related environmental or housing stress, identifying the companion animal as one stabilizing factor among multiple supports rather than a sole coping mechanism.

  • Reviewed the emotional, sensory, and practical impact of animal support to ensure it remains regulating rather than burdensome, supporting client autonomy, sustainability, and long-term coping capacity.