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Issues in mental health nursing2026; 1-8; doi: 10.1080/01612840.2026.2631007

A Newfound Experience of Being Good Enough: Youth’s Experiences of an Equine-assisted Therapy Intervention.

Abstract: Mental health, encompassing self-esteem, confidence, physical activity, and social interaction, is essential for the well-being of children and adolescents and supports executive functions crucial for school performance. Mental ill health among young people is increasing in Sweden, with rising rates of self-reported problems, psychiatric diagnoses, and prescriptions of psychotropic medication. The aim of this study was to explore the experiences of equine-assisted interventions (EAI) among children and adolescents with anxiety-related mental ill health in southern Sweden. A qualitative design using reflexive thematic analysis was employed. Participation in an equine-assisted intervention was experienced as fostering a sense of "being good enough." The findings were presented through three interrelated themes. Participants described how a non-demanding, stress-free environment promoted relaxation and emotional safety. Interaction with the horse supported experiences of inner harmony, emotional regulation, and increased confidence. Participants also reported feeling more competent and authentic in managing everyday situations. These experiences developed gradually through interconnected aspects of the intervention rather than as a single outcome. Participation in EAI was experienced as providing a safe and supportive environment that promoted emotional regulation, confidence, and a sense of competence among youth.
Publication Date: 2026-02-26 PubMed ID: 41746833DOI: 10.1080/01612840.2026.2631007Google Scholar: Lookup
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  • Journal Article

Summary

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Overview

  • This study explored how children and adolescents with anxiety-related mental health challenges in southern Sweden experienced equine-assisted therapy.
  • It found that participating in this therapy helped youth feel “good enough,” fostering emotional safety, confidence, and competence.

Background and Purpose

  • Mental health in children and adolescents is critical for well-being, including self-esteem, confidence, physical activity, and social interaction.
  • Good mental health supports executive functions important for academic success.
  • Mental health issues among Swedish youth are on the rise, with increases in reported problems, psychiatric diagnoses, and medication use.
  • The study aimed to understand how equine-assisted interventions (EAI)—therapies involving horses—are experienced by young people facing anxiety-related mental health challenges.

Methodology

  • Researchers used a qualitative design with reflexive thematic analysis to gather and interpret participants’ experiences.
  • The focus was on children and adolescents receiving EAI in southern Sweden.
  • Thematic analysis involved identifying patterns and themes reflecting the youths’ subjective experiences of the therapy.

Main Findings

  • Participation in EAI fostered a powerful sense of “being good enough,” which was central to the youths’ positive experiences.
  • Three interrelated themes emerged from the data:
    • Non-demanding, Stress-free Environment: Youth described the setting as relaxing and emotionally safe, offering relief from everyday pressures.
    • Interaction with Horses: Engaging with horses helped participants find inner harmony, regulate emotions, and feel more confident.
    • Feeling Competent and Authentic: Participants gained a stronger sense of ability and genuine self to better handle everyday challenges.
  • The development of these positive experiences was gradual and interconnected rather than resulting from a single cause or event within the therapy.

Implications

  • The study shows that equine-assisted therapy can create a safe and supportive space for youth struggling with anxiety and mental health issues.
  • This environment promotes emotional regulation and boosts confidence and competence, which are valuable for managing day-to-day life.
  • Such therapy could complement traditional mental health interventions by addressing emotional safety and self-worth in a unique, engaging way.
  • These findings support the potential of animal-assisted therapies to improve youth mental health by focusing on experiential and relational elements.

Conclusion

  • Equine-assisted interventions helped young participants feel accepted and capable in an environment free of stress and judgment.
  • The horses served as important allies in fostering emotional well-being and self-confidence.
  • This holistic experience contributed to improved mental health and resilience among youth with anxiety-related challenges.

Cite This Article

APA
Telhede EH, Bräutigam Ewe M, Jormfeldt H. (2026). A Newfound Experience of Being Good Enough: Youth’s Experiences of an Equine-assisted Therapy Intervention. Issues Ment Health Nurs, 1-8. https://doi.org/10.1080/01612840.2026.2631007

Publication

ISSN: 1096-4673
NlmUniqueID: 7907126
Country: England
Language: English
Pages: 1-8

Researcher Affiliations

Telhede, Eva Hjort
  • School of Health and Welfare, Halmstad University, Halmstad, Sweden.
Bräutigam Ewe, Marie
  • School of Health and Welfare, Halmstad University, Halmstad, Sweden.
Jormfeldt, Henrika
  • School of Health and Welfare, Halmstad University, Halmstad, Sweden.

Citations

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