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

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.