Therapist Heidi Schreiber-Pan, in an interview with Christina Caron for The New York Times, emphasized the importance of engaging in outdoor activities. She pointed out that, although much of human evolution took place outdoors, modern life keeps people mostly confined in front of digital screens.
Schreiber-Pan is part of a growing group of specialists who have taken the initiative to conduct therapy sessions outdoors and train other professionals to do the same. These therapists argue that integrating nature and movement with traditional therapeutic methods can help patients open up emotionally, explore new perspectives, and connect with their surroundings. This approach, known as ecotherapy, includes activities such as equine therapy, guided walks, and nature adventures.
During the pandemic, when online sessions became the norm, some therapists moved their practice to open spaces to maintain safe in-person contact. However, this idea is not new. In the 1970s, Thaddeus Kostrubala, author of the book The Joy of Running, gained notoriety for conducting sessions while running with his patients. Nevertheless, most therapists preferred to work in controlled environments where confidentiality and structure are more manageable.
In the United States, this trend has been embraced by academic institutions like Lewis and Clark College and Prescott College, and reinforced with initiatives such as the Center for Nature Informed Therapy, which has been offering certifications and continuing education credits since 2020. Over a hundred therapists have completed their program.
Doubts about outdoor therapy
Despite the growth of this activity, some professionals remain skeptical about the benefits and the implementation of these practices. Petros Levounis, president of the American Psychiatric Association, highlighted the uncertainties surrounding outdoor therapy: “In psychotherapy, there is a formality and established parameters. We don’t know what could happen outdoors. If it starts raining, how do we proceed with the patient?”
However, recent studies have demonstrated the benefits of nature contact. For instance, a 2023 analysis on Japanese “forest bathing” indicated that this practice significantly reduces symptoms of depression and anxiety. Additionally, physical activity is associated with a lower risk of depression and is considered a key element in the treatment of psychological distress.
The benefits of the environment
Although not all patients benefit in the same way, the natural environment can make therapy more accessible and less intimidating for some. This approach seems particularly appealing to men and individuals under 40 years old.
In this regard, Andrew Tepper, founder of BODA Therapy in New York, explained that the outdoor approach can be ideal for teenagers and young adults: “It’s a unique space. We sit, talk, and maybe play a board game. This helps build trust and connection”.
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