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This article discusses emotional support animals and how they are different from service animals and other disability-related animals such as therapy animals. Federal and state rules and regulations are different for each category of animal. The article also discusses clinical guidelines for clinicians who are considering writing letters to support the use of an emotional support animal and discusses ethical issues and issues related to liability for the person who writes these letters.

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This page is a summary of: Considerations for the Writing of Certification Letters Endorsing Use of Emotional Support Animals, Psychiatric Services, September 2023, American Psychiatric Association,
DOI: 10.1176/appi.ps.20220487.
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