

Understanding Autism and Emotional Support Animals
Autism Spectrum Disorder (ASD) is a developmental condition that affects how individuals perceive and interact with the world around them. It encompasses a broad range of challenges, including difficulties with social interaction, communication, and emotional regulation. Individuals with autism often experience heightened sensory sensitivities, making everyday situations overwhelming. Navigating these sensory triggers, social anxiety, and emotional highs and lows can be exhausting for those on the spectrum and their caregivers.
While traditional therapies such as behavioral interventions, speech therapy, and medication can help manage symptoms, many families and individuals are exploring alternative methods of support. Emotional Support Animals (ESAs) offer non-medical, compassionate support, providing a sense of calm, companionship, and grounding that can be particularly beneficial for those with autism.


How Emotional Support Animals Can Help Individuals with Autism
For individuals with autism, an Emotional Support Animal offers more than just companionship. ESAs can serve as a lifeline during moments of sensory overload, social discomfort, or emotional dysregulation. Let’s explore some of the ways ESAs can be particularly helpful for those on the autism spectrum:
Providing Comfort During Sensory Overload — Sensory overload, common for individuals with autism, occurs when the brain is overwhelmed by stimuli like loud sounds or bright lights. An ESA’s calming presence can provide comfort during these moments. The tactile act of petting or hugging a pet can serve as a soothing, grounding technique, helping to redirect attention from overwhelming sensory input to the comforting sensation of interacting with a furry companion.
Reducing Social Anxiety — Social interactions can be stressful for individuals with autism due to the challenges of interpreting social cues and navigating new environments. An ESA provides comfort and security in these situations, making social interactions feel less intimidating. The presence of a pet can also spark conversations, helping ease individuals into social settings.
Helping with Emotional Regulation — Emotional dysregulation, common in autism, can result in difficulty managing emotions like frustration or anger. An ESA offers calming support during these moments. Petting or being near an ESA can release endorphins, reducing stress and stabilizing mood, while their consistent affection helps regulate emotions.
Promoting Routine and Structure — Many individuals with autism thrive on routine, but external stressors can disrupt it. An ESA helps establish structure through daily tasks like feeding and walking, reinforcing comforting routines. This creates predictability, provides a sense of responsibility, and can help manage anxiety or sensory triggers.
Can You Get an ESA for Autism?
Yes, individuals with autism can qualify for an Emotional Support Animal. A licensed mental health professional will evaluate the individual's symptoms and determine if an ESA would help manage their emotional challenges or sensory issues. The process involves obtaining a legitimate ESA letter, which grants legal protections under housing laws, allowing individuals to live with their ESA even in no-pet housing.


How to Qualify for an ESA for Autism
Getting an ESA for autism is a simple, stress-free process when you work with Pettable. Here’s how it works:
Step 1: Complete a Brief Online Assessment
Start by taking a short online assessment about the individual’s autism symptoms and how an ESA might offer emotional or sensory support. This helps Pettable’s team understand your specific needs.
Step 2: Consultation with a Licensed Mental Health Professional
After completing the assessment, you’ll schedule a phone or video consultation with a licensed mental health professional. They’ll evaluate whether an ESA is an appropriate part of the individual's care plan based on their emotional and sensory needs.
Step 3: Receive Your Legitimate ESA Letter
Once approved, you’ll receive a legitimate ESA letter within 24-48 hours. This letter provides the legal documentation needed to live with your ESA, even in housing that has pet restrictions.
Why Pettable is the Best Option for Getting an ESA Letter for Autism
Pettable is the trusted choice for obtaining a legitimate ESA letter, and here’s why:
Professional Mental Health Evaluations
Pettable works with a team of licensed mental health professionals who have experience working with individuals with autism. These experts understand the unique sensory and emotional needs of those on the spectrum and are dedicated to ensuring that you or your loved one receives the right support.
Fast, Easy Process
Qualifying for an ESA through Pettable is quick and straightforward. The process starts with an online assessment, followed by a consultation with a licensed clinician. In most cases, you’ll receive your ESA letter within 24-48 hours of the consultation. Pettable also offers a money-back guarantee if your ESA letter is not accepted.
Success Stories and Testimonials
Families and individuals across the country have benefited from Pettable’s ESA services. One parent shared how their child with autism formed a special bond with their emotional support dog, which helped them manage sensory overload and reduce anxiety in social situations. Success stories like these illustrate how ESAs can make a meaningful difference in the lives of individuals with autism.

If you believe an Emotional Support Animal could help manage the emotional and sensory challenges of autism, Pettable can guide you through the process of obtaining a legitimate ESA letter. Our compassionate team of licensed professionals is here to help you take the next step toward emotional support and stability.
Start Pettable’s online assessment today and discover how an ESA can make a positive impact in the life of someone with autism.
Can an ESA help with sensory issues in autism?
Yes, ESAs provide tactile stimulation and emotional comfort that can be particularly helpful during sensory overload. Their presence can offer grounding and reduce the impact of overwhelming sensory stimuli.
Find Out If You Qualify

Do I need to register my emotional support animal for autism?
No, you don’t need to register your ESA. However, you will need a legitimate ESA letter from a licensed mental health professional to secure housing rights and other legal protections.
Find Out If You QualifyHow long does it take to get an ESA letter from Pettable?
The process is typically quick. Most individuals receive their ESA letter within 24-48 hours after their consultation with a licensed professional.
Find Out If You Qualify
An ESA Letter is an essential document that makes your pet an official emotional support animal. With an ESA letter you can live anywhere with your pet, and are exempt from pet rent, fees, or restrictions. Pettable makes getting an ESA letter simple, heres how it works:



Frequently Asked Questions
An emotional support animal provides comfort to help relieve a symptom or effect related to a person's disability. Also, there is no animal or breed restrictions for ESA's as long as it is reasonable and justified.
Note that being an emotional support animal is not the same as being a service animal (like seeing-eye dogs). These types of animals have stricter criteria that must be met, including different forms of training such as obedience, public access and disability training. These additional trainings are necessary since service dogs have public access and travel rights, unlike emotional support animals who are only protected under housing rights.
ESA's do not have public access or travel rights, so it's best to check with individual business guidelines to see if they allow ESA's. Additionally, you can train your dog to become a PSD (psychiatric service dog) in order to have public access and travel rights.
The general criteria is to have some emotional or psychological condition that is improved by having an animal that provides support. Conditions may include depression, generalized anxiety, paranoia, insomnia, and others. And remember, Emotional Support Animals do not require special training!
Only a licensed mental health professional is qualified to determine if you meet the criteria. Through our service, you can speak directly with a qualified mental health professional in the state where you reside. Pettable connects you with a licensed mental health professional for a consultation to determine if you qualify for an ESA. Unlike, some less legitimate services, we do not provide letters for fee, but instead we connect you to a professional for an honest evaluation.
Step 1: Once payment is submitted and your appointment is scheduled through our website, you will receive an email to activate your account.
Step 2: Once your account is activated, the process will prompt you to fill out the required forms to give more information to your clinician before your scheduled appointment.
Step 3: Your assigned clinician will call you at your scheduled appointment time and will let you know if you have qualified. If you've qualified, your clinician will upload your letter in your portal for you to view and print.
If for any reason you are not approved we will refund your entire purchase.
Get your official ESA Letter
When you take our quiz we collect information to match you with a therapist that has experience with your case and can meet your specific needs.
Additionally, to our knowledge, Pettable is the only provider that offers a full Money Back Guarantee - meaning if you do not qualify for a letter after your consultation or your landlord does not accept it after filing a complaint with the HUD, then we’ll refund 100% of your purchase.
We have experience with every kind of ESA situation - multiple pets, breed restrictions, weight/size restrictions, traveling across state lines, immediate turnaround, etc. We are confident we can help you with your specific ESA needs and if we can't, we will refund your money 100%. See our Money Back Guarantee FAQ for more information.
We employ a vetted network of licensed and qualified mental health professionals who possess the credentials necessary to write a certified ESA Letter.
Our website is also HIPAA Compliant, ensuring that your information is protected according to nationally mandated federal law.
Phone Consultation - Our professionals will reach out to you to setup a phone consultation and establish a relationship.This gives our professionals the authority and basis for prescribing you an ESA letter.
Compliant Letters - The ESA Letter is issued directly from a LMHP with their license number and their contact information included. The letter will come on the professional letterhead of the Licensed Mental Health Professional and contain everything legally required for an ESA prescription within the body of the letter.
No problem, we've got your back!
Our mental health professionals and customer support team here at Pettable are available to get on a call with your landlord should they want to validate the legitimacy of your letter.
Should your landlord request a validation of your letter, please have them reach out to your therapist using the contact information on your ESA letter.
In the unlikely event that your letter does not work as intended and we've tried to make it work with the landlord we will refund your purchase 100%.
We can turn around an ESA letter in as fast as 24 hours! If you need it this quickly make sure to choose our "Express Service." You can select this option at checkout.
To ensure the fastest turn around possible, it is important that you sign and submit our consent forms.
We have an extensive network of mental health professionals, licensed across states, with wide range of availability and can route you to someone that is able to meet your timeline needs.
Once a consultation is concluded, letters are turned around within 24 hours and most of the time much more quickly than that.
After speaking with a licensed mental health professional and receiving your own ESA Letter, all you need to do is designate which animal will be your specific emotional support animal. It can be any breed or species, whether an existing pet or a new pet you adopt or rescue. You do not need to go to any specific breeder or place to acquire one.
Absolutely! There is research and data that support the theory that animals provide substantial and measurable emotional support. If you're thinking about the benefits of an emotional support animal, you can learn more by researching online or talking to qualified mental health professionals in our network.
Our ESA letters contain the following:
- The official letterhead of the mental health professional.
- Their business, contact information, and signature.
- Their license information which allows anyone to check the status of their license.
- Their confirmation that you meet the definition of a disability and recommendation for an emotional support animal.
The Fair Housing Act requires housing providers such as landlords or management companies to allow the possession of animals that work, provide assistance for, or perform tasks that benefit individuals with qualified medical disabilities – or that provide emotional support to individuals to reduce a symptom or effect of a disability.
The Fair Housing Act also requires individuals, who wish to possess a service or support animal, to follow specific criteria relevant to the type of support needed.
For an emotional support animal, the individual has to speak with a licensed mental health professional in the state they reside and receive a prescription of an ESA Letter in order to qualify.
Although the Fair Housing Act and U.S. Department of Housing and Urban Development does not specify guidance around the issue of ESA letter expiration, we recommend that you renew your ESA letter annually for a few reasons:
- Landlords or property managers may refuse to accept an ESA letter that is expired. Renewing your letter enables you to provide current documentation that verifies your need for an emotional support animal as still relevant.
- Clinicians may not validate an ESA letter that is expired in the event a landlord or property manager reaches out to verify. An annual consultation with a clinician to discuss your needs for an ESA letter is advised in order to keep licensed professional recommendations current.
Renewing your letter is easy through our seamless consultation process.
Federal and state laws require a live consultation over the phone, video, or in person to properly vet and qualify an individual to warrant an ESA Letter.
To ensure our ESA letter are compliant, all of our consultations are conducted live over the phone in order to meet the legal standards set forth and assure the validity of your letter.
Yes. Federal and state laws require a live consultation over the phone, video, or in person to properly vet and qualify an individual to warrant an ESA Letter. Since the letter grants privileges about keeping a pet in a place that otherwise would not allow it, base guidelines must be met to qualify.
Yes. An emotional support animal can be any breed or species as long as it supports an emotional or psychological condition.
Since emotional support animals do not require any training, your childhood pet or newly adopted animal can qualify.
Yes, you can register multiple pets on the same ESA letter. At Pettable we can accommodate up to two pets per letter for no additional charge.
According to the American Disabilities Act your request for multiple animals must be "reasonable".
An example of an unreasonable request is if you want four great danes registered as ESAs and you live in a tiny apartment.
In order to make sure we're meeting the standard of "reasonable" Pettable is able to accommodate up to two pets per letter as long as you meet the criteria to warrant an ESA letter.
At the end of the day it is a judgement call but we want to make sure that you are covered in any situation you're in, which is why we've set this policy.
Once you have a proper ESA Letter, your landlord is required by the Fair Housing Act to allow you to keep your designated emotional support animal with you at your place of residence.
Sometimes landlords create barriers for individuals in attempt to refrain from accommodating legitimate ESA's. If this occurs please reach out to your assigned mental health professional to validate or assist in verifying your legitimate ESA letter.
The most common type of fraud we've seen are in particular sites that claim to certify service animals (different from emotional support animals) without requiring any formal testing or accreditation typical for that process. The US has cracked down on these forms of fraud. Now they will enact hefty fines – or even jail time – for caught offenders.
These are the clues you should be on the lookout for to spot a scam: The service does NOT require you to speak with someone live over the phone – All legitimate ESA Letter providers are required by law to ensure that you speak with a licensed mental health professional over the phone or video. If a service asks you to answer questions using a quiz or "exam" but doesn't ask you to schedule a live consultation afterwards, it is probably a scam. Pettable is not a purchase-diagnosis website, but instead refers you to a licensed professional who conducts a live evaluation and provides a legitimate ESA letter per their professional discretion.