Emotional Support Animal Services, ESA Prescriptions and ESA Letters

What is an Emotional Support Animal (ESA)? It is a dog or other common domestic animal that provides therapeutic benefits to its owner through companionship and affection. This animal acts as a secure base for their owners whose illness limits one or more major life activities.

Emotional Support Animals differ from psychiatric service animals, because they only require the same amount of training as a well-trained pet. In addition, the ESA has to be able to live peacefully with people without being a danger or nuisance. They are not to be confused with psychiatric service animals that require special training to perform specific tasks that help a person mitigate the effects of a mental illness, like turning on the lights for a person with Post-Traumatic Stress Disorder (PTSD).

Emotional support animals have been proven extremely effective at ameliorating the symptoms of the following disabilities:

    • Depression
    • Post-traumatic stress disorder
    • Anxiety
    • Social phobias (including, but not limited to, fear of flying)
    • Panic Disorders
    • Agoraphobia
    • Mood Disorders

For $99, I will provide you with a prescription letter that will allow you to have your emotional support animal accompany you on a plane in the main cabin.  The prescription letter can also be used so that pets can reside in housing situations where pets normally aren’t allowed.  If you need an additional letter the cost is $149 for both a prescription for housing and a prescription for flying.  If you need a letter the same day as the assessment, and if I have the time, there will be an additional fee of $50.  If you have any additional forms for me to fill out the fee will be $20 – $50 depending on the length.  If I have to fill out a document and have it notarized the fee will be $75.  And finally, if you want me to make simple revisions on the letter, the fee is $20.  However, if I made a mistake, obviously there will be no charge.  In addition, I require a credit card or an email associated with a Paypal account to hold your time slot.  If you do not call me at your designated time, you will still be billed.

Please do not contact me if you are doing this just to save money and seeking to avoid paying fees associated with your pets.  My service is something I do to help people with genuine psychiatric issues.

Carla Black MFT featured in the NY Times

Carla’s expertise in Emotional Support Animal Prescriptions was recently called upon for a NY Times article on the subject.

In Addition to the prescription letter, which is good for one year, you will receive free of charge:

  • An hour of my time either in person, via Skype or on the telephone, which normally costs $140.
  • A clinical assessment consisting of administering and evaluating tests as well as taking a family history

I would be delighted to meet you. Please give me a call at 310.578.6822 for a free 15-minute phone consultation.


Even though I have provided you with as ESA prescription letter, this in no way guarantees that you will qualify as disabled.  I cannot guarantee that a property manager or airline company will not violate the law by discriminating against you, despite possessing a valid letter of prescription.