Why Outdoor Therapy Is Gaining Attention

In recent years, many mental health experts have explored meeting clients in parks, gardens, or other open-air areas to promote walking in nature. This approach is sometimes called walk-and-talk therapy or walking therapy, and has gotten attention since the COVID-19 pandemic, when many were forced to quarantine and maintain social distancing. Research has suggested that exposure to nature can help:

• Lower overall stress levels
• Improve sleep
• Reduce symptoms of anxiety and depression
• Improve attention
• Support overall emotional well-being

Potential Benefits of Outdoor Therapy

1. It may feel less intimidating: For some people, sitting face to face in a quiet room can feel scary. Walking side by side or sitting on a bench can make conversations feel more natural.
2. Movement can support mental health: Gentle physical activity, like walking, can boost mood, reduce stress hormones, and has been associated with heart health benefits. Talking while moving may also help some people open up more easily.
3. Nature can calm the nervous system: Exposure to green spaces and natural settings can help regulate the body’s stress response more easily. Many people report feeling more relaxed outdoors.
4. It encourages mindfulness: Outdoor sessions create opportunities to pause and notice your surroundings. Focusing on the wind, the sun, or the sounds of nature can support grounding and emotional regulation.

Questions to Ask Before Choosing Outdoor Therapy

As with all treatments, there must be a balance of the costs versus benefits. A major consideration is the maintenance of patient/client privacy. That’s why it’s often suggested that walking therapies be done in a private green space, and with sufficient informed consent so that everyone understands any potential risks beforehand.

Additionally, certain health conditions may limit the extent of physical activity for some patients. If you’re considering outdoor sessions, talk with your therapist about:

• How privacy will be protected
• What locations will be used
• A plan for bad weather
• Safety considerations
• Preexisting conditions

A Flexible Approach May Work Best

For some people, a mix of indoor and outdoor sessions works well. You might choose indoor sessions when discussing more personal topics and outdoor sessions when focusing on stress management, goal-setting, or mindfulness skills. Outdoor therapy can offer meaningful benefits, especially for stress, anxiety, and overall well-being. But it’s not a one-size-fits-all solution, and careful considerations regarding privacy, health, and informed consent should be discussed early and often.