Pets & your wellbeing
A purr, a wag or a bird at the window can bring a little calm into a hard day.
By the numbers
Pets in American homes, what they cost, and what research shows.
Pets at home
Costs
Research
How can animals help our mental health?
Calm, routine, connection and getting moving.
Many people say their pet is one of the best things in their life. Science is starting to explain why. Spending time with animals has been linked to lower levels of cortisol, a stress hormone, and lower blood pressure.
Animals may also ease loneliness, help people feel more supported, and lift mood. The CDC links pet ownership with less loneliness and anxiety, fewer PTSD symptoms, more exercise, more time outdoors and more chances to socialize.
Read more
Touching and being with animals has been linked to lower cortisol and lower blood pressure. Many people find the slow, steady rhythm of stroking a pet soothing, a bit like a breathing exercise for your hands.
In a review of studies on people living with mental health conditions, owners described pets as giving comfort, affection and acceptance without judgment. Some said they could confide in their pet when it was hard to talk to people.
The Human Animal Bond Research Institute sums up the research this way: time with animals is linked with less anxiety and low mood, and with body changes like a lower heart rate and blood pressure. Harvard Health adds that simply petting a dog and looking into its eyes may help lower blood pressure.
Try it
- Match your breathing to a sleeping pet’s slow breaths.
- Sit with your pet for five minutes and focus only on how its fur feels.
- Watch fish swim for a few minutes and notice their movement.
Read more
Pets need feeding, walking and care at the same times every day. People in research studies said this daily structure helped them, and that caring for a pet gave them a sense of purpose, self-worth and hope.
Some also said their pet helped distract them from hard thoughts and feelings, simply by needing their attention.
In a separate study of people living with long-term mental health conditions, pets gave owners a sense of control, safety and meaning. Being a “good pet owner” also became a proud part of who they were.
Read more
A dog on a leash is an easy reason for strangers to say hello. In research, pet owners said their animals helped them start conversations and build friendships, for example with other dog walkers.
Ideas
- Chat at the dog park, pet store or vet’s waiting room
- Join a local pet club or online group for your kind of animal
- Walk the same route at the same time to meet the regulars
Read more
Dogs need regular walks, which can mean more exercise and time outdoors for their owners. Regular walking and play with a pet are also linked to better heart health, like lower blood pressure.
Harvard Health reports that dog owners tend to get more exercise than people without dogs. In one small study of 43 pairs of older adults, the dog owners took about 2,670 more steps a day than people without dogs.
Owning a dog does not guarantee walks, though. A review of 31 key studies estimated that only about 60% of dog owners walk their dog at all. The strongest reason people do walk is the bond with their dog: a sense of duty to it, and the motivation it gives them.
Walks in a park or other green space may also help relieve stress. A pet that needs a walk can be the nudge that gets you out of the door on a low day.
Read more
The CDC notes that pets may help older adults with better thinking skills (cognitive function), as well as company and more time spent active and social.
Things to think about
- Choose an animal that matches your energy and mobility
- Have a plan for who can help if you are unwell or away
- Smaller pets, like a cat, bird or fish, can be easier to care for
What the research really says
Promising, but pets are not a cure.
Research on how animals affect our health is still fairly new. Some studies show good effects, but the results overall are mixed. Scientists say there is no single answer for how a pet helps with a specific problem.
A 2018 review of 17 studies looked at pets and people living with mental health conditions. People’s own stories were mostly positive. But the number-based studies were mixed, with some showing good effects, some bad and some none at all.
Heart health is a good example. In 2013 the American Heart Association said owning a pet, especially a dog, “may be reasonable” for lowering heart disease risk. But it also said people should not adopt or buy a pet mainly for that reason, because healthier people may simply be the ones who own pets.
Keep in mind
- A pet is not a treatment for depression, anxiety or any health condition.
- People who already feel well may simply be more likely to get pets, so it’s hard to know what causes what.
- Pets bring costs, work and worry too, and losing one hurts.
- The best fit depends on you: your goals, energy, home, money and time.
Choosing a pet that fits your life
Needs, costs, health and household: an honest check before you commit.
The right pet is one whose needs you can meet on your hard days, not just your good ones. The CDC suggests researching an animal’s specific needs before you bring it home, and talking with a veterinarian about the best pet for your household.
Read more
The CDC lists the things to look into first: how long the animal lives, how big it gets, what it eats, the housing it needs, how much exercise it needs and what vet care costs.
Questions to ask yourself
- Can I care for this animal for its whole life, which may be many years?
- Do I have the space it needs, inside and out?
- How much daily exercise and attention can I really give?
- Who will look after it if I travel or get sick?
Read more
The ASPCA estimated (using 2021 figures) that the first year with a dog costs about $3,221 and with a cat about $1,904, including set-up costs. After that, yearly costs were about $1,391 for a dog and $1,149 for a cat. Prices vary by place and have likely gone up since.
Costs people forget
- Emergency vet visits
- Pet-sitting or boarding when you travel
- Pet deposits or fees where you live
- Replacing chewed or scratched things
- Training classes
Read more
The CDC says some groups are more likely to get sick from germs spread between animals and people: young children, people with weakened immune systems, and adults 65 and older. Think about who lives in your home and who will do the caring.
Pediatricians advise against reptiles like turtles for children under 5, because they often carry salmonella germs. If a child has asthma, eczema or allergies, ask their doctor before getting a pet.
Read more
Pediatricians note that a calm adult animal can be a better fit for families than a frisky puppy or kitten. The same is often true for anyone with limited time, energy or mobility.
Lower-effort options people consider
- A calm older cat
- Fish in a well-kept tank
- Fostering first, to see how pet care fits your life
- Pet-sitting for a friend
Read more
If money, housing, health or time aren’t right just now, waiting is a responsible choice. You can still enjoy animals in other ways, like volunteering at a shelter, fostering or walking a neighbor’s dog.
Therapy, support & service animals
What the different kinds of helper animals are.
You may hear about service dogs, emotional support animals and therapy animals. They sound alike, but they are different. Here’s what each one means in the U.S.
Read more
Under the Americans with Disabilities Act (ADA), a service animal is a dog that has been individually trained to do work or perform tasks for a person with a disability. The task must be directly related to that disability.
This includes some psychiatric service dogs. For example, a dog trained to sense that an anxiety attack is coming and take a specific action to help would count. A dog whose presence simply feels calming would not.
In public places, staff may only ask
- Is the dog a service animal required because of a disability?
- What work or task has the dog been trained to perform?
Read more
Emotional support animals give comfort through their presence. Because they are not trained to do a specific task, they are not service animals under the ADA, so they don’t have the same right to go into stores and restaurants.
Some state and local laws treat them differently. Federal rules for flying and renting with an emotional support animal have changed in recent years, so see “Flying and renting with an animal” below, and check the current rules where you live.
Read more
Therapy animals, often dogs, visit places like hospitals, nursing homes and schools with their handlers to bring comfort and a friendly break. They are not service animals under the ADA.
Researchers are still studying how animal visits affect health, including how to keep them safe in hospitals, where animals could bring in germs.
Read more
In animal-assisted programs, a trained handler brings an animal into a care or learning setting as part of a plan. NIH has studied human-animal interaction since 2008. At the NIH Clinical Center, the country’s largest research hospital, therapy dogs comfort some patients during their stays, and researchers have studied whether dog visits can ease stress, loneliness and anxiety in children with cancer, and whether the visits are safe for their immune systems.
In an NIH-funded study at Purdue University, researchers looked at whether playing with guinea pigs in the classroom helped autistic children feel calmer and more engaged with others, and found that it did.
NIH researchers are honest that there are still many unanswered questions. Some studies show good effects, but results overall are mixed.
Questions to ask a program
- How are the animal’s health and welfare looked after?
- How does this fit with the rest of my care?
- What happens if I have allergies or feel nervous around animals?
- Who handles the animal, and what training do they have?
Read more
Since 2021, U.S. airlines no longer have to treat emotional support animals as service animals, and may treat them as pets. For air travel, a service animal is a dog individually trained to do work or perform tasks for a person with a disability. Psychiatric service dogs are treated the same as other trained service dogs.
Housing rules for emotional support animals have been changing in recent years, and they can differ by state, city and landlord.
Quick guide: which is which?
- Emotional support animal: comforts by being there, with no task training. Not a service animal under the ADA.
- Service dog: individually trained to do a task linked to a disability. Allowed in most public places under the ADA.
- Therapy animal: visits hospitals, schools or care homes with a handler to comfort many people.
Pets & kids
Choosing well, staying safe, and sharing the care.
A pet can teach children gentleness, responsibility and empathy. Researchers are also studying how animals might help child development. To make it a good experience for everyone, it helps to plan ahead.
Before you get a pet
- Wait until your child is old enough to help care for it, often around age 5 or 6.
- Be honest about how much time your family has. Dogs and cats need daily care; fish or small animals may need less.
- Read library books about pet care together, or visit a friend’s pet to see what care involves.
- A calm adult animal can be a better fit than a frisky puppy or kitten.
- If your child has asthma, eczema or allergies, ask your child’s doctor first.
- Reptiles like turtles are not a good choice for children under 5, because they often carry salmonella germs.
Staying healthy around animals
- Wash hands with soap and water after touching pets, their food, toys or poop.
- Supervise children under 5 around animals, and their handwashing too.
- Don’t let kids kiss pets or put hands in their mouths after playing with animals.
- Keep pets out of the kitchen, and don’t clean pet things in kitchen sinks.
- Clean litter boxes daily. Pregnant people should avoid changing litter if possible.
- Keep pets healthy with regular vet visits and vaccines.
Ways kids can help care for a pet
- Little ones: fill the water bowl, help with gentle brushing, choose a toy
- School-age kids: feed at set times, help walk the dog with an adult
- Teens: take charge of a daily task, help with training
When pet care becomes stressful
Pets bring joy, but also work, costs and worry.
Loving a pet doesn’t mean it’s always easy. In research, owners named real challenges: costs, housing limits, difficult behavior, and guilt about not caring for their pet well enough. Pets can also make travel and other plans harder.
Common stresses
- A pet that barks, chews, scratches or doesn’t get along with others
- Finding a pet-friendly home
- Not having enough time or energy, especially when you’re unwell
- Vet bills and the cost of food and supplies
- Worrying about a sick or aging pet
What can help
- Make a simple pet budget and set a little aside for surprises.
- Ask your vet or a local shelter about low-cost care options.
- Get help with behavior from a trainer or your vet.
- Share the care: ask family, friends or a neighbor to help on hard days.
- Make a backup plan for who will care for your pet if you can’t.
- Be kind to yourself. Asking for help is part of being a good owner.
Read more
The ASPCA points out that it’s much more expensive, and riskier, to treat illness than to prevent it. Regular check-ups can catch problems early.
ASPCA money-saving ideas
- Brush your pet’s teeth at home with pet-safe products
- Do simple grooming at home, like brushing and nail trims
- Look for low-cost or free spay and neuter programs nearby
- Look into pet health insurance while your pet is still healthy, and read the details carefully
- Talk with your vet about which vaccines are essential or required by law
Read more
Sometimes life changes in ways that make pet care impossible: a move, illness, money trouble or a new baby. Contacting a shelter or rescue to rehome your pet safely is a caring choice, not a failure.
Gentle steps
- Ask your vet or shelter what support exists first. A short-term fix may let you keep your pet
- Be honest about your pet’s habits and needs so the new home is a good match
- Let yourself feel sad. Rehoming is a real loss, too
Caring for a pet when you’re struggling
Keeping your pet okay on hard days, and letting your pet help you.
When you’re low, anxious or unwell, even feeding yourself can feel hard, let alone a pet. Many people in research said their pet gave them a reason to get up. Some also felt guilty when they couldn’t care for their pet as well as they wanted.
Read more
- A clean litter box, or a short trip outside
- A few minutes of gentle attention
- Any vet care your pet needs
- Food at roughly the usual times
- Fresh water
Read more
- Ask someone to walk your dog a couple of times a week
- Ask your vet or local shelter about low-cost care or pet food banks
- Set up automatic deliveries of food and litter if you can
- Swap pet-sitting with a neighbour
Read more
Worrying about who will care for a pet can stop some people from getting the care they need, like staying in hospital. A written plan can ease that worry.
What to include
- A spare key arrangement
- Feeding amounts, routines and any vet care instructions
- Two people who can step in, and their phone numbers
- Where food, leads and carriers are kept
- Your vet’s name and number
Read more
- Brush your cat or rabbit slowly and notice the feel of the fur
- Sit with your pet and match your breathing to theirs
- Step outside with your dog, even just to the end of the street
- Talk to your pet about your day out loud
Supporting someone
Helping a friend with pet stress, an older relative’s pet, or a pet loss.
Pets are family to many people, so the people we love often need support around their animals too: when care becomes too much, when an older relative needs a hand, or when a pet dies.
Read more
Pet owners in research named real stresses: costs, housing limits, difficult behavior and guilt about not doing enough. When someone is unwell, these can pile up fast.
Ways to help
- Help them find low-cost vet care or a trainer
- Help them make a backup plan for who will care for their pet
- If they must rehome a pet, support them without judgment
- Offer to walk their dog or feed their cat on hard days
- Pet-sit so they can go to an appointment or rest
Read more
Pets may help older adults stay active and social, and support thinking skills. But care can get harder with age or illness, and people 65 and older can be more likely to get sick from germs animals carry.
Ways to help
- Agree on who will care for the pet if they go into hospital
- Join them for a short daily walk
- Remind them about handwashing and vet checkups
- Take on the heavier jobs, like big bags of food or litter
Read more
Losing a pet can hurt as much as losing a person, and grief can even show up in the body. A simple “I’m so sorry, they were such a big part of your life” can mean a lot.
Read more
Helping with someone else’s animals takes time and energy. It is okay to say what you can and can’t do. Offer specific help (“I can walk him on Tuesdays”) rather than open-ended promises.
How community can help
Animals bring people together.
Animals are a natural bridge to other people. Pets help their owners start conversations and build relationships, and sharing a love of animals is an easy way to find your people. Daily dog walks may also help ease loneliness by building relationships with neighbors.
Places to connect
- Animal shelters and rescues (as a volunteer or at adoption events)
- Dog parks and regular walking routes
- Local birdwatching or nature groups
- Pet clubs, training classes and online groups for your kind of animal
- Pet loss support groups, if you are grieving (see the Losing a pet guide)
Ways to help each other
- Check in on a friend whose pet has died
- Donate old towels and blankets to a shelter
- Swap pet-sitting with a neighbor
- Walk the dog of someone who is sick or busy
When and where to get help
Help for your pet, help with pet care, and help for you.
Pets are wonderful company, but they can’t replace human help. Reaching out, for your pet or for yourself, is a strong and caring step.
Read more
The CDC recommends regular vet visits and vaccines to keep pets healthy, and talking to a vet about the best pet for your household.
A vet or trainer can help with
- Behavior problems like barking, chewing or fear
- Changes in eating, sleeping or energy
- Questions about an aging or sick pet
- Low-cost care options in your area
Read more
- Ask a local shelter or rescue about low-cost care, pet food banks or safe rehoming
- Ask family, friends or neighbors for specific help
- Fill in the “My pet’s hard-day plan” worksheet so a helper knows what to do
Read more
If low mood, anxiety or stress make daily life hard, including caring for your pet, talking to a counselor or your clinical provider can help. Your pet can be part of your support, not all of it.
In the U.S., you can call or text 988 to reach the Suicide & Crisis Lifeline, free and 24/7. You can also text HOME to 741741 to reach Crisis Text Line.
Read more
findahelpline.com lists free, confidential helplines by country. If someone is in immediate danger, call your local emergency number.
📝 Worksheets for this guide
Fill these in privately in the app. Your answers stay on your phone.
Sources
- NIH News in Health (National Institutes of Health) (2018). The Power of Pets: Health Benefits of Human-Animal Interactions
- Centers for Disease Control and Prevention (CDC) (2026). Ways to Stay Healthy Around Animals (Healthy Pets, Healthy People)
- Brooks HL, Rushton K, Lovell K, et al. (peer-reviewed) (2018). The power of support from companion animals for people living with mental health problems: a systematic review and narrative synthesis of the evidence (BMC Psychiatry 18:31)
- U.S. Department of Justice (ADA.gov) (2020). Frequently Asked Questions about Service Animals and the ADA
- American Academy of Pediatrics (HealthyChildren.org). Before Choosing a Pet
- Cleveland Clinic (2021). How to Grieve the Death of a Pet
- Harvard Health Publishing (2017). Walking the dog: Yes, it counts as exercise
- Harvard Health Publishing (2017). Dogs may increase activity levels in older adults
- Westgarth C, Christley RM, Christian HE (peer-reviewed), via PubMed Central (2014). How might we increase physical activity through dog walking?: A comprehensive review of dog walking correlates (Int J Behav Nutr Phys Act)
- American Heart Association, via PubMed (2013). Pet ownership and cardiovascular risk: a scientific statement from the American Heart Association (Circulation)
- Human Animal Bond Research Institute (HABRI). Mental Health (research summary)
- NIH MedlinePlus Magazine (National Institutes of Health) (2018). Ruff! Are pets good for our health?
- U.S. Department of Transportation, via GovInfo (2020). Traveling by Air With Service Animals (final rule, Federal Register 85 FR 79742)
- Pew Research Center (2023). About half of U.S. pet owners say their pets are as much a part of their family as a human member
- ASPCA (2021). Cutting Pet Care Costs (includes 2021 pet care cost table)
- 988 Suicide & Crisis Lifeline (SAMHSA). 988 Suicide & Crisis Lifeline
- Crisis Text Line. Crisis Text Line
- Find A Helpline (ThroughLine). Find A Helpline
This guide is for education and self-care. It is not a diagnosis or a substitute for professional care. Please talk to a counselor or clinical provider about your health. Reviewed October 2026.

