People of all ages with physical and mental disabilities obtain beneficial results from association with horses. Therapeutic riding is used to mentally and physically stimulate disabled persons and help them improve their lives through improved balance and coordination, increased self-confidence, and a greater feeling of freedom and independence. The benefits of equestrian activity for people with disabilities has also been recognized with the addition of equestrian events to the Paralympic Games and recognition of para-equestrian events by the International Federation for Equestrian Sports (FEI).

Hippotherapy and therapeutic horseback riding are names for different physical, occupational, and speech therapy treatment strategies that utilize equine movement. In hippotherapy, a therapist uses the horse's movement to improve their patient's cognitive, coordination, balance, and fine motor skills, whereas therapeutic horseback riding uses specific riding skills.

Horses also provide psychological benefits to people whether they actually ride or not. "Equine-assisted" or "equine-facilitated" therapy is a form of experiential psychotherapy that uses horses as companion animals to assist people with mental illness, including anxiety disorders, psychotic disorders, mood disorders, behavioral difficulties, and those who are going through major life changes. There are also experimental programs using horses in prison settings. Exposure to horses appears to improve the behavior of inmates and help reduce recidivism when they leave.