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Psychiatric Service Dog Work and Tasks
by Veronica Morris PhD and Joan Esnayra PhD
Published May, 2011


In this list, anything that is obvious to the average outside observer is considered a physical task. Work includes subtler interactions that an outside observer would not necessarily detect, even when that assistance is being provided right in front of that person. We further subdivide work into three categories. Cognitive behavioral work engages the handler's cognitive behavioral therapy techniques, such as evaluating thought patterns in response to a cue from the dog. Leveraging a dog's natural senses involves the dog using their natural senses to respond (or not respond) to cues in the environment, and the human partner using this for the purpose of reality testing. Mind/body regulatory work prompts the partner to engage in self-regulation behaviors in response to the dog's action. This form of work generally involves the dog alerting to a change in mood or identity, anxiety, flashbacks, etc. and the handler using the alert to take control of the episode and try to prevent it from becoming full-blown, or to take their PRN medication before they are too involved with the episode to remember they have it.

Please note this list is not absolute. Some items listed as a physical task, e.g. tactile stimulation, may have a work component if the dog is recognizing and responding on their own to the handlers medical condition, or if the handler uses the tactile stimulation as a part of their cognitive behavioral or mind/body regulatory work. Conversely, some items listed as work, e.g. waking the handler, may have a physical task component where the general public might see the dog performing some function, but the handler must respond to the dog's cue in a cognitive behavioral or mind/body regulatory fashion for the symptom to be mitigated. Use this list as a guide for what a service dog might be able to do for someone with a psychiatric disability, but remember each individual will have different needs that might be fulfilled in a variety of ways.

Major Depression:
SymptomsAssistive BehaviorsAssistance Classification
ApathyTactile stimulationWork (cognitive behavioral) and/or physical task
Initiate activity (play or walks)Work (cognitive behavioral) and/or physical task
HypersomniaWake up handlerPhysical task and work (cognitive behavioral)
Feelings of isolationTactile stimulationWork (cognitive behavioral) and/or physical task
Initiate activity outside the homeWork (cognitive behavioral)
Sadness or tearfulnessDeep pressure stimulationPhysical task
Tactile stimulationPhysical task
Initiate activityWork (mind/body) and/or physical task
InsomniaStay with and focus on handlerWork (mind/body)
Suicidal ideationGround handlerWork (cognitive behavioral or mind/body)
Deep pressure stimulationPhysical task
Self-mutilationInterrupt by alerting or tactile stimulationWork (cognitive behavioral or mind/body)
Ground handlerWork (cognitive behavioral or mind/body)
Psychomotor retardationGuide handler using harness or leashPhysical task
Memory lossRemind to take medicationPhysical task
Find keys or telephonePhysical task
DisorganizationRemind handler to perform daily routinesWork (cognitive behavioral)

Bipolar (manic phase):
SymptomsAssistive BehaviorsAssistance Classification
Racing thoughtsTactile stimulationWork (cognitive behavioral) and/or physical task
Distractibility
Hyper focusAlert to incipient manic episodeWork (cognitive behavioral or mind/body)
Irritability
Hyper locomotion
Olfactory cue?
Aggressive drivingAlert to aggressive drivingWork (cognitive behavioral or mind/body)
InsomniaRemind handler to go to bedWork (cognitive behavioral)
Memory lossRemind to take medicationPhysical task
Find keys or telephonePhysical task
DisorganizationRemind handler to perform daily routinesWork (cognitive behavioral)

Panic:
SymptomsAssistive BehaviorsAssistance Classification
DerealizationTactile stimulationPhysical task
Depersonalization
Olfactory cueAlert to incipient anxiety or panic attackWork (cognitive behavioral or mind/body)
Increase in heart rate
Change in breathing pattern
FearGuide handler to a safe placePhysical task
Fight or flight response
Pounding heartTactile or deep pressure stimulationPhysical task
Trembling
Nausea
Sweating
DizzinessBrace or counterbalance handlerPhysical task
ChillsPressure and warmth stimulationPhysical task
Memory lossRemind to take medicationPhysical task
Find keys or telephonePhysical task

Anxiety:
SymptomsAssistive BehaviorsAssistance Classification
Restlessness or distractibilityTactile stimulationPhysical task
Alert to rising anxietyWork (cognitive behavioral or mind/body)
Sleep disturbanceKeep handler in bedPhysical task and/or work (cognitive behavioral)
Alert to intrudersWork (cognitive behavioral or leveraging natural senses)
AnxietyGuide handler to a safe placePhysical task
Muscle tensionInitiate activityPhysical task
Memory lossRemind to take medicationPhysical task
Find keys or telephonePhysical task

Agoraphobia:
SymptomsAssistive BehaviorsAssistance Classification
AnxietyTactile stimulationPhysical task
Fear of leaving homeInitiate activity outside the homePhysical task
Social withdrawalInitiate interpersonal interactionWork (cognitive behavioral or leveraging natural senses)

Social Phobia:
SymptomsAssistive BehaviorsAssistance Classification
AnxietyTactile stimulationPhysical task
Social withdrawalInitiate interpersonal interactionWork (cognitive behavioral or leveraging natural senses)
FearTactile or deep pressure stimulationPhysical task
Feeling overwhelmedGuide handler to a safe placePhysical task

Post Traumatic Stress Disorder:
SymptomsAssistive BehaviorsAssistance Classification
ReclusivenessInitiate activity outside the homePhysical task
Night terrorsWake up handlerPhysical task and work (cognitive behavioral)
Turn on lightsPhysical task
Startle responseStand between handler and othersPhysical task
Alert to presence of othersPhysical task
Memory lossRemind to take medicationPhysical task
Find keys or telephonePhysical task
Dissociative fugueGuide handler home or to a safe placePhysical task
HypervigilanceSearch house for intrudersPhysical task
Dissociative flashbackTactile stimulation Physical task
GroundingWork (cognitive behavioral, mind/body, or leveraging natural senses)
Sensory overloadTactile or deep pressure stimulationPhysical task
Social withdrawalInitiate interpersonal interactionWork (cognitive behavioral therapy or leveraging natural senses)
Emotional escalationAlert to emotional escalationWork (cognitive behavioral or mind/body)
HallucinationHallucination discernmentWork (leveraging natural senses)
Suicidal ideationStay with and focus on handlerWork (cognitive behavioral)
Deep pressure stimulationPhysical task

Obsessive Compulsive Disorder:
SymptomsAssistive BehaviorsAssistance Classification
DistractibilityTactile or deep pressure stimulationPhysical task
Intrusive thoughts/images
Anxiety
Repetitive/compulsive behaviorInterrupt repetitive behaviorsWork (cognitive behavioral)
Memory lossRemind to take medicationPhysical task
Find keys or telephonePhysical task

Dissociative Identity Disorder:
SymptomsAssistive BehaviorsAssistance Classification
Flashbacks or distressTactile stimulation Physical task
GroundingWork (cognitive behavioral or leveraging natural senses)
Startle responseAlert to presence of othersPhysical task
Olfactory or behavioral cueAlert to incipient dissociative episodeWork (cognitive behavioral or mind/body)
DissociationTactile stimulation to interruptPhysical task
Ground handlerWork (cognitive behavioral, mind/body, or leveraging natural senses)
Self-mutilationInterrupt by alerting or tactile stimulationWork (cognitive behavioral)
HallucinationHallucination discernmentWork (leveraging natural senses)
NightmaresWake up handlerPhysical task and work (cognitive behavioral)
Forgotten personal identityCarry handler identification documentsPhysical task
Give identification documents to others for assistancePhysical task
AnxietyTactile or deep pressure stimulationPhysical task
Dissociative fugueGuide home, to a safe place, or assist in crossing streetsPhysical task

Schizophrenia:
SymptomsAssistive BehaviorsAssistance Classification
Flat affectTactile stimulationPhysical task
HallucinationHallucination discernmentWork (leveraging natural senses)
Catatonic behaviorGround handlerWork (cognitive behavioral, mind/body, or leveraging natural senses)
Disorganized speech or behavior
Psychosis
Delusions
Forgotten personal identityCarry handler identification documentsPhysical task
Give identification documents to others for assistancePhysical task
Disorientation or confusionGuide handler home or to a safe placePhysical task
Social withdrawalInitiate interpersonal interactionWork (cognitive behavioral or leveraging natural senses)
Feeling overwhelmedGuide handler to a safe placePhysical task
Memory lossRemind to take medicationPhysical task
Find keys or telephonePhysical task


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© 2012 Psychiatric Service Dog Society
Disclaimer: Material on this website is provided for educational purposes only.
Consult your own physician regarding the applicability of any opinions or recommendations with
respect to your symptoms or medical condition.