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Online ESA letter evaluations for Texans · licensed clinicians · pay only if a letter is issuedsupport@esalettertx.com
ESA Letter TX

Mental health

Conditions our clinicians evaluate

An ESA letter rests on a single question. Is a mental or emotional condition getting in your way, and is your animal at home easing it? The pages below cover the conditions Texans raise most often and what a clinician weighs for each.

  • Booking is free, and you pay $129 only if a letter is issued
  • Signed PDF letter, usually the same day
  • Licensed clinicians, license number on every letter
$129 pay only if approved
  • 5–10 minutes phone or video visit
  • Same day signed letter, usually
  • $129 covers up to 2 animals
  • $0 upfront pay only if approved
Most common
Anxiety, depression, PTSD, panic attacks
What counts
Real-life impact rather than a label
Decision maker
A licensed clinician, one person at a time
No fit
No letter, no bill

In this section

Anxiety

Anxiety and emotional support animals

Anxiety can stretch a quiet evening into hours of racing thoughts, a tight chest and a brain that refuses to power down. For some Texans, the dog…

Depression

Depression and emotional support animals

Depression has a way of hollowing out days that used to feel ordinary. For some, a dog or cat needing to be fed, walked and fussed over turns into…

Panic attacks

Panic attacks and emotional support animals

Panic can hit without warning: heart hammering, breath short, a certainty that something awful is about to happen. When it keeps happening, fear…

PTSD

PTSD and emotional support animals

After trauma, home is supposed to be the safe place, yet with PTSD it often doesn't feel that way. Some people find an animal makes nights calmer…

Why your condition matters for housing

Federal fair housing law and Texas Property Code §301.025(c)(2) both oblige a landlord to consider reasonable accommodation requests from disabled tenants. An ESA letter is the piece of paper that links your condition to the animal you hope to keep.

Your landlord never learns the diagnosis. HUD and DOJ's joint 2004 statement permits a landlord to request dependable proof of a disability-based need when it isn't apparent, but generally rules out probing the condition's nature or seriousness.

Questions a clinician works through

Whatever brings you in, most evaluations circle back to the same handful of practical points.

  • Which symptoms dominate, and for how long they've been around
  • Their pull on sleep, focus, a job or coursework, and the people close to you
  • Concrete things your animal does on a bad day
  • Any care you've received before or receive today, and how an animal sits beside it
  • Whether a letter is honestly the right tool here

The four pages in this section

Anxiety deals with worry and tension that won't switch off. Depression deals with flat mood, lost interest and the heaviness that turns small chores into big ones. PTSD deals with reactions that linger after trauma. Panic attacks deals with sudden floods of fear and the dread of another one.

Plenty of people arrive with something else entirely. If your condition isn't among these four, booking is still open, and the clinician will look at your circumstances as they are.

What an evaluation won't do

This is a focused housing assessment. It isn't therapy, and it never promises a particular diagnosis. Your clinician may decide a letter doesn't fit, or may point you toward local treatment.

Feeling unsafe, or having thoughts of ending your life? Skip the booking page: call or text 988; in an emergency call 911.

Texas housing in 2026

A HUD enforcement memo issued May 22, 2026 reviews untrained emotional support animal requests one at a time instead of treating them as presumptively reasonable, and it backs away from the earlier position that fees for them were off the table. Texas's own accommodation duty in Chapter 301 hasn't changed, and TWC's Civil Rights Division enforces it.

Put simply, a carefully supported letter still carries weight, yet no letter can lock in a yes from every Texas landlord.

Common questions

Is an existing diagnosis required to book?

No. Lots of people come in without one. The clinician assesses symptoms and their effect on your days during the visit, then decides whether a letter is clinically sound.

Does my landlord find out what my condition is?

No. The letter speaks to your need for the animal without naming any diagnosis, and Texas landlords usually can't press for those details.

Is stress after a move or a breakup enough?

Short-lived stress typically isn't. The real test is whether a condition seriously limits major life activities, and the clinician will be straight with you about that.

My condition isn't listed. Can I still book?

Yes. These four pages reflect the most frequent reasons people come to us, not a complete list.

I already have a therapist. Does that matter?

Not at all. Your own therapist could write a letter too. Coming to us is a separate evaluation and doesn't replace your current care.

I'm in crisis right now. Where do I turn?

Don't wait for an appointment. Call or text 988; in an emergency call 911. An ESA visit isn't crisis care.

Sources

  1. National Institute of Mental Health Anxiety Disorders (opens in a new tab)
  2. National Institute of Mental Health Depression (opens in a new tab)
  3. VA National Center for PTSD PTSD Basics (opens in a new tab)
  4. HUD and U.S. Department of Justice Joint Statement on Reasonable Accommodations Under the Fair Housing Act (2004) (opens in a new tab)
  5. Texas Legislature Texas Property Code Chapter 301 (Texas Fair Housing Act) (opens in a new tab)
  6. 988 Suicide & Crisis Lifeline 988 Lifeline (call, text or chat, 24/7) (opens in a new tab)

Your letter in three steps

  1. Book a time

    Pick a phone or video slot and answer a short intake. Booking is free.

  2. Talk with a clinician

    A licensed clinician spends about 5–10 minutes understanding your needs.

  3. Get your letter

    If your clinician supports a letter, your signed PDF usually arrives the same day.

Start my evaluation

What a Texas ESA letter costs

Booking is free. You pay only if your clinician issues a letter.

Up to 2 animals

$129 one time

  • Evaluation by phone or video
  • Signed PDF letter, usually same day
  • Covers one or two animals

3 or more animals

$199 one time

  • Same evaluation and letter
  • Covers three or more animals
  • Each animal named on the letter
Start my evaluationCollege and dorm letters are also $129.

No letter, no charge. If your clinician doesn't issue a letter, you don't pay for the evaluation.

Keep reading

Anxiety

Anxiety and emotional support animals

Anxiety can stretch a quiet evening into hours of racing thoughts, a tight chest and a brain that refuses to power down. For some Texans, the dog…

Depression

Depression and emotional support animals

Depression has a way of hollowing out days that used to feel ordinary. For some, a dog or cat needing to be fed, walked and fussed over turns into…

PTSD

PTSD and emotional support animals

After trauma, home is supposed to be the safe place, yet with PTSD it often doesn't feel that way. Some people find an animal makes nights calmer…

Panic attacks

Panic attacks and emotional support animals

Panic can hit without warning: heart hammering, breath short, a certainty that something awful is about to happen. When it keeps happening, fear…

Eligibility

Do you qualify for an ESA letter in Texas?

Qualifying for an ESA letter turns less on a diagnosis label and more on what your condition actually does to your days. The same standard applies…

The evaluation

How a Texas ESA evaluation works

An ESA evaluation is a short clinical conversation, not a test you pass or fail by giving the right answers. Knowing what the clinician is…

Ready when you are

Book a short phone or video evaluation with a licensed clinician. If your animal is supported, you get a signed letter, usually the same day — and you pay only then.