Learn Ecotherapy Benefits: Using Nat...

Ecotherapy Benefits: Using Nature’s Power to Heal

Ecotherapy: Using Nature’s Power to Heal
By
Hannah Friedman profile
Hannah Friedman
Updated October 20, 2026

If you’re considering residential rehab, you might be feeling the need to get away from it all. You might also notice that many treatment centers are intentionally located in remote, naturally beautiful settings.

Spending time in nature has a powerful calming effect, and the benefits of ecotherapy can help set you up for success in recovery.

Rehab programs around the country employ the healing powers of the great outdoors, with nature-based interventions and experiential therapies like hiking, beach walks, and adventure therapy forming a core part of the curriculum.

Any of these techniques helps you connect with yourself and the world around you: a relationship the recovery journey aims to right.

What Is Ecotherapy?

Ecotherapy, also called nature therapy or green therapy, is a broad term that loosely describes doing any outdoor activity with the goal of recovery. It can take place informally or in a clinical context, in a group or on your own. It’s not officially recognized in the DSM-5, but it is commonly employed by rehabs around the world.

Nature itself has therapeutic benefits, a connection at the heart of ecopsychology and nature therapy.1

In therapies that use nature immersion, you spend time outside as part of the recovery process. In some programs, these activities have specific therapeutic goals. In others, you use mindfulness techniques to soak up the peace and quiet of the world around you. Either way, the restorative effects of the outdoors can provide perspective that helps with the challenges of recovery.

Learning to Trust Your Instincts

Humans haven’t always lived in urban areas. Only 200 years ago, 90% of us lived rurally, but today, more than half of the global population lives in cities.2 Despite its social advantages, this fast-paced urban lifestyle is stressful.3 Slowing down and grounding are necessary parts of the recovery process.

Engaging with nature has immediate emotional benefits. And research suggests that this is due to our evolutionary history. Our early ancestors relied on fresh water and vegetation to stay alive. Over time, we came to associate those resources with a sense of safety. Perhaps as a result, the human brain still responds well to these environments.4

By spending time outdoors, you can tap into ancestral memories of safety. And when you feel safe, it’s easier to focus on healing.

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Types of Ecotherapy

As a treatment, nature immersion takes many forms. You might meditate in a forest preserve, enjoy a guided walk, or get your hands dirty in the garden. And your treatment center might offer different outdoor therapies based on their staffing, location, and approach. Talk to your rehab’s admissions team to find out more about their available options.

You can also browse rehabs by activity, including hiking, fishing, river rafting, horseback riding, and more.

Forest Bathing

Forest bathing, or shinrin-yoku, originated in Japan.5 This is the practice of using all your senses to be present and mindful in a forest setting. When you go forest bathing, you use mindfulness to take in your surroundings. You might focus on the coolness of river water, the scent of fallen leaves, or the sound of birdsong. An expert may guide you through meditation, or you may spend time in the forest alone.

Guided Nature Walks

Some rehabs offer guided nature walks. Whereas forest bathing is meditative and mostly unstructured, guided walks are led by certified guides. These are normally group activities.

During a guided walk, you’ll likely share thoughts with the group as you enjoy the outdoors. Guides invite you to observe the life and landscapes around you, from swaying trees to colorful skies. By focusing on your immediate surroundings, you’ll find it easier to let go of the small things and find a sense of awe for the larger world.

Once the group is emotionally grounded, guides might engage you in a sensory experience like running your hands through the grass or smelling the flowers. This connection with the Earth brings you back into the present, and back into your own body.

Finally, you’ll have time for reflection. Your guide might ask you to meditate or write about the experience. This helps ease the transition back into the rest of your routine. Ideally, you’ll return to it feeling more centered and calm.

Adventure Therapy

Adventure therapy incorporates challenging outdoor activities like rock climbing, river rafting, and wilderness hiking as part of treatment. These experiences bring you just outside your comfort zone in a safe, supervised setting, inviting you to build trust, confidence, and coping skills to carry with you into recovery.

Animal-Assisted Therapy

Some treatment programs pair time outdoors with animal-assisted therapy, such as caring for horses or working with therapy dogs. Through equine therapy, for example, you groom, lead, and connect with a horse, which can invite an opportunity to practice patience, calm, and clear communication.

Nature-Based Art Therapy

Art therapy can also work outdoors. For example, you might sketch a landscape, use fallen branches or rocks to build a sculpture, or photograph how the colors change in the fall. Creating art in nature engages both your senses and your creativity, which may give you a new way to express feelings that might be hard to put into words.

Conservation Activities

Some treatment programs include conservation activities like planting trees, clearing trails, or cleaning up beaches. This kind of work can give you feelings of purpose and fulfillment as you see the positive impact your effort has on the natural spaces around you.

Gardening Therapy

You don’t have to be deep in a forest to reap the benefits of nature therapy. Horticulture therapy, or caring for plants, is a great way to reduce stress and focus on the present.6 This is a great option for people with limited mobility, or those who don’t have off-site privileges at their rehab.

Whether you spend time in a garden or just water your bedside fern every morning, plant therapy lets you care for something outside yourself. You can also see the impact your touch has on another living thing. Every new sprout is thanks to your contribution of water, the right amount of sunlight, and attention.

Some programs maintain a community garden, where you can work with your peers to grow vegetables, herbs, or flowers. Tending a shared garden invites opportunities for social connection and teamwork, two skills that support long-term recovery.

Viewing the Outdoors

In some rehabs, you can enjoy the perks of nature therapy without even going outside. Research shows that just having a nature view out of a hospital window can improve your health.7 This is helpful for people with a range of mental health issues. For example, looking at beautiful nature scenes can decrease depression and reduce anxiety.8

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How Ecotherapy Benefits Recovery

Spending time in nature, especially when coupled with physical activity, can improve a wide variety of issues, from chronic pain to anxiety. And studies show that it’s especially helpful for people with certain conditions.

ADHD

If you have ADHD, time in green spaces may help you focus.9 Because ADHD often co-occurs with addiction, this benefit can make it easier to engage in treatment.10

Anxiety and Stress

If you experience severe stress or anxiety, you might be surprised how much relief a little time in nature can provide. According to experts, “the higher the stress level, the greater the effect” forest bathing has on stress reduction.11 It can even alleviate physical symptoms. In one study, just watching a nature video lowered viewers’ heart rates.12 If your body is still healing from the effects of addiction, this could be an important part of your process.

Chronic Pain

If you have chronic pain, nature immersion can help with both its physical and mental effects. One study found that nature immersion not only relieved pain; it also boosted peoples’ immune responses and decreased symptoms of depression..13

Depression

Further research supports nature immersion as a treatment for depression.14 Some people report reduced depressive symptoms after spending time outside.14 This may be helpful for people with co-occurring disorders, like depression and addiction.

Green Exercise and Self-Esteem

Green exercise, or physical activity outside in nature, combines the benefits of movement with the calming effects of nature.

Exercise releases endorphins, chemicals that can ease pain and lift your mood.15 Research shows that even 5 minutes of green exercise can boost self-esteem and lead to improved mood.16

Post-Traumatic Stress Disorder (PTSD)

If you’re living with PTSD, ecotherapy programs may help ease symptoms. Research on veterans with PTSD suggests that nature-assisted therapies can support emotional healing and help manage stressful situations.17

The Power of Nature to Treat Addiction

Nature therapy can support mental health treatment. Research on its use in rehab is still growing, but findings suggest it can benefit people in addiction recovery in several ways, some of which are outlined below..

Reduce Cravings

Cravings put you at risk for relapse.18 And they can occur at any stage of the recovery process. After spending time in nature, some people report less intense and fewer cravings.19 If this coping strategy works for you, you can use it before, during, and after residential treatment. Nature’s soothing effect is there any time you need it.

Improve Impulse Control

Addiction can interfere with impulse control. This often makes it hard to commit to recovery.20

Data shows that viewing nature can reduce impulsivity.21 As a result, ecotherapy might help you stay the course during treatment.

One study suggests that nature therapy may be helpful for people recovering from opioid addiction.22

Connect With Yourself and Others

Unhealthy as it is, addiction is a coping mechanism. And when you enter recovery, you’ll need to develop new, healthier strategies. Spending time in nature can be an exciting way to build social connections without using drugs.

This is also why nature can play an important role in aftercare. Returning to social circles associated with your addiction can increase your risk of relapse.23 By taking up new hobbies like hiking or biking, you might just build a new, sober community.

Clinical Director Brenna Gonzales explains why The Hope House Scottsdale places so much emphasis on getting outside:

Most people living with addiction are stuck in their houses and are alone. To be outdoors, to reconnect with nature and themselves, gives people the opportunity to experience life again. There are mountains all around The Hope House. Some of the best hikes in Phoenix city are within five minutes of us. We also have a pool that clients can use daily. We take any opportunity we can to get people outside.
BG
Brenna GonzalesClinical DirectorThe Hope House Scottsdale

“Nature Is the Biggest Distraction We Like to Have.”

Dr. Thomas Gazda, Medical Director at Soberman’s Estate, talks about how important it is for people to unplug from distractions and focus on one another:

Residential rehab takes a person out of their normal environment. These days we have so many distractions at our fingertips: our cell phones, laptop, computers, television. There’s just so many distractions out there and we want to try and get away from that here. Nature is the biggest distraction we like to have out here. It’s a peaceful, quiet distraction. Something that can actually get you more in touch with yourself. It also allows for a certain kind of comradery amongst the patients here because they’re living with each other. They get to know each other, there’s a bond that forms.
DG
Dr. Thomas GazdaMedical DirectorSoberman’s Estate

If you prefer solo adventures, you can still relax in nature alone. Swimming in a body of water, hiking to a viewpoint, or even walking in the park can go a long way toward clearing your mind and bringing you back in sync with life. This valuable you-time creates space for your feelings, even when recovery is challenging.

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Relaxing and Reflecting on Your Recovery Journey

The natural world holds many lessons. Simply observing it can help you connect with something greater than yourself. And nature-based therapies take that a step further, teaching you how to accept the present moment. In turn you can learn to accept yourself, just as you are, at every point on your healing journey.

To reconnect with nature during recovery, explore a list of rehabs offering experiential treatment and learn about their locations, housing options, complementary therapies, and more.

Discover a Path to Healing

From intensive individual therapy programs to 24/7 structured support, the right solution is out there. Explore options for wellness-focused mental health treatment, trauma treatment centers, and more to find a safe space to heal. Find a mental health facility today and begin your journey toward stability and peace.


FAQs

Ecotherapy can lower your stress, ease symptoms of depression and anxiety, and boost your mood.8 Even a few minutes of physical activity in nature can improve your self-esteem.16

Ecotherapy includes a wide range of activities, like green exercise, gardening, wilderness therapy, art therapy, and animal-assisted therapy. Some therapists also hold traditional talk therapy sessions outdoors, in a garden, park, or beach, and many approaches build in mindfulness to help you stay present.24

Any time in nature can lift your mood, but ecotherapy uses nature intentionally to help you heal from physical or mental health conditions.24 It’s often guided by a therapist and built around specific goals, so it can become part of a broader treatment plan.

A large study of nearly 20,000 people in England found that people who spent at least 120 minutes a week in nature were more likely to report good health and well-being. It didn’t matter whether that time came in one long visit or several shorter ones, and the benefits leveled off at around 200 to 300 minutes a week.25

Early research suggests that nature exposure may be a helpful add-on to standard treatment for substance use disorders, rather than a replacement for it.22 People who spend more time in nature also tend to report less intense and less frequent cravings.19 If you’re in treatment, ask your care team whether your program offers nature-based therapies.

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  2. Ritchie, H., & Roser, M. (2018). Urbanization. Our World in Data. https://ourworldindata.org/urbanization

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  5. Hansen, M. M., Jones, R., & Tocchini, K. (2017). Shinrin-yoku (Forest bathing) and nature therapy: A state-of-the-art review. International Journal of Environmental Research and Public Health, 14(8), 851. https://doi.org/10.3390/ijerph14080851

  6. Van Den Berg, A. E., & Custers, M. H. G. (2011). Gardening promotes neuroendocrine and affective restoration from stress. Journal of Health Psychology, 16(1), 3–11. https://doi.org/10.1177/1359105310365577

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  9. Kuo, F. E., & Faber Taylor, A. (2004). A potential natural treatment for attention-deficit/hyperactivity disorder: Evidence from a national study. American Journal of Public Health, 94(9), 1580–1586. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1448497/

  10. Young, S., Abbasian, C., Al-Attar, Z., Branney, P., Colley, B., Cortese, S., Cubbin, S., Deeley, Q., Gudjonsson, G. H., Hill, P., Hollingdale, J., Jenden, S., Johnson, J., Judge, D., Lewis, A., Mason, P., Mukherjee, R., Nutt, D., Roberts, J., . . . Cocallis, K. (2023). Identification and treatment of individuals with attention-deficit/hyperactivity disorder and substance use disorder: An expert consensus statement. World Journal of Psychiatry, 13(3), 84–112. https://doi.org/10.5498/wjp.v13.i3.84

  11. Morita, E., Fukuda, S., Nagano, J., Hamajima, N., Yamamoto, H., Iwai, Y., Nakashima, T., Ohira, H., & Shirakawa, T. (2007). Psychological effects of forest environments on healthy adults: Shinrin-yoku (Forest-air bathing, walking) as a possible method of stress reduction. Public Health, 121(1), 54–63. https://doi.org/10.1016/j.puhe.2006.05.024

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  13. Han, J.-W., Choi, H., Jeon, Y.-H., Yoon, C.-H., Woo, J.-M., & Kim, W. (2016). The effects of forest therapy on coping with chronic widespread pain: Physiological and psychological differences between participants in a forest therapy program and a control group. International Journal of Environmental Research and Public Health, 13(3), 255. https://doi.org/10.3390/ijerph13030255

  14. Lee, I., Choi, H., Bang, K.-S., Kim, S., Song, M., & Lee, B. (2017). Effects of forest therapy on depressive symptoms among adults: A systematic review. International Journal of Environmental Research and Public Health, 14(3), 321. https://doi.org/10.3390/ijerph14030321

  15. Schwarz, L., & Kindermann, W. (1992). Changes in beta-endorphin levels in response to aerobic and anaerobic exercise. Sports Medicine, 13(1), 25–36. https://pubmed.ncbi.nlm.nih.gov/1553453/

  16. Barton, J., & Pretty, J. (2010). What is the best dose of nature and green exercise for improving mental health? A multi-study analysis. Environmental Science & Technology, 44(10), 3947–3955. https://doi.org/10.1021/es903183r

  17. Poulsen, D. V., Stigsdotter, U. K., Djernis, D., & Sidenius, U. (2016). ‘Everything just seems much more right in nature’: How veterans with post-traumatic stress disorder experience nature-based activities in a forest therapy garden. Health Psychology Open, 3(1), Article 2055102916637090. https://doi.org/10.1177/2055102916637090

  18. Maarefvand, M., Ghiasvand, H. R., & Ekhtiari, H. (2013). Drug craving terminology among opiate dependents; a mixed method study. Iranian Journal of Psychiatry, 8(2), 97–103. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3796301/

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  20. National Institute on Drug Abuse. (2020). Drugs and the brain. In Drugs, brains, and behavior: The science of addiction. https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/drugs-brain

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  22. Berry, M. S., Rung, J. M., Crawford, M. C., Yurasek, A. M., Ferreiro, A. V., & Almog, S. (2021). Using greenspace and nature exposure as an adjunctive treatment for opioid and substance use disorders: Preliminary evidence and potential mechanisms. Behavioural Processes, 186, 104344. https://doi.org/10.1016/j.beproc.2021.104344

  23. Reducing relapse risk: Whole health library. (n.d.). U.S. Department of Veterans Affairs. https://www.va.gov/WHOLEHEALTHLIBRARY/tools/reducing-relapse-risk.asp

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