Learn / Beyond the Couch: The Role and Benefits of Adventure Therapy in Mental Health Treatment
A vast expanse of mountains, crisp air, and you. The view from the summit is clear, and you feel a rush of emotions as you take in the beauty. This moment may be difficult to describe, but it is one that you will never forget.
Hiking is an example of a challenging activity, but it can also be incredibly rewarding. The journey to the summit can be long and arduous, but the feeling of accomplishment when you reach your goal is unmatched. This sense of accomplishment can help you to overcome other challenges in your life, both physical and emotional.
Imagine using outdoor activities as a way to work through whatever it is that you are struggling with right now. Whether it is a personal issue, a professional challenge, or something else entirely, hiking, and other adventure and wilderness based activities, can help you to gain perspective and find a sense of peace. The catharsis that you experience on the journey can be transformative, and you may find that you are better equipped to handle whatever life throws your way, as a result.
Adventure therapy has emerged as a unique and practical approach that utilizes outdoor activities and experiences to promote healing and personal growth. Let’s explore adventure therapy’s benefits, types, and success stories and delve into its future to discover its potential for continued growth and impact on mental health and rehabilitation.
Many different types of adventure therapy exist, each with its unique benefits. Some of the most common types of adventure therapy include:
Some unique and additional approaches to adventure therapy include:
Adventure therapy, a form of experiential therapy, has gained recognition for its unique and effective approach to promoting healing and personal growth. This therapeutic modality involves the prescriptive use of adventure experiences by mental health professionals, often conducted in natural settings, to kinesthetically engage clients on cognitive, affective, and behavioral levels.
Incorporating adventure-based activities in a therapeutic context, often in outdoor settings, provides a platform for individuals to engage in physical and mental challenges, fostering personal development, emotional processing, and self-discovery. As a result, adventure therapy has gained prominence as a holistic approach to enhancing mental and physical well-being.
Nature is pivotal in adventure therapy, serving as a powerful force in human development and healing. Using natural settings in adventure therapy allows individuals to connect with the environment, fostering a sense of awe, tranquility, and interconnectedness. This emphasizes the therapeutic benefits of immersing individuals in natural surroundings, promoting a holistic approach to well-being and personal growth.
Adventurous activities, such as rock climbing, wilderness expeditions, and group challenges, are designed to promote personal reflection, emotional expression, and interpersonal dynamics. The focus on experiential learning and processing in these activities is central to the treatment, allowing participants to confront fears, build resilience, and develop a sense of accomplishment.
Adventure therapy discourages competition and provides a supportive environment for individuals to become vulnerable and address personal issues, fostering a sense of collaboration and emotional exploration. Other outcomes include:
One of the significant advantages of adventure therapy lies in its ability to improve mental health. The therapeutic power of nature provides a calming effect, reducing stress, anxiety, and depression. Engaging in outdoor activities promotes the release of endorphins, which act as natural mood enhancers. Additionally, disconnecting from daily stressors and immersing in nature fosters mental clarity and emotional rejuvenation, improving psychological well-being.
A systematic review found that participating in physical activity in outdoor natural environments had a greater effect on mental well-being than physical activity indoors, indicating the potential neurological benefits of outdoor activities. Additionally, improving cognitive, physical, and social-emotional benefits for youths from outdoor adventure activities further supports the positive impact of outdoor experiences on neurological well-being.
The role of adventure therapy in improving attachment, skills, schemas, and stress management also underscores its potential neurological benefits in promoting emotional well-being and resilience. Moreover, the protective effects of sunlight and outdoor activity on the development of nearsightedness suggest outdoor therapies can benefit visual health and neurological development.
Adventure therapy also offers a unique opportunity to enhance physical health. Through hiking, kayaking, and rock climbing, individuals can strengthen their cardiovascular systems, increase muscular strength, and improve flexibility. The physical challenges during these activities contribute to overall fitness, improved sleep quality, reduced chronic pain, and increased energy levels.
Adventure therapy comprehensively addresses mental and physical well-being by incorporating physical exertion into therapy and, in so doing, offers clients the ability to process emotions outside of a traditional, sit-down, talk therapy approach.
Beyond its impact on mental and physical health, adventure therapy boosts self-esteem and confidence. Overcoming obstacles and accomplishing goals outdoors provides a sense of accomplishment and personal empowerment. Adventure therapy encourages individuals to push their boundaries and embrace new experiences, leading to increased self-confidence and a stronger belief in their abilities. This enhancement of self-perception positively influences personal relationships, career prospects, and overall life satisfaction.
Encouraging people to push their boundaries and embrace new experiences in adventure therapy can enhance self-confidence and self-image by fostering h personal growth and resilience. Moreover, adventure therapy programs’ supportive and empowering environment allows individuals to develop and demonstrate their capabilities, leading to increased self-assurance and belief in their potential. This has been linked to greater career satisfaction and success, highlighting the broader impact of adventure therapy on overall life satisfaction and fulfillment.
The positive influence of adventure therapy on self-perception extends beyond individual well-being to impact personal relationships and career prospects. Improved self-esteem and confidence from adventure therapy can positively influence interpersonal interactions, enhancing communication skills and assertiveness in relationships.
Adventure therapy fosters the development of essential social skills and teamwork. Collaborative activities and shared experiences promote effective communication, cooperation, and trust-building among participants. Adventure therapy provides a platform for individuals to learn how to work together, resolve conflicts, and support one another, enhancing their interpersonal skills and social connections
Research has shown collaborative activities in adventure therapy foster trust-building and mutual support, which can develop into essential social skills such as active listening, empathy, and perspective-taking.
Finally, adventure therapy stimulates problem-solving skills and creativity. Navigating outdoor challenges requires critical thinking, adaptability, and resourcefulness. Participants learn to analyze situations, make decisions, and solve problems collaboratively. This cultivation of problem-solving abilities extends beyond the therapeutic setting, empowering individuals to approach life’s challenges with greater confidence and innovation.
The experiential nature of adventure therapy activities allows participants to engage in real-life scenarios that require effective teamwork, communication, and collaboration. This hands-on approach to skill development has been shown to have a lasting impact on participants, helping them gain essential social skills and navigate various interpersonal relationships.
Finding a trained and experienced adventure therapist can be a rewarding experience. Here are some steps to help you get started:
1. Get recommendations from your doctor or mental health professional. If you are already working with a doctor or mental health professional, they can refer you to adventure therapists in your area.
2. Search online for adventure therapists in your area. Many online directories, such as the Adventure Therapy Institute and the Association for Experiential Education, list adventure therapists. You can also search for adventure therapists on Google or Yelp.
3. Interview potential therapists to find the best fit for you. Once you have found a few potential adventure therapists, it is important to interview them to find the best fit for you. Some things to consider when interviewing adventure therapists include their experience, training, and approach to therapy. You should also make sure that you feel comfortable with the therapist and believe they can help you achieve your goals.
4. Make sure the therapist is certified and experienced. This will help you ensure that you work with a qualified professional who can provide safe and effective care.
5. Be prepared to commit to the process. Adventure therapy can be a challenging but rewarding experience. If you are willing to work and try new things, adventure therapy can help you improve your mental and physical health and achieve your goals.
Adventure therapy has been proven to be an effective treatment for a variety of mental and physical health issues. Research studies have found that adventure therapy can help reduce symptoms of depression and anxiety in college students, improve self-esteem and confidence in at-risk youth, reduce recidivism rates in juvenile delinquents, and improve cognitive functioning in older adults with dementia.
Adventure therapy has gained attention as a promising intervention for emerging adults, offering a range of benefits for their mental and physical well-being. College students face significant stress as they transition from one developmental stage to another, where they are expected to commit to their academic pursuits and future careers. This period of uncertainty and pressure can lead to the adoption of unhealthy coping mechanisms and engaging in risky behaviors, which can have negative consequences. Adventure therapy can improve their body composition and psychological dysfunction, demonstrating its benefits for mental health rehabilitation.
Adventure therapy has emerged as a promising intervention for addiction and mental health rehabilitation. Studies have shown that adventure therapy is associated with improvements in attachment, skills, schemas, and stress management, indicating its potential for addressing complex trauma and addiction rehabilitation.
As adventure therapy helps participants understand themselves, their behaviors, and their emotions better, which can strengthen relapse prevention strategies. Moreover, therapeutic adventure has been suggested as an effective adjunct to traditional therapy, particularly for populations sensitive to the stigma of mental health issues, indicating its potential for addiction and mental health rehabilitation.
Wilderness therapy and adventure therapy are distinct therapeutic interventions, each with unique characteristics and treatment contexts. Wilderness therapy primarily operates in remote wilderness settings, where basic outdoor life and the experience of nature are integral to the treatment process. It is a form of outdoor behavioral healthcare that serves adolescents and young adults with emotional and behavioral challenges.
Wilderness therapy relies on challenges in the outdoors to achieve the objectives of client change, and it provides therapeutic care entirely within a wilderness setting. Adventure therapy shares similarities with wilderness therapy, as both interventions utilize outdoor settings and experiential learning to achieve therapeutic goals. However, adventure therapy encompasses a broader range of activities and may not be limited to remote wilderness settings. It is also a growing field of mental health care for youth, with roots in experiential education.
As more people discover the benefits of this unique form of therapy, the demand for adventure therapy programs will only continue to grow. In addition, the growing body of research supporting the effectiveness of adventure therapy is helping legitimize this type of therapy and make it more accessible to people of all ages and backgrounds.
One of the most exciting developments in the future of adventure therapy is the increasing use of technology. Adventure therapy programs are now using drones, GPS devices, and other technologies to create more immersive and challenging experiences for their clients. These technologies can also be used to track clients’ progress and measure the effectiveness of different adventure therapy interventions.
Another important development in the future of adventure therapy is the increasing focus on evidence-based practices. Adventure therapy programs are now being designed and evaluated using rigorous scientific methods, which helps ensure that clients receive the highest quality of care. This focus on evidence-based practices is also helping to raise the profile of adventure therapy and make it more accessible to people who are seeking effective mental health treatment.
Finally, the future of adventure therapy is also being shaped by the growing awareness of the importance of nature and the outdoors for mental health. More and more people are realizing that spending time in nature can positively impact their mood, energy levels, and overall well-being. This is leading to a growing interest in adventure therapy programs that offer clients the opportunity to connect with nature and experience the benefits of the outdoors.
Browse our list of treatment centers with adventure therapy to see photos, reviews, insurance information, and more.
Beringer, A. (2004). Toward an ecological paradigm in adventure programming. Journal of Experiential Education, 27(1), 51-66.
Berman, D. and Davis-Berman, J. (2013). The role of therapeutic adventure in meeting the mental health needs of children and adolescents. Journal of Experiential Education, 36(1), 51-64.
Bettmann, J., Anderson, I., Makouske, J., & Hanley, A. (2021). Mental health outcomes of peer-led therapeutic adventure for military veterans. Journal of Experiential Education, 45(3), 295-315.
Bowen, D. and Neill, J. (2013). A meta-analysis of adventure therapy outcomes and moderators. The Open Psychology Journal, 6(1), 28-53.
Boxberger, K. and Reimers, A. (2019). Parental correlates of outdoor play in boys and girls aged 0 to 12—a systematic review. International Journal of Environmental Research and Public Health, 16(2), 190.
Bürkner, P. (2017). Adventure therapy effects on self-concept – a meta-analysis..
Casey, R. and Berman, J. (1985). The outcome of psychotherapy with children.. Psychological Bulletin, 98(2), 388-400.
Clough, P., Mackenzie, S., Mallabon, L., & Brymer, E. (2016). Adventurous physical activity environments: a mainstream intervention for mental health. Sports Medicine, 46(7), 963-968.
Coon, J., Boddy, K., Stein, K., Whear, R., Barton, J., & Depledge, M. (2011). Does participating in physical activity in outdoor natural environments have a greater effect on physical and mental well-being than physical activity indoors? a systematic review. Environmental Science & Technology, 45(5), 1761-1772.
Fernee, C., Gabrielsen, L., Andersen, A., & Mesel, T. (2016). Unpacking the black box of wilderness therapy. Qualitative Health Research, 27(1), 114-129.
Fletcher, T. and Hinkle, J. (2002). Adventure based counseling: an innovation in counseling. Journal of Counseling & Development, 80(3), 277-285.
Frumkin, H., Bratman, G., Breslow, S., Cochran, B., Kahn, P., Lawler, J. & Wood, S. (2017). Nature contact and human health: a research agenda. Environmental Health Perspectives, 125(7).
Garrote, G., Rubio, L., Gómez, B., & Buedo-Guirado, C. (2021). Smartphone abuse amongst adolescents: the role of impulsivity and sensation seeking. Frontiers in Psychology, 12.
Gill, E., Goldenberg, M., Starnes, H., & Phelan, S. (2016). Outdoor adventure therapy to increase physical activity in young adult cancer survivors. Journal of Psychosocial Oncology, 34(3), 184-199.
Gillis, H. and Harold, L. (2021). Psychotherapeutic applications of adventure activities with groups: everything old is new again.. Group Dynamics Theory Research and Practice, 25(2), 190-204.
Gupta, S., Joshi, A., Saxena, H., & Chatterjee, A. (2021). Outdoor activity and myopia progression in children: a follow-up study using mixed-effects model. Indian Journal of Ophthalmology, 69(12), 3446.
Harper, N., Fernee, C., & Gabrielsen, L. (2021). Nature’s role in outdoor therapies: an umbrella review. International Journal of Environmental Research and Public Health, 18(10), 5117.
Harper, N., Russell, K., Cooley, R., & Cupples, J. (2007). Catherine freer wilderness therapy expeditions: an exploratory case study of adolescent wilderness therapy, family functioning, and the maintenance of change. Child & Youth Care Forum, 36(2-3), 111-129.
Jelalian, E., Mehlenbeck, R., Lloyd-Richardson, E., Birmaher, V., & Wing, R. (2005). ‘adventure therapy’ combined with cognitive-behavioral treatment for overweight adolescents. International Journal of Obesity, 30(1), 31-39.
Johnson, E., Davis, E., Johnson, J., Pressley, J., Sawyer, S., & Spinazzola, J. (2020). The effectiveness of trauma-informed wilderness therapy with adolescents: a pilot study.. Psychological Trauma Theory Research Practice and Policy, 12(8), 878-887.
Kyriakopoulos, A. (2010). How individuals with self‐reported anxiety and depression experienced a combination of individual counselling with an adventurous outdoor experience: a qualitative evaluation. Counselling and Psychotherapy Research, 11(2), 120-128.
Lieberman, L., Ericson, K., Perreault, M., Beach, P., & Williams, K. (2023). “you feel a sense of accomplishment”: outdoor adventure experiences of youths with visual impairments during a one-week sports camp. International Journal of Environmental Research and Public Health, 20(8), 5584.
Magle-Haberek, N., Tucker, A., & Gass, M. (2012). Effects of program differences with wilderness therapy and residential treatment center (rtc) programs. Residential Treatment for Children & Youth, 29(3), 202-218.
Mastronuzzi, A., Basso, A., Baldo, G., Carai, A., Salvo, A., Bonanni, A., … & Ferraris, P. (2022). Full sails against cancer. International Journal of Environmental Research and Public Health, 19(24), 16609.
Mattsson, M., Fernee, C., Pärnänen, K., & Lyytinen, P. (2022). Restoring connectedness in and to nature: three nordic examples of recontextualizing family therapy to the outdoors. Frontiers in Psychology, 13.
Mullins, P. (2013). Conceptualizing skill within a participatory ecological approach to outdoor adventure. Journal of Experiential Education, 37(4), 320-334.
Newes, S. (2001). Future directions in adventure-based therapy research: methodological considerations and design suggestions. Journal of Experiential Education, 24(2), 92-99.
Newman, T., Alvarez, M., & Kim, M. (2017). An experiential approach to sport for youth development. Journal of Experiential Education, 40(3), 308-322.
Pringle, G., Boddy, J., Slattery, M., & Harris, P. (2022). Adventure therapy for adolescents with complex trauma: a scoping review and analysis. Journal of Experiential Education, 46(4), 433-454.
Russell, K. (2000). Exploring how the wilderness therapy process relates to outcomes. Journal of Experiential Education, 23(3), 170-176.
Russell, K., Gillis, H., & Hayes, M. (2020). Adventure therapy treatment for young adult males struggling with addictions. Journal of Health Service Psychology, 46(1), 13-20.
Russell, K., Gillis, H., & Kivlighan, D. (2017). Process factors explaining psycho-social outcomes in adventure therapy. Psychotherapy, 54(3), 273-280.
Sirin-Ayva, A. and Canel, A. (2020). Effects of adventure based group counselling on cognitive flexibility and intolerance of uncertainty levels of counselling psychologists candidates. International Journal of Humanities and Social Science, 10(4).
Smith, E., Hung, L., & Huang, J. (2012). Protective effects of high ambient lighting on the development of form-deprivation myopia in rhesus monkeys. Investigative Opthalmology & Visual Science, 53(1), 421.
Stevens, B., Kagan, S., Yamada, J., Epstein, I., Beamer, M., Bilodeau, M., … & Baruchel, S. (2004). Adventure therapy for adolescents with cancer. Pediatric Blood & Cancer, 43(3), 278-284.
Sugerman, D. (2005). “i am more than my cancer:” an exploratory examination of adventure programming and cancer survivors. Journal of Experiential Education, 28(1), 72-83.
Tucker, A., Norton, C., DeMille, S., & Hobson, J. (2015). The impact of wilderness therapy. Journal of Experiential Education, 39(1), 15-30.
Widmer, M., LeCheminant, J., Widmer, M., & Christensen, W. (2022). Effects of an eight-week wilderness adventure program on body composition and mental health of adolescents. Journal of Experiential Education, 46(2), 141-160.
Zeivots, S. (2019). Escaping to nature to learn: emotional highs of adult learners. Journal of Outdoor and Environmental Education, 22(3), 199-216.
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