The legitimate use of Emotional Support Animals began when the American with Disabilities Act of 1990 was signed in to law. This law was intended to protect individuals against discrimination based on disability. Nationally it allows individuals and their animal to travel on airplanes and have access to all types of housing, if that animal is necessary to maintain their mental health as attested by a licensed mental health provider. This attestation is typically provided in the form of a letter.

After an individual evaluation Dr. Albina Tamalonis will provide this letter for people in need of an emotional support animal. Airlines require this letter to be updated yearly, whereas with housing this is rarely the case. Airlines are not allowed to charge for an emotional support animal.

Emotional Support Animals are only allowed in others businesses at the discretion of the owner, or individual state laws.