Hiking Therapy | Healing Through Nature and Movement

Explore hiking therapy programs that combine guided hikes with counseling to support addiction recovery and mental health. These facilities use nature and movement to reduce stress, build confidence, and promote healing. Discover trusted clinics below to find the right hiking therapy program and start your journey toward recovery and renewed hope today.

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Last Edited: June 28, 2025
Author
Andrew Lancaster, LPC, MAC
Clinically Reviewed
Mark Frey, LPCC, LICDC, NCC
All of the information on this page has been reviewed and certified by an addiction professional.

“Look deep into nature, and then you will understand everything better.” – Albert Einstein

Addiction and mental health struggles can feel like being trapped in darkness. Depression, anxiety, and cravings make each day overwhelming. Without help, these struggles can lead to overdose, health problems, or losing everything you love. That’s why hiking therapy is so powerful. It combines the healing power of nature with therapy to build hope and recovery.

Hiking therapy is a type of nature therapy for mental health that involves guided hikes with therapy sessions in nature. It helps people in recovery reconnect with their bodies, minds, and the world around them. According to the American Psychological Association, spending time in nature reduces anxiety, depression, and stress. For those battling addiction, hiking therapy offers a path to healing that feels grounded, real, and refreshing.

What Is Hiking Therapy?

Hiking therapy is an experiential therapy that combines traditional counseling with guided hikes in nature. Therapists lead clients on trails, using the walk to process emotions, practice mindfulness, and build confidence.

Unlike sitting in an office, hiking therapy uses movement, fresh air, and natural beauty to support mental health and addiction recovery. It is offered by many rehabs as part of holistic treatment programs.

The Benefits of Hiking Therapy

Here are key benefits of hiking therapy:

  • Reduces stress and anxiety: Walking in nature lowers cortisol levels and calms the nervous system.
  • Improves mood and mental health: Increases dopamine and serotonin, reducing depression.
  • Builds confidence and resilience: Hiking challenges the body and mind, creating a sense of achievement.
  • Supports addiction recovery: Helps process cravings, triggers, and emotions without substances.
  • Promotes physical health: Improves cardiovascular health, strength, and energy.
  • Strengthens mindfulness: Nature therapy for mental health encourages living in the moment, reducing rumination.

Hiking Therapy in Addiction Treatment

Many rehabs integrate hiking therapy into detox to rehab programs, inpatient and outpatient treatment, and sober living support. For people recovering from alcohol, heroin, meth, or prescription pill addiction, hiking therapy helps by:

  • Releasing endorphins to reduce cravings and improve mood
  • Providing a safe space to discuss trauma, guilt, and shame with therapists
  • Building healthy routines and habits for sober living
  • Teaching mindfulness skills to handle triggers and stress

A study published in Frontiers in Psychology found that nature-based therapy reduces depression and anxiety while improving overall well-being and recovery outcomes.

What to Expect in Hiking Therapy Sessions

Here’s what to expect during hiking therapy:

1. Intake Assessment

Therapists discuss your health, mental health, and fitness level to plan safe and effective hikes.

2. Guided Hikes

Sessions include hiking on trails, with breaks for mindfulness practices, breathing exercises, or reflection.

3. Therapy Integration

Therapists use the walk to process emotions, discuss struggles, and build coping skills for recovery.

4. Mindfulness Practices

Activities include observing nature, grounding exercises, and practicing gratitude for the present moment.

Famous Voices on Nature and Healing

“In every walk with nature, one receives far more than he seeks.” – John Muir

Hiking therapy brings calm, clarity, and hope to those feeling lost in their struggles.

Statistics Highlighting the Power of Hiking Therapy

✔️ Spending 120 minutes a week in nature improves health and well-being (Nature, 2019).
✔️ Nature therapy reduces depression and anxiety symptoms by up to 50% (Frontiers in Psychology).
✔️ Exercise-based therapies reduce cravings and improve recovery outcomes for people with addiction (National Institute on Drug Abuse).

Hiking Therapy vs. Traditional Therapy

Traditional therapy focuses on conversation in a clinic, while hiking therapy combines movement, nature, and counseling for deeper healing. For many, being outside feels less intimidating and more calming, making it easier to open up about difficult topics.

Hiking Therapy in Different Treatment Programs

Detox: Light hikes with breathing practices ease anxiety and discomfort during detox.
Inpatient treatment: Regular guided hikes build strength, confidence, and emotional regulation.
Outpatient programs: Weekly hiking therapy sessions support continued sobriety and stress management.
Sober living: Group hikes promote connection, healthy routines, and peer support in recovery.

Real Stories of Hope

Jason, who shared his journey with Detox to Rehab, struggled with meth addiction and depression. Hiking therapy was part of his inpatient treatment program.

“Walking in nature gave me peace I hadn’t felt in years. Each hike reminded me I was alive and strong,” he says. Today, Jason is 14 months sober and leads sober hiking groups to help others find hope.

Paying for Hiking Therapy: Private Insurance and Medicaid

Many wonder about costs, but private insurance and Medicaid often cover hiking therapy when included in inpatient, outpatient, or holistic addiction treatment programs. Contact your treatment clinic or insurance provider to confirm your coverage.

Choosing the Right Hiking Therapy Program

When looking for hiking therapy, ask:

  • Are sessions led by licensed therapists trained in nature-based therapy?
  • Is it included in inpatient, outpatient, or sober living programs?
  • Do hikes match your fitness level and health needs?
  • Is it covered by private insurance or Medicaid?

Choosing the right program ensures safety, effective therapy, and a supportive environment for recovery.

Recovery and Healing Through Nature

Hiking therapy is more than walking in the woods – it is a path to healing mind, body, and spirit. Whether you are battling addiction, depression, or anxiety, hiking therapy builds strength, peace, and hope for a better future.

“The journey of a thousand miles begins with a single step.” – Lao Tzu

You Deserve Healing and Strength

If you or a loved one is struggling with addiction or mental health challenges, hiking therapy can help. From detox to rehab, inpatient or outpatient care, and sober living programs, hiking therapy supports your journey to recovery, health, and hope.

Contact a treatment clinic today to learn more about hiking therapy and what to expect as you begin your path to healing through nature and movement.

Frequently Asked Questions
What is hiking therapy and how does it help mental health?
Hiking therapy combines guided hikes with counseling sessions in nature. It reduces stress, anxiety, and depression by calming the nervous system, improving mood, and helping people process emotions in a peaceful outdoor setting.
What are the benefits of hiking therapy in addiction recovery?
Hiking therapy helps addiction recovery by reducing cravings, improving mood with endorphins, teaching mindfulness to handle triggers, building confidence, and promoting healthy routines that support lasting sobriety and emotional healing.
Is hiking therapy the same as nature therapy for mental health?
Hiking therapy is a type of nature therapy for mental health. While nature therapy includes any outdoor healing activity, hiking therapy specifically uses guided hikes combined with therapy to support mental health and addiction recovery.
Do rehabs offer hiking therapy as part of treatment programs?
Yes, many rehabs include hiking therapy in detox, inpatient, outpatient, or sober living programs. It helps clients build strength, practice mindfulness, reduce stress, and gain confidence as part of their holistic recovery journey.
What should I expect during a hiking therapy session?
Expect a guided hike led by a licensed therapist, mindfulness exercises, breathing practices, and discussions about emotions, recovery challenges, and goals. Sessions are tailored to your fitness level and focus on healing through nature and movement.
Article Sources
Medical Reviewer
Medical Reviewer
Mark Frey, LPCC, LICDC, NCC
Author
Author
Andrew Lancaster, LPC, MAC