If you’ve been relying on an Emotional Support Animal (ESA) for your mental and emotional well-being, you may have encountered a situation where your ESA’s protections—particularly in public spaces or on airplanes—feel limited. While ESA letters from platforms like RealESALetter.com are federally protected under the Fair Housing Act (FHA), they do not offer the same public access rights as Psychiatric Service Animals (PSAs). That’s where the idea of "converting" your ESA to a PSA becomes important.
This article will guide you through the process of upgrading your ESA to a PSA through RealESALetter.com, explain the requirements, the differences in legal protections, and how the evaluation process works—without diving into the basics of what an ESA is or how to get one.
The primary motivation for converting an ESA to a PSA is accessibility. Psychiatric Service Animals (a subtype of service animals) are protected under the Americans with Disabilities Act (ADA) and the Air Carrier Access Act (ACAA). This means PSAs can:
Accompany you into public spaces (stores, restaurants, hotels, etc.)
Fly in-cabin on airplanes without pet fees
Be permitted in workplaces and institutions with more rigorous policies
Conversely, ESAs are not protected under the ADA or ACAA, and their privileges are mostly limited to housing accommodations.
So if your mental health condition is severe enough to require a trained animal to perform specific tasks (e.g., interrupting a panic attack, reminding you to take medication, grounding you during episodes), then it may be time to convert your ESA to a PSA.
Technically speaking, you don’t convert an ESA into a PSA the way you'd convert files or memberships. Instead, what you’re doing is getting a legal evaluation and documentation that confirms your need for a psychiatric service dog—and ensuring that your animal meets the criteria to qualify as one.
Here’s how the process works through RealESALetter.com:
To qualify for a PSA, you must have a mental or emotional disability that substantially limits major life activities, as defined by the ADA. Common qualifying conditions include:
Severe anxiety
Depression
Panic disorders
Bipolar disorder
Schizophrenia
The key difference here is functional impairment—you must need a task-trained dog to assist with daily living or mitigate the impact of your mental illness.
Unlike ESAs, PSAs must be individually trained to perform specific psychiatric tasks. These can include:
Alerting to panic attacks
Retrieving medication
Blocking strangers during episodes
Waking you from nightmares
Performing deep pressure therapy
The dog does not have to be professionally trained—it can be self-trained—but the training must be real and demonstrable. RealESALetter.com does not provide training services, but it requires clients to certify that their animal has been trained accordingly.
Once you feel your ESA meets the PSA standards, the next step is a clinical evaluation. RealESALetter.com facilitates this through their national network of licensed therapists.
Here’s how it works:
Complete a secure online questionnaire detailing your mental health history, symptoms, and how your animal helps.
Choose an option for live video consultation (if required).
A licensed therapist will assess whether your condition and the animal’s assistance qualify under ADA standards.
If approved, you’ll receive a PSA letter, which includes:
The therapist’s license number and credentials
Confirmation that you have a qualifying psychiatric disability
A statement verifying that the dog is trained to perform necessary tasks
Contact details for third-party verification (for airlines, employers, etc.)
With RealESALetter.com, once your evaluation is approved, you will receive:
A digital PSA letter (immediate access)
Optional physical documents by mail
A PSD ID card and vest (if you choose their upgrade kit)
24/7 support and verification hotline
You can now use this documentation to assert your rights in public accommodations and when flying.
Yes, but their rights are limited. Under the U.S. Department of Transportation rules, airlines must accept psychiatric service dogs but may ask you to:
Submit a DOT-approved Service Animal Transportation Form
Confirm that the animal is trained
Provide vaccination or health records
They cannot demand advance notice unless flying internationally or on long-haul flights, and they cannot charge extra fees for your PSA.
An ESA letter is only protected under the Fair Housing Act (FHA), while a PSA letter is covered by the ADA, FHA, and ACAA, offering broader legal rights. Public access is not granted to ESAs, but PSAs are allowed in most public places. Airline access for ESAs is not guaranteed and often comes with restrictions or fees, whereas PSAs are permitted to fly for free under DOT rules. ESAs do not require task-based training, while PSAs must be trained to perform specific tasks that assist with a psychiatric disability. Both ESA and PSA letters require an evaluation by a licensed mental health professional, and RealESALetter.com provides a verification hotline for both.
False. These are separate legal categories. ESA letters will not suffice for airline travel or public space access.
Not quite. While emotional attunement helps, trained tasks must be documented to legally qualify your animal as a PSA.
This is illegal and punishable in many states. You must have a genuine disability, a trained dog, and professional documentation.
There are dozens of platforms claiming to convert ESAs to PSAs, but RealESALetter.com stands out because of:
Licensed U.S.-based therapists
HIPAA-compliant process
Same-day approvals in most cases
Verified support hotline for landlords, employers, and airlines
Optional ID cards and gear to reduce confrontation
Most importantly, RealESALetter.com does not make false promises—they follow ADA and FHA guidelines, ensuring your documentation is legally sound and ethically issued.
Converting your ESA to a PSA is more than just paperwork—it’s a reflection of your evolving needs and your dog’s ability to provide task-based support for your mental health condition. With RealESALetter.com, the process is streamlined, compliant, and reliable—helping you unlock the legal rights and accommodations you need to live more independently.
Before starting, make sure:
You have a qualifying condition under ADA
Your animal is trained for specific tasks
You’re ready for a clinical evaluation
Once those boxes are checked, RealESALetter.com can help you take the next step.