PSD Letter for Agoraphobia in Colorado
For agoraphobia, the front door is the bigger panic trigger than any place beyond it. A trained service dog walks through it with you — and waits at the threshold every time you try.
Start ScreeningTelehealth from Day One
Your entire Colorado PSD evaluation can happen from your bedroom. We never require you to come to a clinic — particularly important for agoraphobia.
DSM-5 Agoraphobia Avoidance Domains
Diagnosis requires fear in 2+ of these. PSD tasks are tailored per domain.
Agoraphobia-Specific Trained Tasks
Find Exit
On 'door' or 'out' command, dog leads to nearest exterior door.
Find Car
From any familiar lot, dog locates the parked vehicle.
Find Home
Within walking distance of home, dog leads handler back.
Pre-Panic Alert
Dog detects autonomic shift before conscious panic.
Deep Pressure on Cue
Sit-and-press for 90-second autonomic reset.
Familiar Route Reinforcement
Dog signals when on a known safe path versus deviation.
The Graduated Exposure Ladder
- 1Week 1–2: Train tasks indoors with dog
- 2Week 3–4: Threshold work — front porch, mailbox
- 3Week 5–8: Familiar nearby destinations (5-min walk)
- 4Months 3–4: Short drives with dog as passenger
- 5Months 4–6: Familiar grocery store / coffee shop
- 6Months 6–12: Extended outings, novel locations
Best Used Alongside CBT Exposure Therapy
A PSD complements but does not replace cognitive behavioral therapy with graduated in-vivo exposure — the gold standard for agoraphobia recovery.
Many Colorado therapists welcome PSD-paired exposure work; we can recommend providers familiar with this approach.
PSD for Agoraphobia FAQ — Colorado
Does agoraphobia qualify for a PSD?
Yes — when fear of avoidance domains substantially limits life activities.
I can't leave the house — how can I train a dog?
Training begins indoors; the dog is part of the gradual exposure ladder, not a prerequisite for outings.
Will the dog become a crutch?
No — properly used, the dog expands not restricts your safe zone.
Can a family member help with training?
Yes — co-handling is permitted and often beneficial early on.
Is the entire evaluation telehealth?
Yes — never required to leave home for the Colorado PSD evaluation.
Cross the Threshold Together
Begin your Colorado PSD evaluation for agoraphobia — entirely from home.
Start Screening