La walk-and-talk therapy, literally “walk and talk”, is a form of psychotherapy, codified by theAmerican Psychological Association, in which sessions do not take place sitting in an office, but walking outdoors with the therapist, usually in a park or in a quiet natural setting. It is part of broader approaches related to Ecotherapy, that is, psychological interventions that integrate the natural environment into the therapeutic process.
A session of Psychotherapy In “walk-and-talk” mode it is similar to a traditional session, but with some practical differences:
- a walking route is established (park, path, urban green area)
- therapist and patient walk side by side, instead of facing each other
- we talk freely about therapeutic topics while walking
- moments of dialogue and natural silence often alternate
It is considered, by some scientific studies, more effective because:
- physical movement reduces tension, stress. and anxiety
- the natural context promotes calm and emotional openness
- Speaking “without direct eye contact” can make it easier to address sensitive topics
- walking side by side, rather than sitting on the psychotherapist's couch, can reduce the perception of hierarchy
- the rhythm of the walk It can help thoughts flow better.
A study of 2025, entitled Walk-and-Talk Therapy Versus Conventional Indoor Therapy for Men With Low Mood: A Randomized Pilot Study, published in the scientific journal Clinical Psychology & Psychotherapy it went like this:
- 37 men with mild-moderate depressed mood
- 6 weeks of therapy (1 session per week)
- Two groups:
- walk-and-talk therapy (walking outdoors)
- traditional therapy in the office
And in the end it gave these results:
Depression improvement: similar in both groups (therefore not inferior to the study therapy)
Major improvements in the outdoor version:
-
- name stress
- less anxiety
- less general psychological distress.
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