Best Emotional Support Dogs: Why Shih Tzus Top the List

Looking for the best emotional support dog? Shih Tzus consistently rank among the top ESA breeds for anxiety, depression, and stress relief. Here's why they're the perfect companion.

By Tillery Family · April 20, 2026 · 8 min read

Emotional support animals (ESAs) provide comfort, companionship, and relief to people struggling with anxiety, depression, PTSD, loneliness, and other emotional challenges. And when it comes to the best dogs for this role, Shih Tzus consistently rise to the top. Here's why.

What Is an Emotional Support Dog?

An emotional support dog (also called an ESA) is a companion animal that provides therapeutic benefit through companionship and affection. Unlike service dogs, ESAs don't require specific task training — their presence and bond with their owner is the therapy itself.

To qualify for an ESA, you need a letter from a licensed mental health professional stating that your dog provides emotional support for a diagnosed condition.

Why Shih Tzus Make Exceptional Emotional Support Dogs

1. Born to Be Companions

Shih Tzus were bred for one purpose: companionship. For over a thousand years, they lived as lap dogs in Chinese imperial palaces, and that instinct is still deeply ingrained. They thrive on human connection and genuinely want to be near you — not just in the same room, but on your lap, at your side, and looking into your eyes.

2. Calm and Gentle Temperament

Shih Tzus have a naturally calm, gentle demeanor that makes them ideal for anxious owners. They don't startle easily, don't have high-strung energy, and tend to mirror and soothe the emotions of their owner.

3. Highly Attuned to Human Emotions

Shih Tzus are remarkably perceptive. Many owners report that their Shih Tzu knows when they're sad, anxious, or unwell — and responds by staying close, licking their face, or curling up in their lap. This natural emotional attunement is exactly what ESA owners need.

4. Low Exercise Requirements

For people dealing with depression or low energy, the thought of daily long walks can feel overwhelming. Shih Tzus are perfectly happy with short indoor play sessions and two brief walks a day — making them a manageable companion even on difficult days.

5. Hypoallergenic

Many people with anxiety or depression already deal with physical health sensitivities. Shih Tzus are low-shedding and considered hypoallergenic, so they're a safe choice for people with mild pet allergies.

6. Apartment and Small Space Friendly

You don't need a backyard or a big house to give a Shih Tzu a happy life. They're compact, quiet, and adapt beautifully to apartment living — ideal for people in cities or those who prefer to stay home.

7. Great for All Ages

Whether you're a college student managing anxiety, a working adult with depression, or a senior dealing with loneliness, Shih Tzus adapt to any lifestyle. They're equally wonderful with children, adults, and elderly owners.

Real Benefits Reported by Shih Tzu ESA Owners

  • Reduced feelings of loneliness and isolation
  • Lower anxiety during stressful situations
  • Motivation to maintain a daily routine
  • Improved mood and sense of purpose
  • Physical comfort through touch and closeness
  • A reason to go outside and stay active

Ready to Find Your ESA Companion?

If you're looking for an emotional support dog that will truly bond with you, love you unconditionally, and bring calm and joy to your daily life, a Shih Tzu might be exactly what you need.

At Oh My Shih Tzus, we raise AKC registered Shih Tzu puppies in Houma, Louisiana — home-raised, well-socialized, and full of love. Our current litter is available in early June 2026.

Contact us at (985) 262-7477 or ohmyshihtzus@gmail.com, or fill out our waiting list form to get started!