The Healing Power of Nature: How Ecotherapy Supports Mental and Physical Wellbeing
- Amanda Rae
- Jun 26, 2021
- 4 min read

Introduction
In a world increasingly dominated by screens, synthetic environments, and urbanization, many individuals are rediscovering the profound healing power of nature. Ecotherapy—a term used to describe a broad range of nature-based therapeutic practices—is gaining traction in holistic and integrative medicine. Rooted in the understanding that human health is intricately connected to the environment, ecotherapy aims to restore wellness by reestablishing that connection. This paper explores the historical roots, scientific backing, and therapeutic applications of ecotherapy, with an emphasis on its role in trauma-informed care.
Historical and Cultural Perspectives
Nature has long been recognized as a source of healing across cultures. Indigenous traditions from around the world have incorporated nature into spiritual and physical healing practices. From Japanese Shinrin-yoku (forest bathing) to the nature-based rites of Native American and Aboriginal communities, the land is viewed not just as a setting but as a healer itself.
Western medicine also has historical roots in nature. The 19th-century "rest cure" often prescribed time in nature for women with nervous conditions. Sanatoriums for tuberculosis patients were typically built in mountain regions or forests to aid healing through fresh air and sunshine. These traditions reflect a belief that nature holds an innate therapeutic quality—something modern research now affirms.
Scientific Evidence Supporting Ecotherapy
Recent studies have substantiated what many ancient cultures intuitively understood: exposure to nature improves mental and physical health. A 2019 meta-analysis published in Environmental Research analyzed over 140 studies and found that time in green spaces was significantly associated with decreased stress, improved mood, enhanced immune function, and reduced risk of premature death .
Neurologically, exposure to nature has been shown to reduce activity in the subgenual prefrontal cortex, a brain region associated with rumination and depression . Moreover, contact with natural light and fresh air has a measurable effect on circadian rhythms, improving sleep quality and hormonal balance.
Ecotherapy in Practice
Ecotherapy is not a singular approach but a spectrum of interventions. It can include:
Nature walks and forest bathing
Gardening or horticultural therapy
Animal-assisted therapy in outdoor settings
Wilderness therapy for trauma survivors
Green exercise (physical activity in natural environments)
Nature-based mindfulness and meditation
These modalities are often guided by a trained therapist but can also be self-directed. Ecotherapy is especially helpful in the treatment of anxiety, depression, PTSD, and chronic stress. It is often used as a complementary approach to conventional psychotherapy and medication.
Ecotherapy as Trauma-Informed Care
For trauma survivors, especially those with chronic illnesses, PTSD, or autoimmune conditions, nature offers a non-judgmental, calming environment that supports nervous system regulation. Trauma-informed care recognizes the need for safety, empowerment, and connection in healing. Nature uniquely meets these needs:
Safety: Unlike clinical environments, nature is non-invasive and often more soothing.
Empowerment: Engaging with nature builds a sense of mastery and self-efficacy.
Connection: Being in nature fosters a sense of belonging—to the earth, to something greater, and to oneself.
A 2021 review in Frontiers in Psychology emphasized that nature-based interventions help regulate the autonomic nervous system, reducing sympathetic (fight or flight) activation and enhancing parasympathetic (rest and digest) tone—crucial for trauma recovery .
Ecotherapy and Chronic Illness
Chronic illness often results in isolation, depression, and emotional fatigue. Ecotherapy provides a form of gentle, accessible movement and connection for those living with conditions like sarcoidosis, fibromyalgia, and autoimmune disorders. Gardening, for example, not only improves physical mobility and reduces pain perception but also nurtures purpose and routine—key elements in mental health recovery.
Furthermore, for those who are chemically sensitive or wary of pharmaceuticals, nature-based interventions provide a low-risk, holistic tool for care. This aligns with integrative health models that treat the person—not just the symptoms.
Barriers and Accessibility
While the benefits of ecotherapy are well-documented, access is not universal. Urban populations, communities in poverty, and individuals with disabilities may face significant barriers. Advocates are now working to expand green spaces in underserved areas and create adaptive programs that meet diverse needs.
Technological aids—like virtual nature environments or nature soundtracks—have also emerged as supplemental tools for those with mobility or location limitations. While not a replacement, they offer a step toward reconnection when physical access is restricted.
Conclusion
Ecotherapy reaffirms the timeless wisdom that healing begins in relationship—with the self, with others, and with the Earth. For those navigating trauma, chronic illness, or emotional distress, nature can be both a sanctuary and a teacher. Integrating ecotherapy into trauma-informed care not only honors cultural and ancestral healing traditions but also advances science-based approaches to holistic health. In returning to nature, we often return to ourselves.
References
Twohig-Bennett, C., & Jones, A. (2018). The health benefits of the great outdoors: A systematic review and meta-analysis of greenspace exposure and health outcomes. Environmental Research, 166, 628–637. https://doi.org/10.1016/j.envres.2018.06.030
Bratman, G. N., Hamilton, J. P., & Daily, G. C. (2015). The impacts of nature experience on human cognitive function and mental health. Trends in Cognitive Sciences, 19(10), 602–609. https://doi.org/10.1016/j.tics.2015.08.005
Corazon, S. S., Sidenius, U., Poulsen, D. V., Gramkow, M. C., & Stigsdotter, U. K. (2021). Psychological Stress and Outdoor Nature-Based Interventions: A Systematic Review of the Literature. Frontiers in Psychology, 12, 641. https://doi.org/10.3389/fpsyg.2021.631165