Different types of psychotherapy, like CBT or DBT, have yet to be tested in combination walk therapy. Therapeautic interventions combining walking with psychotherapy have not been manualized, but a general relational therapy approach was shown to improve symptoms.

Grand Valley State University

Potential solutions include:
- Using nearby or building indoor tracks 
- Organizing walking groups sessions for safety and support
- Using appropriate approaches like exposure therapy to address apprehension about public sessions (depending on individual needs)

Solutions for Implementing Walking in Therapy

Koziel, N., Vigod, S., Price, J., Leung, J., & Hensel, J. (2021). Walking psychotherapy as a health promotion strategy to improve mental and physical health for patients and therapists: Clinical open-label feasibility trial. The Canadian Journal of Psychiatry, 67(2), 153–155. https://doi.org/10.1177/07067437211039194

 Walking psychotherapy as a health promotion strategy to improve mental and physical health for patients and therapists: Clinical open-label feasibility trial

Prior to combining psychotherapy with walking:
- Therapists should receive training from medical professionals on safe walking practice 
- Clients should be screened using the Physical Activity Readiness Questionnaire (PARQ) or another assessment to assess health risk and eligibility

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