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The therapist's role in providing an emotional support animal (ESA) letter involves conducting a comprehensive assessment of the client. It is necessary for the therapist to assign a diagnostic code, which may pose challenges for those not familiar with diagnosing or dealing with insurance. The therapist needs to document the client's presentation and behavior and determine how the ESA can assist in alleviating the client's symptoms. A detailed evaluation of the animal is also required, emphasizing the importance of understanding the client's needs and the potential benefits of the emotional support animal.