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Edited by
Yonatan Kaplan, M.D.
Petros Levounis, M.D., M.A.

Nature Therapy


Nature Therapy
Edited by
Yonatan Kaplan, M.D.
Petros Levounis, M.D., M.A.

Note: The authors have worked to ensure that all information in this book is accurate
at the time of publication and consistent with general psychiatric and medical standards, and that information concerning drug dosages, schedules, and routes of administration is accurate at the time of publication and consistent with standards set
by the U.S. Food and Drug Administration and the general medical community. As
medical research and practice continue to advance, however, therapeutic standards
may change. Moreover, specific situations may require a specific therapeutic response not included in this book. For these reasons and because human and mechanical errors sometimes occur, we recommend that readers follow the advice of
physicians directly involved in their care or the care of a member of their family.
Books published by American Psychiatric Association Publishing represent the
findings, conclusions, and views of the individual authors and do not necessarily
represent the policies and opinions of American Psychiatric Association Publishing
or the American Psychiatric Association.
If you wish to buy 50 or more copies of the same title, please go to www.appi.org/
specialdiscounts for more information.
Copyright © 2025 American Psychiatric Association Publishing
ALL RIGHTS RESERVED
First Edition
Manufactured in the United States of America on acid-free paper
28 27 26 25 24 5 4 3 2 1
American Psychiatric Association Publishing
800 Maine Avenue SW, Suite 900
Washington, DC 20024-2812
www.appi.org
Library of Congress Cataloging-in-Publication Data
Names: Kaplan, Yonatan (Psychiatrist) editor. | Levounis, Petros, editor. |
Title: Nature therapy / edited by Yonatan Kaplan, Petros Levounis.
Description: First edition. | Washington, D.C. : American Psychiatric
index.
Identifiers: LCCN 2024011498 (print) | LCCN 2024011499 (ebook) | ISBN
Subjects: MESH: Relaxation Therapy--methods | Nature
Classification: LCC RC489.A38 (print) | LCC RC489.A38 (ebook) | NLM WM
425.5.R3 | DDC 616.89/165--dc23/eng/20240506
LC record available at https://lccn.loc.gov/2024011498
LC ebook record available at https://lccn.loc.gov/2024011499
British Library Cataloguing in Publication Data
A CIP record is available from the British Library.

CONTENTS
Contributors . . . . . . . . . . . . . . . ix
Foreword . . . . . . . . . . . . . . . . . xv
1 The Wise Outdoors
On the Origins, Current State,
and Future Direction of
Nature Therapy
Yonatan Kaplan, M.D.
. . . . . . . . . . . . . . . . . . . . . . 1
2 Theoretical Framework
The Mechanisms Underlying
Nature Therapy
Eugenia Frances Kronenberg, Sc.B.
Andrew M. Fukuda, M.D., Ph.D.
. . . . . . . . . . . . . . . . . . . . . 23

3 Forest Bathing
History, Culture, and Thoughts for
Clinical Practice and Research
Yasuhiro Kotera, Ph.D.
Freya Tsuda-McCaie, M.A., PGDip
Ann-Marie Edwards, B.Sc. (Hons)
Kirsten McEwan, Ph.D.
. . . . . . . . . . . .41
4 Urban Green Spaces . . . . . . . . . . . . . 61
Sezai Ustun Aydin, M.D.
Aitzaz Munir, M.D.
Rijul Asri, M.D.
5 Horticultural Therapy
AN APPLICATION FOR WHOLE HEALTH
AND HEALING
Abby Jaroslow, M.S., HTR, CH
Anne Meore, LMSW, HTR
. . . . . . . . . . . . . . . . . . . . . 79
6 Staying Indoors
UTILITY OF BIOPHILIC DESIGN IN
MENTAL HEALTH
Kishan Shah, M.D.
Muhammad Aadil, M.D.
Chaden Noureddine, M.D.
. . . . . . . . . . . . . . . . . . . 119
7 The Wild Outdoors
WILDERNESS THERAPY . . . . . . . . . . . . . . .137
Alexis Bocian-Reperowitz, M.D.
Stephanie Ruthberg, M.D., M.S.
Diego Garces Grosse, M.D.

8 The Wet Outdoors
HARNESSING THE POWER OF
OUR AQUEOUS SURROUNDINGS
Mary-Anne E. Hennen, M.D.
Ryan Behmer Hansen, M.D.
Elizabeth Fam Filtes, M.D.
Celena Q. Ma, M.D.
9 The Friendly Outdoors
ANIMAL-ASSISTED THERAPY . . . . . . . . . . .187
Rafael Coira, M.D., J.D.
Diego L. Coira, M.D.
10 The Wondrous Outdoors
NATURE’S WINGED AMBASSADORS. . . . . . 203
Yonatan Kaplan, M.D.
11 Nature Activism
FIND YOUR ACTIVISM BLISS! . . . . . . . . . . 237
H. Steven Moffic, M.D.
. . . . . . . . . 151
12 The Outdoor Classroom . . . . . . . 267
Grace S. Ro, M.D.
Leia Chemmacheril, M.D., M.B.A.
Index. . . . . . . . . . . . . . . . . . . . . . . . . 289


Contributors
Muhammad Aadil, M.D.
Assistant Professor, Albert Einstein College of Medicine/Jacobi Medical Center, Bronx, New York
Rijul Asri, M.D.
Resident Physician, Department of Psychiatry, Rutgers New Jersey
Medical School, Newark, New Jersey
Sezai Ustun Aydin, M.D.
Physician, Department of Psychiatry, Rutgers New Jersey Medical
School, Newark, New Jersey
Alexis Bocian-Reperowitz, M.D.
Psychiatry Resident, The Warren Alpert Medical School, Providence,
Rhode Island
Leia Chemmacheril, M.D., M.B.A.
Resident, Psychiatry Department, Rutgers New Jersey Medical School,
Newark, New Jersey
Diego L. Coira, M.D.
Psychiatrist, Coira Institute, Oakland, New Jersey
ix
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