What has unfolded in my practice, since 1997, is the integration of expressive arts and therapeutic riding for residential treatment centers in the form of process groups; the use of phototherapy techniques to create personal narratives from therapeutic riding/groundwork experiences with youth offenders, individuals diagnosed with TBI, sensory processing disorders, acute stress disorder, ASD, and PTSD. However, for me, equine-assisted expressive arts therapy as an embodied “felt sense” experience emerged from our collaborative programs that were “situated” in indigenous communities: this approach reaffirmed the healing aspects of “bottom up” interventions. As a result, sensorimotor exploration and hemispheric integration across the midline (bilateral stimulation) comprise the foci of the equine-assisted expressive arts therapy approach with respect to regulatory processes, for example, response artwork (painting, clay, nature art), mindfulness-based and bilateral movement, visual journaling exercises, fiber art (felting, weaving), and sound (humming, drumming, singing)."