Counseling, medications and physical therapy are all available to those who suffer from physical and emotional trauma, and then there's another kind of care that sits in a stall.
Horses of all shapes and sizes are healing the hurt no one can see in Boerne.
These horses are creating happy trails for children like Charles who have been through chaos.
Hurricane Katrina leveled his home in New Orleans and he was transplanted to San Antonio at a young age. A horse named "Teeny" has helped Charles deal with the trauma.
"As soon as they came together, it was just immediate. He spoke more, he lifted his head up, he was confident to tell her 'this is what we are going to do,'" said Kate Vasquez Open Trail Therapist.
Charles' foster mom says he's growing out of the emotional issues of his troubled early childhood. "Kids who come from a lot of trauma sometimes have problems with their inner senses," said Stephanie Ehmen. "I think he can verbalize better that maybe something's bothering him and things like that."
Not all the of the therapy is on board a big horse. Little horses like one named "Turbo" are also part of the therapy program for folks who might be a little intimidated by the big horses.
Another patient named Gavin has worked his way up, conquering a host of physical issues since a troubled birth. His horse therapist is named ZZ.
"It's built a ton of core strength up, his confidence is definitely boosted, and he really loves coming out here riding. It's really helped his self esteem," said Melissa Kraft.