This chapter explores the potential benefits of equine-assisted therapeutic riding for individuals diagnosed with schizophrenia. We begin by describing the main features of schizophrenia, followed by a historical overview of approaches that have considered horseback riding as a therapeutic tool. Specifically, we trace the evolution of this approach from the 1500s, when physicians first noted the benefits of horseback riding for both neuromotor deficits and psychopathology. In the latter half of the twentieth century, a more scientific and structured approach emerged, and although publications are limited and study samples were small, the potential of equine-assisted therapy remains promising and worthy of further investigation. The second part of the chapter details the methodology of horse-assisted practices and their effects on people with schizophrenia, highlighting which characteristics of schizophrenic patients benefit most from equestrian rehabilitation. In conclusion, we provide a list of organizations and associations dedicated to this field of study and discuss future goals.