Many treatment options are available for those suffering from it. Cognitive behavioral therapy is one form of therapy for people who suffer from certain phobias. It focuses on one's fears and the reason they exist. It tries to change and challenge the thought processes behind one's fear. Studies have shown that it has been effective in treating people with equinophobia. Another treatment option is systematic desensitization, which focuses on gradually acclimating patients to their phobias. The first step in this process may involve thinking about horses, followed by looking at pictures of horses. Once the patient is comfortable with the images, they may proceed to meeting a horse, touching a horse, and finally riding a horse. For extreme cases, it may also be necessary to use medication, even though its effects are only short term.

Equinophobia or hippophobia is a psychological fear of horses. "Equinophobia" is derived from the Greek word φόβος ("phóbos"), meaning "fear" and the Latin word "equus", meaning "horse". The term "hippophobia" is also derived from the Greek word "phóbos" with the prefix derived from the Greek word for horse, ἵππος ("híppos").

An example of the phobia can be found in Freud's psychoanalytic study of Little Hans.