It has been 2 years since I got my ESA letter and I wish I got it sooner. My depression and anxiety has been more manageable over the last few years. Traveling with my Buddy has been such a relief. Work trips no longer seem like an impending death sentence and I am able to be more productive on these trips. Vacations are also a lot easier on me and my partner . People were skeptical of my choice in using an online service (ESADoctors.com), but I think it was the right choice. If you're debating on the ethical reasons for getting an ESA letter online, I say go for it! It's your life and your choice to make it better.