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Category Archives: Stress & Anxiety
Although distinct from each other, these two conditions are remarkably common, and a great many people will experience one or both at some point in their lives. Acupuncture can be extremely useful, and television presenter Donna Air has talked about having acupuncture to help with the stress of live TV work.
Definitions are broad, but on the whole, we might say stress is perceived when we feel under an unwelcome amount of pressure (time, commitments, work, money etc), and it may cause symptoms ranging from brooding resentment to irritability, or headaches to indigestion. Anxiety on the other hand, is an emotion often physically experienced in the region of the heart: it may be accompanied by an awareness of the heart beating, a rapid or pounding heart, a vague unease in the chest, or shallow, rapid breathing. Anxiety can undermine self-confidence, and people can be left feeling it is holding them back in their lives (career progression, travel, meeting new friends etc). The physical symptoms which come with stress and anxiety, can create worry which then leads to more stress and further worry.
To promote Mental Health Awareness Week 2013, the British Acupuncture Council partnered with Anxiety UK, the country’s leading anxiety disorders charity, to launch a joint research project and increase awareness of how traditional acupuncture can help people with anxiety disorders. The two organisations continue to work together to promote the benefits of traditional acupuncture for people living with anxiety.
Taking stress firstly though, I find it actually plays a role in quite a few of the conditions I see: it may have been a causal component in the development of a problem eg. chronic headaches which started during a particularly stressful year, or it may noticeably aggravate pre-existing conditions as diverse as back pain, IBS (irritable bowel syndrome), psoriasis or depression. It helps if when you come, you are able to share as much as you can about the causes of your stress, whether it be work, caring for relatives, or any other experience you are going through. I will be interested to learn how it is affecting you in all its manifestations eg. irritability, constantly upset by small things, poor sleep, digestive disturbances, headaches, raised blood pressure.
As usual, we will cover your health in the wider sense too, and take account of any other concerns or conditions. I will formulate a treatment plan, and together we will discuss some coping strategies appropriate to your circumstances; these may involve exercise, relaxation, delegation of some responsibilities etc, and we will monitor their success. My aim overall though, is that you shouldn’t just feel less stressed whilst you are having a course of treatment, but that you should actually carry away with you, new ways of living your life, which lead to a permanent change in the way you feel.
Moving on to anxiety next, you may well have identified particular situations which arouse it eg. knowing you are going to have to speak in a meeting at work. Anxiety, like stress, also has the capacity to affect sleep, and so this aspect of your life may need some help too. I shall ask all about how the anxiety began, and by combining this information with your answers to my questions about your general health, I can devise a treatment plan. Sometimes this might include some dietary advice, emphasising particular foods to include in your daily menu. Additionally, since our ears have many useful acupuncture points on them, I might if you wish, affix a tiny seed over an appropriate point; it will often go unnoticed by others, or be covered by your hair, but when you locate it with your finger and squeeze it against the ear, you may find it quite calming. I often give these to people who have a fear of flying, to aid them at the airport and on board the plane.
Anxiety is frequently a fairly long-term pattern in people I see, and it ranges from mild to severe. It might have gone away for several years, only to re-appear at a point in life when you are vulnerable, such as in the year or so following pregnancy and childbirth. On the whole though, I expect to have to treat for two to three months, on a weekly basis. An exception would be the fear of flying example above, where if you have got as far as already booking a trip, then a few treatments beforehand might suffice to give you a holiday, as opposed to an ordeal.
When you are stressed, it may also be helpful to stop and take stock. There are six simple steps we can take, which have been found to make us happier:
1) Connect Happy people have stronger social relationships. Invest a little time in friends, family and colleagues. Take a few moments to chat with the postman or the sales assistant in a shop you go to regularly.
2) Be Active Physical activity has a positive impact on stress, depression and anxiety. Take up some exercise: walk to the station, take a lunchtime stroll, join a dance class etc.
3) Be Curious Notice that there is beauty, interest and novelty all around. Look out for the lambs in the fields as you drive by. Look up at the hidden gems of architecture high above familiar streets.
4) Continue Learning Learn to speak a foreign language, play a musical instrument, or master a new hobby.
5) Give Look out for opportunities to give something to your fellow humans: you could express appreciation, do someone a favour, or even just give a smile.
6) Smiling improves our mood. It is an example of positive body language, which affects the brain and hence how we feel. Spend time with smiley people and you will naturally mirror their expressions.
A systematic review undertaken by researchers in Portugal looking at acupuncture and anxiety, suggests there is good scientific evidence for the use of acupuncture to treat the disorder. Thirteen studies were selected and all reported a significant decrease in anxiety for the acupuncture treatment group relative to the control group. Acupuncture was also associated with fewer side effects compared with conventional treatment.
(Acupuncture and electroacupuncture for anxiety disorders: A systematic review of the clinical research. Complementary Therapies in Clinical Practice, May 2018.)
A pilot study undertaken by Canadian researchers suggests that acupuncture may be useful for treating anxiety in children. A total of 20 children with anxiety, aged 8 to 16, were randomised to either receive acupuncture once a week for five weeks, or to go on a waiting list as control. Treatment was individually tailored and combined with cupping and/or ear seeds if appropriate.
After the five weeks, anxiety was significantly lower in the acupuncture group compared to the control group. Acupuncture was judged to be a safe and acceptable treatment for children and adolescents with anxiety.
(Pilot study of acupuncture to treat anxiety in children and adolescents. Journal of Paediatrics & Child Health, 6 April 2018.)
American researchers have found that a course of acupuncture can significantly and persistently reduce stress among university students and staff. They looked at 111 individuals with high self-reported stress levels, who worked or studied at a large urban university in the south-western United States. Participants were recruited via GPs, flyers and the university health department website. They were randomly allocated to receive either acupuncture or sham acupuncture once a week for 12 weeks. While both groups showed a substantial initial decrease in perceived stress scores, 3 months after treatment the true acupuncture group showed a significantly greater treatment effect (40% decrease on pre-treatment stress score) than the sham group (24% decrease).
(Effectiveness of Acupuncture Therapy on Stress in a Large Urban College Population. Journal of Acupuncture & Meridian Studies, June 2017.)
British researchers have found that acupuncture reduces anxiety in patients awaiting neurosurgery. After measurement of baseline anxiety scores, 128 patients were randomly allocated to receive either acupuncture or no intervention. After 30 minutes, median anxiety scores in the acupuncture group were significantly lower, with no change observed in the control group. There were no adverse events in either group.