Acupuncture, Anxiety & Depression

As our broadband speeds up and our phones get smarter, some matters regarding our health get overlooked — especially our mental health. Tablets and smart phones have made it more convenient to be connected, but a large number of people still feel disconnected. Fortunately, the Internet also has allowed people to explore the possibilities of trying complementary therapies such as acupuncture.

Acupuncture is an ancient form of traditional Chinese medicine. It works on the principle of stimulating points in the body to correct imbalances in the flow of energy (Qi) through channels known as meridians. This belief is based on the interaction of the five elements (wood, fire, earth, metal and water) and having profound effects on internal organs, which are either yin or yang.

Traditional Chinese medicine also recognizes the mind and body interacting as one, meaning that emotions have a physiological effect on the body. Five emotions are represented by the five elements:

• Water (fear)
• Wood (anger)
• Fire (happiness)
• Earth (worry)
• Metal (grief)

Western medical practitioners traditionally have questioned the validity of traditional Chinese medicines such as acupuncture. More recently, acupuncture has been recognized as a legitimate treatment for some conditions and is growing in popularity.

Anxiety

Anxiety is one of the most common mental illnesses worldwide. Many people suffer some form of anxiety occasionally but others cannot manage this natural response to a stressful situation. When a person experiences a highly stressful or threatening scenario, the mind can be overloaded and fail to develop ways of coping.

Although the symptoms can be as manageable as an ominous feeling in the pit of the stomach, some suffer much worse. Anxiety can trigger the following responses:

• physical, such as an irregular heartbeat
• cognitive, which can cause negative thoughts
• behavioral, which may include uncharacteristic aggression or restlessness
• emotional, such as fear.

Depending on which of these symptoms are suffered, different anxiety disorders may be diagnosed. These include:

• generalized anxiety disorder (GAD)
• panic disorder
• social anxiety disorder
• post-traumatic stress disorder (PTSD)
• obsessive-compulsive disorder (OCD)

There are a variety of causes of anxiety; all have different treatments. A person’s personality, behavior or thinking style can cause them to be more susceptible to anxiety. Research has proven it also can be hereditary. Biochemical factors such as a chemical imbalance in the brain also has been proven to cause anxiety.

Traditional Chinese medicine relates anxiety to an imbalance of the heart and kidney. Fire represents the heart and joy according to the five elements. The diagnosis is that too much heat in the heart will imbalance the interaction with the kidney (represented as water and fear). This will result in the water organ failing to contain the fire organ rising up to the mind, leading to anxiety. Acupuncture on points around the heart, kidney, spleen and ear are used to treat anxiety.

In a comprehensive literature review appearing in a recent edition of CNS Neuroscience and Therapeutics, it was proved that acupuncture is comparable to cognitive-behavioral therapy (CBT), which psychologists commonly use to treat anxiety (Errington-Evans, 2011). Another study published in the Journal of Endocrinology in March 2013 discovered stress hormones were lower in rats after receiving electric acupuncture (Eshkevari, Permaul and Mulroney, 2013).

Depression

It is estimated that approximately one in five people will experience clinical depression at least once in their lifetime. Although it is natural to feel sad and down at times, especially after experiencing loss, these slight effects can be managed with gradual lifestyle adjustments. Clinical depression, however, refers to a long-lasting and intense emotional, physical and cognitive state that greatly affects day-to-day life. Symptoms include:

• Loss of positive associations and sense of achievement (lack of interest in normally pleasurable activities)
• Negative thoughts (often worrying about the future)
• Irritability, agitation and exhaustion
• Changes in sleeping patterns (too much or too little)
• Hopelessness (feeling trapped or suicidal)

The causes of depression are known to be similar to the causes of anxiety. It is traditionally treated with antidepressantmedication, psychological methods or a combination of both.

Depression is considered to be a problem with circulating Qi around your body, according to traditional Chinese beliefs. The main organ responsible for circulating Qi is recognized as the liver with the heart and spleen playing supporting roles. The most common acupuncture treatment used to increase the flow of Qi is known as The Four Gates. This involves stimulating source points on both hands between the thumb and index finger and both feet between the big toe and second toe.

Anxiety and depression remain two of the most common mental disorders worldwide. As further research continues, acupuncture and other forms of complementary therapies are gradually being proved to be legitimate treatments for anxiety, depression and other illnesses. Perhaps more important than anything for our health is varying our lifestyles by trying alternative therapies, including exercise, yoga and meditation. It is important, however, to always get a second opinion and consult a doctor any time complementary therapies are tried.

References

Errington-Evans, N. (2011). Acupuncture for anxiety. CNS Neuroscience and Therapeutics, 18(4), 277-284. doi: 10.1111/j.1755-5949.2011.00254.x

Eshkevari, L., Permaul, E., & Mulroney, S.E. (2013). Acupuncture blocks cold stress-induced increases in the hypothalamus–pituitary–adrenal axis in the rat. Journal of Endocrinology, 217(1), 95-104. doi: 10.1530/JOE-12-040

This article originally appeared on psychcentral.com and was written by Nada Ljubinovic



BOOK YOUR APPOINTMENT WITH OUR ACUPUNCTURIST CELINE SANDBERG, R.Ac, SPECIALIZING IN MENTAL HEALTH ACUPUNCTURE TREATMENTS.

Emergency doctors are using Acupuncture to treat pain, now here’s the evidence

Emergency medicine is not all about life and death situations and high-tech solutions. Our study, the largest of its kind in the world, shows using acupuncture in the emergency department can relieve acute pain.

The study, published today in the Medical Journal of Australia, finds acupuncture is as effective as medication in treating pain for lower back pain and ankle sprain. But it took more than an hour for either to provide adequate pain relief.

Our study builds on previous research to show the effectiveness of acupuncture to treat chronic (long-term) pain.

Yet, there are several barriers to using acupuncture routinely in emergency departments.

What is acupuncture and who practices it?

Using acupuncture to relieve pain involves placing needles in various parts of the body to stimulate the release of endorphins and other neurochemicals, which can act as the body’s naturally occurring pain relievers.

For generations various cultures around the world have used acupuncture to treat multiple conditions, including providing pain relief. And in Australia, it is reimbursed through the Medicare Benefits Schedule when administered by a medical doctor.

Further reading: Modern acupuncture: panacea or placebo?

Acupuncture is one of the most accepted forms of complementary medicine among Australian general practitioners. It also appears in treatment guidelines for doctors in how to manage pain.

Why we ran the study and what we did

Anecdotally, we were aware that several emergency department doctors, in both public and private hospitals in Australia, were treating patients’ pain with acupuncture. But until this large federally-funded study, no-one had set up a trial like it to show how effective it was.

Our trial was an “equivalence” study, which means we aimed to see if the different treatments were equivalent rather than seeing if they were better than placebo. We did this as it would not be ethical to give a placebo to people coming to an emergency department for pain relief.

So, we randomly assigned more than 500 patients to receive standard painkillers, standard painkillers plus acupuncture, or acupuncture alone when they presented with back pain, migraine or ankle sprain at four Melbourne hospitals (some private, some public). While the patients knew which treatment they had, the researchers involved in assessing their pain didn’t (known as a single-blind study).

The type of acupuncture we used included applying needles at specific points on the body for each condition, as well as along points chosen by the treating acupuncturist. This was to reflect what would happen during regular clinical practice.

Doctors who were also qualified medical acupuncturists and practitioners of traditional Chinese medicine (registered in Victoria with the Chinese Medicine Registration Board of Australia) performed the acupuncture.

After treatment, we assessed patients’ pain after an hour, and every hour until discharge. We also rang them for an update 24-48 hours after being discharged.

What we found

We found acupuncture, either alone or with painkillers, was equivalent to drugs-alone in providing pain relief for lower back pain, ankle sprain, but not for migraine.

When patients looked back on their treatment, the vast majority (around 80%) were satisfied with their treatment regardless of which treatment they had.

However, no treatment provided good pain relief until after the first hour.

What are the implications?

Our findings suggest acupuncture may be a viable option for patients who come to the emergency department for pain relief. This is especially important for those who cannot or choose not to have analgesic drugs.

This is also an important finding in light of the potential for side effects and abuse with opioid analgesics, which might otherwise be used to relieve pain in the emergency department.

Previous research shows using acupuncture to treat chronic pain is comparable to morphine, is safer and doesn’t lead to dependence. Our findings suggest acupuncture also has a role in treating acute pain.

However, our research raises several issues, not only about conducting such research but also in implementing our findings in practice.

We had to overcome many ethical, policy and regulatory issues before we started. These included issues around the qualifications of medical and non-medical acupuncturists and employing traditional Chinese medicine practitioners to deliver acupuncture in a western medical hospital.

And to more widely implement our findings, we need to discuss the type of practitioners best placed to deliver acupuncture in hospital, what type of training they need to work in the emergency department and what type of conditions they should treat.

Hopefully, our study will spark further research to address these issues and lead to the development of safe and effective protocols for acute pain relief that may involve combining both modern and ancient forms of medicine to achieve rapid and effective analgesia for all emergency department patients.

This article originally appeared on theconversation.com

Can Acupuncture Help PTSD?

Post Traumatic Stress Disorder (PTSD) can originate from various causes ranging from aggression to violence or disasters. Any situation causing emotional, physical or mental trauma can result in PTSD. The use of acupuncture for PTSD has been scientifically proven to show reduced anxiety levels and stress in individuals. Through such Chinese forms of treatment, it is easier for affected individuals to regain composure in daily life activities.

Typically acupuncture for PTSD is administered by stimulating specific auricular points in the body. These points of the body are responsible for controlling particular brain areas that help control nervous functioning as well as mitigate stress levels. Many soldiers who have been victims of PTSD after violent wars are being treated with acupuncture to provide successful results. Recently, the Pentagon has been investigating the beneficial effects of acupuncture for PTSD on soldiers affected with this condition. As per findings from recent trials, it has been found that combat veterans were relieved of their symptoms and experienced reduced depression, as well as pain. The improvements due to acupuncture were also found to be very rapid and significant.

Many natural remedies are used to treat PTSD disorders in affected individuals. However, out of all these remedies acupuncture seems to be most effective for treatment. Different studies like those conducted by Dr. Hollifield at Department of Psychiatry in University of New Mexico, show that acupuncture can be used successfully as natural treatment for PTSD symptoms like depression, anxiety, insomnia as well as pain originating from psychosomatic disorders. The healing effects of acupuncture last over three months post-treatment. Unlike other conventional psychiatric treatments that are exposure-oriented (in that they require patients to reconstruct traumatic incidents), acupuncture for PTSD does not expose the patient to such elements and hence is safer and non-intrusive.

Studies conducted by the Pentagon have revealed that most soldiers affected by PTSD would be more inclined to accept non-exposure treatments such as acupuncture for PTSD. The biggest reason for this is because the soldiers need not share such traumatic experiences with their psychiatrist. Besides, acupuncture has been revealed to provide rapid benefits to patients through faster healing. Ear acupuncture on veteran soldiers located in Vermont has helped many overcome sleep disorders originating due to PTSD. The benefits of acupuncture for PTSD has translated into greater word of mouth as more people recommend acupuncture as a successful alternative medicine and treatment to conventional treatments.

As per a recent collaboration between Nityamo Lian DOM and another student from International Institute of Chinese Medicine, there has been the development of a conventional "point prescription" mode of treatment along with scope for individual variation. Thus, while the standard treatment details a holistic set of points in the body that need stimulation through acupuncture, these point treatments can also be customized to suit individual cases. Persons with severe PTSD symptoms might require a slightly different form of acupuncture as compared to those persons with milder symptoms.

This article originally appeared on http://www.pacificcollege.edu/news/blog/2015/01/08/acupuncture-ptsd