What Is EFT Tapping?

Emotional Freedom Technique (EFT) is a form of mental health intervention that draws from theories such as acupuncture, neuro-linguistic programming (NLP), energy psychology, and Thought Field Therapy (TFT). It’s popularly known as “EFT Tapping” and was developed by Gary Craig, a Stanford engineering graduate who claims to be neither a psychologist nor a licensed therapist.

EFT techniques involve tapping specific acupressure points on the body, primarily on the head and the face, in a particular sequence. The person focuses on the issue that they wish to treat while using these tapping techniques.

EFT Tapping is commonly used to treat or help with the following:

• Anxiety
• Depression
• Insomnia
• Physical Pain
• Post Traumatic Stress Disorder (PTSD)
• Phobias
• Stress
• Weight Loss

Many people used to disregard the technique as the origin and effects are seemingly controversial, but as more recent research suggests, EFT tapping can be extremely helpful in coping with our emotional struggles. We’ll explain the science of EFT below for the skeptics!

Is EFT Tapping Scientifically Proven?

A quick google search will show that EFT tapping can be controversial as some people consider it “pseudo-science.” However, more and more recent research indicates interesting results. More than 100 studies show that clinical EFT does have an impact on a patient’s mental and physical well-being.

A 2019 meta-analysis and review study set to find out whether EFT was an evidence-based practice since there have been dismantling studies that lead to the skepticism of it. When their results were measured under the standards of the American Psychological Association Task Force on Empirically Validated Treatments, EFT was found to be an “evidence-based” practice for anxiety, depression, phobias, and posttraumatic stress disorder (PTSD). Results showed not only psychological but physiological benefits as well.

• Posttraumatic Stress Disorder (PTSD):
  In 2013, researchers studied EFT tapping and it’s effectiveness on veterans with PTSD compared with standard care. Within a month, EFT coaching recipients successfully reduced significant amounts of psychological stress, and more than half of the same group no longer fit the criteria for PTSD.
  
• Anxiety:
  A 2016 review compared EFT tapping and standard care for anxiety symptoms. EFT indicated a significant decrease in anxiety scores compared to other forms of care. Other cases show that EFT can help with public speaking anxiety, and a 2018 Indian study concluded EFT as equally effective as Cognitive Behavioral Therapy (CBT) for anxiety and depression.
  
• Depression:
  Results of a meta-analysis review from 2016 that shows clinical EFT to be highly effective for depression.
  
• Weight Loss and Physical Performance:
  The physical impact of EFT is less studied than the psychological effects, but there are cases of successful weight loss through EFT. Researchers found EFT weight loss treatments to lead to decreased symptoms of depression as well. The significant reduction in cortisol levels after EFT sessions lead to a hypothesis made in 2013 that EFT could improve both depression and obesity through the reduction of cortisol. A 2010 journal also mentions clinical reports and accounts that EFT is practiced in professional and college-level golf, baseball, and American football to increase athletic performances.

How to Try EFT Tapping

STEP 1: Identify Issue and Discomfort Intensity

• Use your device or a piece of paper to write down all of the issues you are experiencing, one by one. Try to separate each issue and don’t clump many into one.
• After all the issues are identified, go down each issue to rate the intensity of discomfort you feel on a scale of 0 – 10 with 0 being the lightest and 10 being the worst. The scale assesses the emotional or physical pain and discomfort you feel.
• Choose one issue that hits the highest number on your intensity scale. This will be your first focal point as we practice the tap sequence. Focusing on only one problem at a time enhances the outcome.

STEP 2: Establish a Phrase

Before starting the tapping sequence, you need to establish a phrase that addresses two goals:

• Acknowledging the issue
• Accepting yourself despite the problem

The common setup phrase is:
・“Even though I have this [fear or problem], I deeply and completely accept myself.”

You can alter this phrase to fit the issue, but it should never involve someone else’s.

An example of a non-effective phrase involving someone else’s problem would be:
・“Even though [Name] is sick and struggling, I deeply and completely accept myself.”

Focus on how the problem makes you feel in order to relieve the distress it causes.
It’s better to address a situation where someone sick is impacting your life, by phrasing:
“Even though I’m sad [Name] is sick, I deeply and completely accept myself.”

A great setup phrase for personal stress would be:
・“Even though I feel stress, I deeply and completely accept myself.”

STEP 3: Tap Specific Points

1. First, take your four fingers (excluding the thumb) and tap the karate chop point on both sides of your hands. As you tap, simultaneously recite your setup phrase 3 times.

2. Using the same four fingers, lightly tap each following point 7 times as you recite your phrase 1 time.

Move down the body points in this ascending order on just one side of the body:

• Top of the head (starting & finishing point) – directly in the center of the top of the head
• Eyebrow – the beginning of the brow, just above and to the side of the nose
• Side of the eye – on the bone at the outside corner of the eye
• Under the eye – on the bone under the eye, approximately 1 inch (in) below the pupil
• Under the nose- the point between the nose and upper lip
• Chin – halfway between the underside of the lower lip and the bottom of the chin
• Beginning of the collarbone – the point where the breastbone (sternum), collarbone, and first rib intersect
• Under the arm – at the side of the body, approximately 4 in below the armpit
• After the underarm, go back to the top of the head to finish your last taps there

If the phrase is too long, you can use reminder shortened phrases. If your setup phrase is, “Even though I feel stress, I deeply and completely accept myself.” your reminder phrase can be, “This stress.” Recite this phrase at each tapping point. Repeat this sequence two or three times.

STEP 4: Retest the Intensity of the Issue

At the end of your tapping sequence, rate your intensity level on a scale from 0 to 10. Compare results with your initial intensity level. If you haven’t reached 0, repeat this process until you feel a difference. It could take multiple attempts for some people to feel the difference. If the intensity level has decreased, you can take another issue from your initial list to work on.

Although tapping can be performed on your own, a qualified EFT practitioner may help you further in learning and understanding tapping techniques for more serious problems.

It’s unbelievable that such simple tapping and phrasing could have such significant impacts on our mental and physical wellbeing. Many schools around the world are starting to implement EFT programs to better equip students with the coping skills to face adolescent challenges and other environmental stressors. No matter how small the problem, taking early care of stress is essential to our wellness. Give EFT tapping a try next time you feel stressed!

If you’re looking for more tips on how to care for your mental health, check out some of our past blog posts!
→ Looking to improve your mental health? Try the SELFMIND app FREE for a week!

Image : Unsplash
Reference:

Anthony, K. (2018, September 18). EFT Tapping. Healthline. https://www.healthline.com/health/eft-tapping#research


Bach, D., Groesbeck, G., Stapleton, P., Sims, R., Blickheuser, K., & Church, D. (2019). Clinical EFT (Emotional Freedom Techniques) Improves Multiple Physiological Markers of Health. Journal of Evidence-Based Integrative Medicine, 24, 2515690X1882369. https://doi.org/10.1177/2515690×18823691


Church, D. (2010). The Effect of EFT (Emotional Freedom Techniques) on Athletic Performance: A Randomized Controlled Blind Trial. The Open Sports Sciences Journal, 2(1), 94–99. https://doi.org/10.2174/1875399×00902010094


Church, D., Hawk, C., Brooks, A. J., Toukolehto, O., Wren, M., Dinter, I., & Stein, P. (2013). Psychological Trauma Symptom Improvement in Veterans Using Emotional Freedom Techniques. The Journal of Nervous and Mental Disease, 201(2), 153–160. https://doi.org/10.1097/nmd.0b013e31827f6351


Clond, M. (2016). Emotional Freedom Techniques for Anxiety. The Journal of Nervous and Mental Disease, 204(5), 388–395. https://doi.org/10.1097/nmd.0000000000000483


DİNCER, B., ÖZÇELİK, S. K., ÖZER, Z., & BAHÇECİK, N. (2020). Breathing therapy and emotional freedom techniques on public speaking anxiety in XXX nursing students: A randomized controlled study. EXPLORE, . https://doi.org/10.1016/j.explore.2020.11.006


Jasubhai, D. S., & Mukundan, P. C. R. (2018). Cognitive Behavioural Therapy and Emotional Freedom Technique in Reducing Anxiety and Depression in Indian Adults. International Journal of Emergency Mental Health and Human Resilience, 20(2), . https://doi.org/10.4172/1522-4821.1000403


Leonard, J. (2019, September 26). A guide to EFT tapping. Medical News Today. https://www.medicalnewstoday.com/articles/326434


Nelms, J. A., & Castel, L. (2016). A Systematic Review and Meta-Analysis of Randomized and Nonrandomized Trials of Clinical Emotional Freedom Techniques (EFT) for the Treatment of Depression. EXPLORE, 12(6), 416–426. https://doi.org/10.1016/j.explore.2016.08.001


Stapleton, P., Church, D., Sheldon, T., Porter, B., & Carlopio, C. (2013). Depression Symptoms Improve after Successful Weight Loss with Emotional Freedom Techniques. ISRN Psychiatry, 2013, 1–7. https://doi.org/10.1155/2013/573532

The Basics of Insomnia

Generally, insomnia is defined by a lack of proper sleep for over a month with symptoms of fatigue, decreased motivation, decreased concentration, and loss of appetite. The cause of insomnia varies, including but not limited to day-to-day stress, psychological illnesses, or side effects of medication.

The hours of sleep required for a healthy lifestyle varies from person to person. Some people will feel sleepy during the day even after 8 hours of sleep and some people will function perfectly fine on just 3 hours of sleep. It’s also known that our necessary sleep time for health changes with age. It’s natural to require less sleep as we age, so sleeping difficulties are less of a concern when we age. These natural changes are not indicative of insomnia.

Check out the article below for more details on the basics of insomnia.

When we experience continuous sleepless nights, many of us try to spend more time in bed to maximize rest. However, this may lead our brain to signal our “place of sleep” (a.k.a the bed) as a place of activity or wakefulness, leading to further sleeplessness.

“Sleep scheduling,” allows the brain to understand the bed as a place reserved only for sleeping. The following points become important to achieve this:
・Spend time outside of bed until you actually feel sleepy
・Do not try and go to bed until you actually feel sleepy
・If you are struggling to sleep, get out of bed

What is Sleep Scheduling?

Sleep scheduling is an effective approach for people who experience daytime discomforts due to long term insomnia. If you are not currently experiencing any symptoms of insomnia, be careful as this may disrupt your sleep cycle.

1. Understand Sleep Efficiency

Before we implement a sleep schedule, we must first understand our sleep habits. It’s important to know how long it actually takes to fall asleep once we get into bed and how long the sleep felt when we wake up the next morning. A good way to do this is by keeping a “sleep journal” to record our everyday sleep habits. Once there’s a good understanding of our sleep habits, we can calculate sleep efficiency (the ratio of our actual sleep over time spent in bed). Use the equation below to calculate your sleep efficiency.

For example, if you got in bed at 10:00 PM and woke up at 8:00 AM the next morning, you will have spent 10 hours in bed. Within that time, let’s say you felt like you actually got 6 hours of sleep. In this case, your sleep efficiency would be 60%. The goal is to achieve an average of 85% or more for adequate weekly sleep efficiency.

2. Go To Bed Later to Improve Sleep Efficiency

Once we grasp a good idea of sleep efficiency, adjust bedtime to 15 – 30 minutes before the actual sleep time in order to get closer to the 85% average sleep efficiency. If, as in the example above, you sleep for 6 hours and wake up at 8:00 AM, you should adjust bedtime to be at 1:30 – 1:45 AM. Until then, spend time outside of the bedroom to condition your body and brain to believe that the bed is strictly for sleeping only.

3. Gradually Lengthen Sleep Hours

Once the average weekly sleep efficiency exceeds 85%, gradually increase sleep time by either going to bed 15 minutes earlier or waking up 15 minutes later. Aim for a sleep duration that will not negatively impact daytime activities. These adjustments to our sleeping habits may temporarily make us go to bed later and wake up earlier. However, concentrated sleep hours can improve our subjective satisfaction towards sleep quality

Sleep scheduling can be an effective way to improve insomnia, but the root cause of it still needs to be addressed. If insomnia is caused by illness or side effects of medication, we should make improvements based on the guidance of a professional doctor. Make sure to carefully determine the cause of sleeplessness, before taking appropriate measures for improvement.

Better Sleep Habits Lead to More Fulfillment

Sleep is a vital behavior to our health that sustains life. Sleep also occupies one-third of our lives. Good sleep habits help us maintain good physical and mental health. It contributes to our ability to reach full potential and further grow.

It’s not easy to change the lifestyle we already have to adjust for better sleep. Although, with its benefits of creating a healthier and more fulfilling life, it will be well worth the effort.

→ Looking to improve your mental health? Try the SELF MIND app FREE for 1 week!
If you’re looking for more tips on how to care for your mental health, check out some of our past blog posts!

Image: Unsplash
References:
Munezawa, T., & Mishima, K. (2009). Cognitive Behavior Therapy for Insomnia. Journal of Mental Health, 55, 71-78.

National Center of Neurology and Psychiatry. Support Manual for Sleep Disorders and Sleep Problems. Retrieved from: https://www.ncnp.go.jp/nimh/behavior/phn/sleep_manual.pdf

Psychological Disorders Connected to Unhealthy Lifestyle Habits

The following are only some examples of mental disorders, but many are often deeply connected to one’s lifestyle habits.

1. Depression

Depression is a psychological illness that causes a significant decrease in all motivation. While this disease can be genetically inherited and triggered by individual personalities or external factors, it can also be caused by a physical ailment. Studies have shown that difficulties or unpleasant symptoms in our daily life (including heart disease, asthma, high blood pressure, headaches, etc…) can increase the risk of developing depression by about 150~200%.

2. Panic Disorder

Panic disorder is a mental condition that often occurs in conjunction with depression. The symptoms of a panic attack includes heart palpitations and severe anxiety, accompanied by intense physical symptoms. Many often suffer from “anticipatory anxiety”(the fear of not knowing when an attack may occur), and “agoraphobia” (the fear of the outdoors). These fears can cause significant disruptions in our lives. The onset of a panic attack is often associated with taking large doses of caffeine to prevent drowsiness while working long hours. The disorder commonly occurs in adults at peak working age.

3. Sleep Disorders

Adequate rest plays a crucial part in the treatment of mental disorders. Sleep plays a big role in quality rest. Since sleep disorders often occur as a precursor to many diseases, chronic lack of sleep or insomnia may be an indication that there is underlying illness.

4. Dementia

Dementia is often thought as a condition strictly associated with the elderly, but it can also occur in people under the age of 65. It is often triggered by strokes, and irregular or unhealthy lifestyle habits can be a contributing factor in the cause.

Unhealthy Lifestyle Diseases in Relation to Mental Conditions

Now, let’s look at lifestyle diseases and how they relate to mental disorders.

1. Diabetes (Type II)

10% of diabetics are found to have major depression, while at least 30% have some symptoms of depression. Patients diagnosed with diabetes are firstly mentally upset at the revelation and feel a great shock at the loss of their health, potentially becoming a catalyst for a decline in healthy lifestyle habits. Treatment is long term and many factors can take a toll on a diabetic patient, including necessary lifestyle modifications, financial burdens of taking time off from work, and the burden on their families.

2. Obesity

It is well-known that obesity can trigger a myriad of diseases and gradual decline in healthy lifestyle. The loss of motivation resulting from mental disorders can lead to oversleeping and overeating, causing unintended weight gain. Some individuals may also experience weight gain through prescription medications.

3. High Blood Pressure

When a person suffers from a mental disorder, their stress tolerance tends to become lower, leading to more frequent drinking, smoking, and consumption of caffeine, amongst other lapses in typically healthy lifestyle habits. As a result, increased blood pressure may be observed.

What’s the Solution?

As we have seen, mental conditions and lifestyle diseases are intricately connected. However, in order to prevent both, the important first step is to maintain a healthy lifestyle. Of all the lifestyle habits that lead to disease, smoking and drinking habits are said to be the two most harmful. First of all, it is vital to look closely at these two habits and if you are dependent on either of them, it’s important to break the chain.

Moreover, moderate exercise, eating a well-balanced diet with a variety of foods, being in touch with nature, and building good human relationships are all things that are generally considered good for a sustainably healthy lifestyle. These positive habits seem to be effective against both lifestyle-related diseases and mental disorders. It’s easy to think, “I don’t know if it really works,” “It’s a hassle,” or “I don’t have time for that in my daily life,” but it’s important to try including these activities in our lives.

We can easily get stuck in a vicious cycle when one disease triggers another. For starters, try going on a short walk, try cutting back on drinking, or really anything that’s doable within your means. It’s never too late to start living a healthy lifestyle. The moment we acknowledge is the moment to start living a healthy lifestyle!

Image：Unsplash
Reference:
Nukariya, K. (2014). Lifestyle-related Disease and Mental Health. Japanese journal of occupational medicine and traumatology, 62, 316─321.