Massage Treatment for Anxiety

Massage therapy involves kneading, stroking, rubbing, tapping and application of pressure aimed to affect the body’s energetic systems.

Decrease in levels of cortisol (hormone associated with anxiety and tension) in the blood is one of the significant effects of the therapy as well as removing tension from the muscles and joints caused by anxiety and imbuing you with a sense of peace and calm.

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Frequently Asked Question about Massage

What is a Massage Session Like?

Because of the many different types of massage therapy, this question can only be answered very broadly.  The experience can differ widely depending on the type of massage therapy you have decided to try.

During your first massage therapy session, you can expect that the massage therapist will gather some preliminary information.   They may ask you questions to identify your current condition/challenges, your over-all health and what benefits or results you want to gain from the massage therapy session. The massage therapist (particularly for types of therapeutic massage as opposed to massage purely for relaxation/enjoyment) is also likely to ask about your physical condition, medical history, stress levels, lifestyle, medications taken and any physical pain that they need to be aware of during the massage therapy session.

A typical massage therapy session will last between 40 and 90 minutes depending on the type of massage, the reason you are going for massage, your present condition and your desired result. Massage therapy generally requires you to undress (for some massage types you keep your underwear on, for others you undress completely - this option may also depend on your level of comfort with the massage and with undressing) but your privacy will generally be maintained with a light covering. You will be asked to lie face down under a sheet on a padded massage table. A light oil or lotion may be used and applied to your skin to start the massage. A full body massage usually starts on the back then eventually moves down to the legs then you will be asked to turn over face up to continue with the massage of your arms, legs and neck. During the massage session, you are under the sheet all the time and only part of the body being massaged or treated is uncovered.

Is Massage Therapy Painful?

Massage therapy should not hurt (with certain exceptions for types of massage therapy like deep tissue massage or Swedish massage). Occasionally there will be a mild ache when therapist applies pressure to body points, over "knots" and other areas of muscle tension but it should not be painful. Although the degree of pressure being applied varies widely with the type of massage, it is always a good idea to draw the attention of the massage therapist to any pain and they can then tell you whether that is to be expected with that type of massage or they can ease off on the pressure.

what Does Massage Therapy Cost?

The frequency of massage sessions will vary depending on the condition being treated. The cost per session also depends on the methods that will be used (i.e. Swedish, Deep tissue, etc) but other than luxury massages (i.e. at spas), the cost generally ranges from $30 to approximately $130 per session.

Is Massage Therapy Covered by Insurance?

Most extended health insurance plans in Canada and the United States cover some or all of the costs of therapeutic massage depending on the type of plan and massage.  Ask your employer or contact your provider for details on how the coverage works.  Massage for relaxation and enjoyment may or may not be covered.  Generally for the massage to be covered by your insurance, you need to be seeing a licensed Massage Therapist.

How to Select a Good Massage Therapist

There are a variety of considerations when selecting a massage therapist.  These include considerations about the massage therapist's training and certification, questions about their fit with you (i.e. chemistry - is this someone you will trust and be able to relax with), and possibly their answers to questions you may want to ask them.

Personal referrals from friends or health professionals are a great way to find massage therapists.  Equally, looking at reviews of massage therapists on can help you see what past clients have to say about the massage therapist.  Reading articles they have written can also give you a sense of their personality and degree of expertise and knowledge.  You can also ask the massage therapist questions that are important to you.  Some questions that you may want to consider include:

  • What certifications do you hold?  
  • How long have you been practicing?  
  • What types of oils or lotions do you use?  
  • What are your rates? Is there a payment option?
  • Do you have experience in providing massage to people with (my physical condition)?

If you are considered about whether or not you will have to undress fully, you can also ask about that.

Licensing and training differs for massage therapists depending on 

  • the location you are in, and
  • the type of massage the therapist offers

Different countries, states and provinces have varying but usually similar requirements that need to be met before a massage therapist can be certified.  This usually involves a combination of training, practical experience and some type of certification and/or licensing. In most states in the US, Massage therapists are required to have a license to practice. Most states also require massage therapists to have at least 500 to 1000 hours of training which has resulting in them obtaining a certificate, diploma or degree depending on the school they attended. The Commission on Massage Therapy Accreditation (COMTA) is one of the organizations that regulates and works with massage therapy schools in the U.S.

The website of the American Massage Therapy Association (AMTA) provides a state-by-state guide to requirements for therapist education and experience and National Certification Board for Therapeutic Massage and Bodywork (NCBTMB).

Generally, it is advisable to seek a massage therapist who has trained at least 500 hours and to look for someone who is CMT (a Certified Massage Therapist).

Licensed therapists will have the initials LMT after their name (which stands for Licensed Massage Therapist) or LMP, which stands for Licensed Massage Practitioner.

In late 2007, the Federation of State Massage Therapy Boards (FSMTB) launched a new certification exam titled the MBLEx. To date, there are fewer than 10 states that are not regulated by the FSMTB.

Training for massage therapists consists of courses in body mechanics and motion, massage techniques, ethics and the study of organs and tissue.  

History of Massage

No one really knows definitively how Massage Therapy started and where it originated. There is evidence and writings about massage that have been found in many ancient civilizations including China, Greece, Rome, India, Japan and Egypt, to name a few. The first known record of massage in China was during the second century in a Chinese book “The Yellow Emperor's Classic of Internal Medicine” and in Egypt there are paintings of people being massaged found in tombs. Massage Therapy was one of the popular methods used for relieving pain by Greek and Roman physicians. Regardless of the mystery of the exact origin, it is clear that Massage Therapy is one of the oldest traditional holistic treatments.

Over the years, many different types of massage therapy have been developed, refined and or named. In the early 19th century, for example, Per Henrik Ling (known as the father of therapeutic massage) developed a method of massage that is now called Swedish massage.

Massage began to become popular in the United States in the mid 19th century when it was introduced by two New York physicians.

There are many methods of massage that have been practiced from antiquity up until the present in different parts of the world.  A few examples include:

  1. Acupressure, a traditional Chinese medicine.
  2. Anma, a traditional Japanese massage which involves deep tissue work
  3. Ayurvedic massage comes from a natural health care system which originated and is widely practiced in India (using aromatic oils and spices) 
  4. Balinese Massage, in which the massage movements include skin folding, kneading, stroking and other techniques
  5. Deep tissue massage which focuses on the muscles located below the surface of the skin. 

Theory behind Anxiety Treatment using Massage

Massage therapy assists with anxiety in many ways.  Anxiety causes physical stress on the body creating stiff joints and muscles.  Constant anxiety can prevent you from being aware to the physical pains its causing you. Massage techniques relieve stiff joints and muscles, releasing tight spots in the muscles and joints preventing injury and muscular pain that can in turn cause more stress and anxiety.

Also, massage therapy can help a person become more aware of their body in order to help them identify when stress is showing up in the future so they can take action to relieve it instead of ignoring the symptoms of anxiety that become unconscious.

Massage techniques can also help a person sleep. When anxiety is constant it can rob a person of proper sleep which can impair judgment and create more stress. Breaking this destructive cycle is extremely important.

During the massage therapy session you are encouraged to relax and 'simply be'.  Having that time to reflect on your own thoughts create a sense of peace and calm.

Research of Anxiety Treatment using Massage

Massage therapy reduces anxiety and enhances EEG pattern of alertness and math computations.

Summary:  Twenty-six adults were given a chair massage and 24 control group adults were asked to relax in the massage chair for 15 minutes, two times per week for five weeks.  Results (including reduced anxiety) were shown in the group who received massage.


Pilot study evaluating the effect of massage therapy on stress, anxiety and aggression in a young adult psychiatric inpatient unit.

Summary:  Massage therapy had immediate beneficial effects on anxiety-related measures and may be a useful de-escalating tool for reducing stress and anxiety in acutely hospitalized psychiatric patients.


Stories of Anxiety Treatment using Massage

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