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Complementary therapies

There is some evidence that complementary therapies can help people cope with various mental health problems.

 

What are complementary therapies?

 

The term 'complementary therapy' is generally used to indicate therapies which differ from orthodox Western medicine, and which may be used to complement, support, or sometimes, to replace it.

 

The term 'alternative therapy' is used for therapies that offer alternatives to orthodox Western medicine. However, although some therapists might claim that their therapy provides an alternative to orthodox medicine, such claims should always be treated with caution. No therapy should be considered as proven to be safe and effective if service users have not been involved in the design and evaluation of the therapy.

 

This factsheet concentrates on complementary therapies.  There are many different complementary therapies including: 

 

  • aromatherapy

  • anthroposophy

  • Ayurvedic medicine

  • Bach Flower Remedies

  • exercise

  • movement and relaxation

  • healing and touch therapies

  • herbal medicine (Western)

  • homeopathy

  • hypnotherapy

  • massage

  • naturopathy

  • nutritional therapy

  • reflexology

  • traditional Chinese medicine

  • transcendental meditation and yoga.

 

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The use of complementary therapies

 

A number of factors have contributed to a general rise in interest in complementary therapies. There has been an increase in the use of complementary therapies within the NHS, particularly amongst nurses. Recent NHS reforms have provided an opportunity for purchasers to consider the types of healthcare available, on the basis of cost and effectiveness, and changing attitudes on behalf of providers and commissioners of healthcare have been observed.

 

Continued dissatisfaction with psychiatric treatments amongst mental health service users, has led to the search for safer or more effective alternatives; and in some cases, this search has focused on finding ways of managing the side-effects of psychotropic medication.

 

  • However, a number of factors continue to limit the use of complementary therapies. The lack of resources in the NHS and the absence of adequate research evidence for their efficacy undoubtedly restrict the use of complementary therapies.

  • There are also concerns about the regulation, training and registration of practitioners, although moves are being made so set standards for training and practice. Finally, political opposition to complementary therapies from healthcare professionals continues to flourish, despite the growing body of evidence in their favour.

 

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Current research on the use of complementary therapies for treating mental health problems

 

Research already exists on the uses of complementary therapies for treating mental health problems. For example:  

 

  • Acupuncture can have a positive effect for some people diagnosed with schizophrenia

  • Homeopathy has been shown to help people with severe mental health problems to recover, if used over long periods and if used alongside conventional antipsychotic medication.
  • Herbal medicines, for example St. John's Wort (hypericum), has been linked to the relief of mild to moderately severe depression.
  • Massage has been shown to reduce levels of anxiety, stress and depression in some people.
  • Reflexology has been shown to aid relaxation, relieve stress and restore energy.   It can help to reduce the side-effects of psychotropic medication and can moderate the highs and lows of mood swings.
  • Research into nutritional and dietary medicine has demonstrated that food sensitivities may cause psychiatric symptoms, whilst a lack of folic acid has been associated with depression and schizophrenia and the supplementation of certain amino acids has been shown to relieve depression.
  • Transcendental Meditation, hypnotherapy, yoga, exercise, relaxation, massage and aromatherapy have all been shown to have some effect in reducing stress, tension and anxiety and in alleviating mental distress.

 

 

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Some conclusions

 

It is clear that more research needs to be undertaken.  Much of the existing research into the use of complementary therapies in mental health is in the form of case reports only, with few comprehensive clinical trials or research reviews having been carried out. Where research does exist, it is often difficult to access.

 

According to the Foundation for Integrated Medicine, most research on complementary therapies, whether into effectiveness, safety or mechanisms for action, has tended to be carried out as a collection of isolated studies, with no clear strategic framework. This, they argue, may be due to:

'lack of adequate infra-structures and funding for research, but also because of a paucity of research methods and a lack of input from 'professional researchers', who have hitherto mainly operated in more conventional therapeutic areas'

Research carried out by the Mental Health Foundation shows that mental health service users want greater access to complementary therapies and that where these are provided they are found to be well-received and helpful.  However, given the current demand from the NHS Executive for evidence-based medicine, more investment is in good quality research, service development and training is needed if there is to be progress towards an integrated and holistic mental health service that provides real choice for service users.

 

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Written in 2000

 

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