A recent and significant piece of clinical research into CAM focused specifically on CAM's evidence-base and clinical indications for its use (Ernst et al, 2003). Following an earlier systematic review of aromatherapy (Cooke & Ernst, 2000), it was concluded that aromatherapy massage "has a mild, transient anxiolytic effect", and that such effects "are probably not strong enough to be considered for the treatment of anxiety" (Ernst et al, 2003).

In terms of its clinical indications for use in the treatment of anxiety, aromatherapy did not appear to fare well in comparison to other forms of CAM considered in the study. Yet practising aroma therapists 'know' - through the feedback of clients and personal experience - that low-level anxiety is reduced, to varying degrees, by the use of aromatherapy.

Whilst a therapist or client 'knowing' a particular practice 'works' for them can never constitute scientific proof, the aroma therapist, nonetheless, acquires a working knowledge of what 'works' through their own practice and empirical findings.

In this two part article we will consider anxiety, in its broadest form, as commonly experienced by the practising aroma therapist, and the possible benefits of aromatherapy in this context.

It seems reasonable to expect that we will all experience some level of anxiety from time to time. Indeed, some feelings of anxiety are not only inevitable, but are a fundamental part of the 'fight or flight' response, our body's inbuilt mechanism that warns us of danger and serves to preserve life.

Feelings of anxiety are often transient in nature; they may be a response to a demanding social situation (such as entering a crowded party), and may pass quickly once you have faced the situation (you are inside and chatting to friends). Such mild anxiety is expected and tolerated by most of us, but conversely, when anxious feelings persist or appear without any apparent stimulus (pressurised situations etc.), our tolerance towards such anxiety may change, and it can become more problematic.

There are several syndromes, collectively referred to as 'Anxiety Disorders', in which severe anxiety is the dominant symptom (Panic Disorder, Generalized Anxiety Disorder etc.). Here we are not concerned, however, with anxiety disorders such as these, but with the term 'anxiety' as it is more generally applied and understood. In this article, we will take the term 'anxiety' to mean "...a vague, unpleasant emotional state with qualities of apprehension, dread, distress and uneasiness..." Reber (1995).

Aromatherapy can be used as a 'stand-alone' therapy for the treatment of low-level anxiety and its related symptoms, or as part of a treatment plan where appropriate, often alongside psychiatric or psychological interventions, including medication, counselling, cognitive-behavioural techniques and others. It is important to remember that, as always, an aroma therapist must remain aware of their own professional competencies, limitations and boundaries at all times, and should liaise with, or refer on to, other health professionals where necessary, and especially when working as part of a multi-disciplinary team.

© Lisa BASSO BSc (HONS) Psych, MIFPA. MICHT, AC ZAMYA Ltd   T: 0161 7924530   E: info@zamya.com

Reproduced with the kind permission of Today's Therapist