Thursday, 21 November 2013

Aromatherapy for treating Generalized Anxiety Disorder

My topic is on the use of aromatherapy oils on Generalized Anxiety Disorder (GAD) and on anxiety in general. Worry and anxiety seems to be a large part of today’s modern lifestyle as we put a lot of pressure on ourselves to succeed in our career ambitions and goals which often come hand in hand with stress and anxiety as we try to fit these around our personal lives and commitments. Often people do not focus on trying to undertake stress relieving exercises or health treatments and ignore these emotions choosing to solider on and as they continue to do this it can become detrimental to their mental and physical health. 

Generalized anxiety disorder is a mental condition that causes a person to feel chronic feelings of excessive worry, anxiety and severe dread without any real cause. People with this condition feel on edge, tense and jittery throughout the day and depending on the severity of the condition their anxiety levels can rise to unbearable peaks and fall in a wave like fashion throughout their day which is extremely emotionally draining and exhausting for the individual. A person with this disorder may worry about minor things, daily events or the future. This condition is often linked to depression as an individual suffering from this condition may be inhibited from living their life the way they wish to, this can lead to poor quality of life and in some cases can even lead to suicide. Some physical traits attributed by this condition are elevated blood pressure, increased heart rate, muscle tension, sweating and shaking, insomnia, nausea and stomach problems.

Some good natural treatments for anxiety are a good healthy diet, exercise, meditation, regular sleep patterns and herbal treatments such as st johns wort. Other treatments often prescribed by doctors are therapy and medications such as selective serotonin reuptake inhibitors (SSRI’s) and benzodiazepine (sedatives). SSRI’s work to inhibit the uptake of serotonin in the brain eventually causing the emotions felt by the patient to be of a more normal, less distressing range. SSRI’s often come with unwanted side effects such as blurred vision, feelings of agitation, loss of appetite, loss of sex drive and sexual dysfunction and sedatives have side effects such as drowsiness, fatigue, confusion and disorientation and often have highly addictive qualities that can lead to drug abuse. Thus the need for alternatives such as aromatherapy which can be a non-invasive, natural treatment option without any unwanted side effects. It is so non-invasive that it can often be used alongside SSRI’s and other prescribed medications and not affect their actions.

The ‘grandmother oil’ Lavandula Angustifolia is one of the most appropriate oils to use to treat anxiety. It is well known to have sedative and antidepressant effects. The chemical composition of Lavender allows it have anxiolytic effects with the main active constituents being linalool and linalyl acetate which are esters. Esters work to be calming and balancing on the body’s central nervous system and is good for terrain support. Appleton (2012), states that in clinical studies linalool has been shown to inhibit acetylcholine release (which is an excitatory neurotransmitter of the autonomic nervous system) and influence ionic conductance of neurons in the brain and linalyl acetate is described to exert a relaxing effect. Lavender has also been shown to reduce dose dependently spontaneous motility and caffeine induced hyperactivity in mice.

Also a study undertaken on the levels of anxiety on patients which chronic hemodialysis showed on the Hamilton rating scale for anxiety (HAMA) that the aroma of Lavender decreased the mean scores of HAMA suggesting it to be an effective, non-invasive means for treating anxiety in patients. Now discussing the effects of Lavandula Angustifolia compared to other treatments such as SSRI’s and sedatives. Schafke & Woelka (2009) wrote an article discussing the effects of silexan, a new oral lavender oil capsule in comparison to Lorazapam (a common sedative prescribed to people with this condition) the efficacy of a 6-week-intake of silexan compared to lorazepam was investigated in adults with GAD.  They also used the Hamilton anxiety scale to measure the results; which found that the lavender capsules effectively decreased generalized anxiety at a highly comparable level to Lorazepam with the HAMA total score decreased clearly and to similar extents in both groups. The overall conclusion is that the lavender capsules work as effectively as lorazepam and is a preferable choice for treatment for GAD as it does not have side effects or highly addictive qualities that lorazepam possesses.

Lavandula angustifolia is not the only oil you can use to effectively treat anxiety there are many others to choose from such as Basil, bergamot, Roman chamomile, Virginia cedarwood, cypress, frankincense, geranium, jasmine, marjoram, neroli, palmarosa, patchouli, rose, rosewood, vetiver and ylang ylang.

I believe one of the most effective ways to treat anxiety with aromatherapy is through Swedish massage as it combines the therapeutic benefits of the essential oils with the sedative effects of massage. A study was undertaken by Edge (2003) on the effect of aromatherapy massage on mood, relaxation and anxiety in mental health. The study was conducted on eight subjects who were assigned an aromatherapy massage weekly for 6 weeks and were measured on the hospital anxiety and depression scale after their initial and final massages. Results of improvement where shown in 6 of the 8 subjects showing aromatherapy to be highly successful and a powerful treatment option in improvement of  anxiety and mood levels of those in mental health care.

To conclude my presentation aromatherapy is found to be a highly effective, natural and non-invasive treatment that can work just as well as certain prescription medicines prescribed by doctors for sufferers of general anxiety disorder. Lavender especially with its active chemical constituents being esters has a profound effect on the central nervous system and peripheral nervous system at decreasing sympathetic nervous system dominance and exertion and it has been found in combination with Swedish massage to positively treat those in mental health care.




References
Appleton., J. (2012). Lavender oil for anxiety and depression. Natural Medicine Journal. 5 (12). Retrieved from http://www.naturalmedicinejournal.com/article_content.asp?article=289.
Edge., J. (2003). A pilot study addressing the effect of aromatherapy massage on mood, aniety and relaxation in adult metal health. Complementary therapies in nursing and midwifery. 9 (2). Retrieved from http://ezproxy-mc.mywisenet.com.au:2051/science/article/pii/S135361170200104X
H, Woelka., S, Schlafke. (2010). A multi-center, double-blind, randomised study of the Lavender oil preparation Silexan in comparison to Lorazepam for generalized anxiety disorder. Phytomedicine. 17 (94). Retrieved from  http://wellpark.moodle.co.nz/mod/resource/view.php?id=9495