Veterans Administration Approves EFT (Emotional Freedom Techniques) Treatment

Veterans Administration Approves EFT (Emotional Freedom Techniques) Treatment
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Emotional Freedom Techniques (EFT) has been approved as a “generally safe” therapy by the US Veterans Administration (VA). After reviewing the extensive evidence for the safety and efficacy of EFT, a group of experts in the VAs Integrative Health Coordinating Center published a statement approving EFT and several other complementary and integrative health (CIH) practices.

The approval means that VA therapists will be able to use EFT with their clients suffering from PTSD, depression, anxiety, pain and other conditions.

EFT has been studied in over 100 clinical trials. They show that the approach is effective for a variety of psychological and physical conditions. EFT combines elements of popular therapies, such as CBT, with acupressure—in the form of tapping with the fingertips on acupuncture points. For this reason it’s often called “tapping.”

<p>Acupressure is effective for pain and stress.</p>

Acupressure is effective for pain and stress.

A meta-analysis examined the effect of treatment with EFT on PTSD. It aggregated the statistics from 7 randomized controlled trials and found that EFT had a very large treatment effect (Sebastian & Nelms, 2016).

A meta-analysis of EFT for depression showed similar results, stating that: “The results show that Clinical EFT were highly effective in reducing depressive symptoms in a variety of populations and settings… The posttest effect size for EFT... was larger than that measured in meta-analyses of antidepressant drug trials and psychotherapy studies” (Nelms & Castel, 2016).

Therapists first began to draw the attention of the VA to EFT in 2004, when they found it a quick and successful treatment for the first cohort of veterans returning from Iraq. However, the VA rejected the approach for many years, despite the efforts of various members of congress to have it considered. Fort Hood offered a very successful PTSD treatment program incorporating EFT for many years, but shut it down at the end of 2015.

<p>About a quarter of those deployed develop PTSD.</p>

About a quarter of those deployed develop PTSD.


To fill the treatment gap, a group of volunteer therapists established the Veterans Stress Project, a non-profit online portal to connect veterans with practitioners. Based on the experience of these and other therapists, The Permanente Journal, published by Kaiser Permanente, issued treatment guidelines for using EFT with veterans with PTSD. It recommends 10 treatment sessions, though half that number is often enough to eliminate symptoms like flashbacks, nightmares and hypervigilance (Church, Stern, Boath, Stewart, Feinstein, & Clond, 2017).

<p>The web site of the Veterans Stress Project connects EFT practitioners with veterans suffering from PTSD.</p>

The web site of the Veterans Stress Project connects EFT practitioners with veterans suffering from PTSD.

Captain George Peters had this to say after completing 6 sessions through the Stress Project program: “For 35 years I was hard to get along with. Divorced, fired, and feared by my children because I over-reacted to any provocation. Six hours of therapy gave me the tools to change.”

VA employees can find the treatment guidelines at the Integrative Health Coordinating Center SharePoint portal. They state that based on study by “the expert scientific community (both internal and external to VHA) knowledgeable about the safety of CIH approaches,” EFT and several other methods including Healing Touch, Acupressure, and Reiki, are “generally considered safe.”


Church, D., Stern, S., Boath, E., Stewart, A., Feinstein, D., & Clond, M. (2017). Using Emotional Freedom Techniques (EFT) to treat PTSD in veterans: A review of the evidence, survey of practitioners, and proposed clinical guidelines. The Permanente Journal, 21(2), 16-23.

Nelms, J. & Castel, D. (2016). A systematic review and meta-analysis of randomized and non-randomized trials of Emotional Freedom Techniques (EFT) for the treatment of depression. Explore: The Journal of Science and Healing, 12(5), 416-426. doi: 10.1016/j.explore.2016.08.001

Sebastian, B., & Nelms, J. (2016). The effectiveness of Emotional Freedom Techniques in the treatment of posttraumatic stress disorder: A meta-analysis. Explore: The Journal of Science and Healing, 13(1), 16–25. doi:10.1016/j.explore.2016.10.001

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