Acupuncture is an ancient Chinese medicine practice that involves inserting thin needles at specific points on the body to help restore balance and promote healing. While traditionally used for pain management, research suggests acupuncture may offer benefits for people experiencing anxiety disorders, with studies showing reductions in anxiety symptoms comparable to conventional treatments.
According to research, acupuncture therapy aimed at reducing anxiety in patients with generalized anxiety disorder has shown beneficial effects compared to non-acupuncture therapy. Understanding how acupuncture works for anxiety and what to expect from treatment can help you determine if this complementary approach might be right for your mental health needs.
Key Takeaways
Acupuncture can effectively reduce anxiety symptoms in people with generalized anxiety disorder, with some studies showing improvements after just 5 sessions.
Acupuncture may be as effective as anti-anxiety medications for some individuals, with the added benefit of fewer side effects than conventional pharmaceutical treatments.
Acupuncture can be used alone or as a complementary therapy with medications or psychotherapy, offering a holistic approach to anxiety management without interfering with other treatments.
What Is Acupuncture?
Acupuncture is a therapeutic technique that originated in traditional Chinese medicine over 2,500 years ago. Practitioners insert very thin, sterile needles through the skin at specific points on the body called acupuncture points or acupoints.
Traditional Chinese medicine theory suggests that acupuncture works by balancing the flow of energy or life force known as qi (pronounced "chee"), which flows through pathways called meridians in your body. Modern research suggests acupuncture may work in a few different ways, like stimulating nerves, boosting blood flow, and helping your body release its own natural pain-relieving chemicals.
Types of Acupuncture Used for Anxiety
Manual acupuncture: The traditional approach where needles are inserted and may be gently manipulated by hand during the session.
Electroacupuncture: A modern variation where mild electrical currents are applied to acupuncture needles to enhance stimulation. Both manual acupuncture and electroacupuncture can show similar effectiveness in treating anxiety.
Auricular acupuncture: Focuses on specific points in the ear and has shown particular promise for treating perioperative (at or around the time of operation).
How Does Acupuncture Help With Anxiety?
While the exact mechanisms aren't fully understood, research suggests acupuncture may help reduce anxiety through multiple pathways in the body.
Neurotransmitter Regulation
Studies indicate acupuncture may influence brain chemistry by affecting neurotransmitters like serotonin and gamma-aminobutyric acid (GABA), which play crucial roles in mood regulation. Acupuncture treatment can be associated with changes in cortisol and adrenocorticotropic hormone levels, both of which are involved in the body's stress response.
Nervous System Effects
Acupuncture appears to influence the autonomic nervous system, which controls the body's automatic functions, including the stress response. By stimulating specific acupuncture points, practitioners may help shift the nervous system from a state of heightened alertness (fight-or-flight response) to a more relaxed state (rest-and-digest response).
Brain Activity Changes
Acupuncture may affect brain regions involved in emotional regulation and stress processing. The vagus nerve, which connects the gut and brain, may be one pathway through which acupuncture exerts its calming effects on the nervous system.
What Does Research Say About Acupuncture for Anxiety?
Multiple studies have examined acupuncture's effectiveness for treating anxiety disorders, particularly generalized anxiety disorder.
Clinical Trial Results
A large research review that combined results from multiple clinical trials found that acupuncture worked better at easing anxiety symptoms than Western medications or psychotherapy alone. The studies measured anxiety using standard rating tools like the Hamilton Anxiety Scale (HAMA) and the Self-Rating Anxiety Scale (SAS).
Another study found that anxiety started improving after about five acupuncture sessions, with even more improvement after ten sessions. Interestingly, the benefits showed up whether or not people were also taking anti-anxiety medication.
Comparison with Conventional Treatments
A large research review found that acupuncture worked about as well as medication in several trials, and often with fewer side effects. That said, researchers still say we need more high-quality studies to clearly understand how big a role acupuncture should play in treating anxiety.
How Quickly Does It Work?
Research suggests some people start to notice anxiety relief within the first few weeks of acupuncture treatment. Many study plans use about 8–12 sessions spread over several weeks. In one well-designed trial, people saw clear improvement after just five sessions, with even more benefits after ten.
Is Acupuncture Safe for Anxiety?
When performed by a qualified, licensed practitioner using sterile needles, acupuncture is generally considered safe with minimal side effects.
Potential Side Effects
Most people tolerate acupuncture well, but some may experience:
Temporary soreness or minor bleeding at needle sites
Occasional bruising where needles were inserted
Mild fatigue or light-headedness immediately after treatment
Temporary worsening of symptoms before improvement (uncommon)
Serious complications are rare when treatment is provided by trained professionals using proper sterile technique.
Who Should Avoid Acupuncture?
Certain individuals should consult their healthcare provider before trying acupuncture:
People with bleeding disorders or taking blood-thinning medications
Those with a pacemaker (for electroacupuncture specifically)
Pregnant women (some acupuncture points are contraindicated during pregnancy)
People with severe needle phobia
Cost and Insurance Coverage
Acupuncture costs vary widely depending on your location and the practitioner's experience, typically ranging from $75 to $200 per session.
Insurance Coverage
Some insurance plans cover acupuncture for specific conditions, though coverage for mental health conditions like anxiety varies. Contact your insurance provider to ask about:
Whether acupuncture is a covered benefit
If there are limitations on the number of sessions covered
Whether you need a referral from your primary care provider
Which acupuncturists are in-network
Many acupuncturists offer package pricing or sliding scale fees for patients paying out-of-pocket.
Combining Acupuncture With Other Anxiety Treatments
Acupuncture is often most effective when used as part of a comprehensive treatment approach for anxiety.
Working With Your Mental Health Team
If you're seeing a psychiatrist or therapist for anxiety, discuss your interest in acupuncture with them. Research suggests acupuncture can be safely combined with:
Medications: Studies show acupuncture works effectively alongside anti-anxiety medications without causing drug interactions.
Psychotherapy: Cognitive-behavioral therapy (CBT) and other talk therapies can complement acupuncture's effects.
Lifestyle approaches: Exercise, meditation, and stress management techniques work synergistically with acupuncture.
Combining acupuncture with standard treatments may provide better outcomes than either approach alone for some individuals.
When to Consider Acupuncture for Anxiety
Acupuncture may be worth exploring if:
You've experienced side effects from anti-anxiety medications
You prefer non-pharmaceutical approaches or want to reduce medication dependence
Your anxiety hasn't fully responded to conventional treatments alone
You're interested in complementary therapies alongside standard care
You have co-occurring conditions that might benefit from acupuncture (such as chronic pain or insomnia)
When to Seek Professional Mental Health Care
While acupuncture shows promise for anxiety, some situations require immediate professional mental health attention. You should contact a mental health provider or your doctor if you experience:
Severe anxiety that interferes with daily functioning
Panic attacks that are frequent or disabling
Suicidal thoughts or self-harm urges
Anxiety accompanied by significant depression
Symptoms that worsen despite treatment
Professional psychiatric care through platforms like Blossom Health can provide comprehensive evaluation and evidence-based treatment for anxiety disorders, including medication management and therapy referrals. If you're experiencing a mental health crisis, contact the 988 Suicide and Crisis Lifeline by calling or texting 988.
The Bottom Line
Acupuncture can be a helpful add-on treatment for anxiety. Several studies show it can reduce symptoms as much as standard treatments. While stronger research is still needed, acupuncture is generally considered safe and tends to have few side effects, which makes it a good option for people looking for alternatives or extra support.
If you're considering acupuncture for anxiety, work with both a qualified acupuncture practitioner and your mental health provider to develop a comprehensive treatment plan tailored to your individual needs.
Medical Disclaimer
This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. If you are experiencing a mental health crisis, contact the 988 Suicide and Crisis Lifeline by calling or texting 988.
Sources
Yang XY, Yang NB, Huang FF, Ren S, Li ZJ. 2021. Effectiveness of acupuncture on anxiety disorder: a systematic review and meta-analysis of randomised controlled trials. Ann Gen Psychiatry. https://pmc.ncbi.nlm.nih.gov/articles/PMC7847562/
Li M, Liu X, Ye X, Zhuang L. 2022. Efficacy of acupuncture for generalized anxiety disorder: A PRISMA-compliant systematic review and meta-analysis. Medicine (Baltimore). https://pmc.ncbi.nlm.nih.gov/articles/PMC9750622/
Pilkington K, Kirkwood G, Rampes H, Cummings M, Richardson J. 2007. Acupuncture for anxiety and anxiety disorders--a systematic literature review. Acupunct Med. https://pubmed.ncbi.nlm.nih.gov/17641561/
Amorim D, Brito I, Caseiro A, Figueiredo JP, Pinto A, Macedo I, Machado J. 2022. Electroacupuncture and acupuncture in the treatment of anxiety - A double blinded randomized parallel clinical trial. Complement Ther Clin Pract. https://pubmed.ncbi.nlm.nih.gov/35124475/
Liu X, Li M, Xie X, Li Y, Li K, Fan J, He J, Zhuang L. 2023. Efficacy of manual acupuncture vs. placebo acupuncture for generalized anxiety disorder (GAD) in perimenopausal women: a randomized, single-blinded controlled trial. Front Psychiatry. https://pubmed.ncbi.nlm.nih.gov/37854443/
Amorim D, Amado J, Brito I, Fiuza SM, Amorim N, Costeira C, Machado J. 2018. Acupuncture and electroacupuncture for anxiety disorders: A systematic review of the clinical research. Complement Ther Clin Pract. https://pubmed.ncbi.nlm.nih.gov/29705474/
Fan J, Lu W, Tan W, et al. 2022. Effectiveness of Acupuncture for Anxiety Among Patients With Parkinson Disease: A Randomized Clinical Trial. JAMA Netw Open. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2796568
Zhou X, Shi G, Chen R, Hu L, Li Z, Zhou Y, Zhang P, Ji X, Peng M, Chen K, Yan L, Zhou P. 2024. Acupuncture for generalized anxiety disorder: a study protocol for a randomized controlled trial. Braz J Med Biol Res. https://pubmed.ncbi.nlm.nih.gov/38716983/
Wang Y, Gu X, Zhi B, Yan Y, Lu F, Hu H, Zhang Q. 2025. The efficacy of acupuncture for generalized anxiety disorder (GAD) in college students: Study protocol for a randomized controlled trial. PLoS One. https://pubmed.ncbi.nlm.nih.gov/39787114/
National Institutes of Health. Mental Health Medications. https://www.nimh.nih.gov/health/topics/mental-health-medications
