Also known as: Emotional Freedom Technique, Tapping, Clinical EFT
A self-applicable mind-body protocol combining fingertip tapping on acupressure points with verbal phrases naming the issue being worked on. Documented across 56 randomised controlled trials with moderate-to-large effect sizes for anxiety, depression, PTSD, and stress.
EFT was developed by Gary Craig in the 1990s as a simplified derivative of Thought Field Therapy. The protocol combines two elements: tapping with fingertips on specific acupressure-meridian points (side of hand, eyebrow, side of eye, under eye, under nose, chin, collarbone, under arm, top of head) and speaking specific setup statements and reminder phrases that name the anxiety, memory, or trigger being addressed.
The 2022 Frontiers in Psychology systematic review by Peta Stapleton and colleagues identified 56 randomised controlled trials of Clinical EFT. Effect sizes for anxiety run roughly d = 1.23 in meta-analyses, large in absolute terms but smaller than CBT in head-to-head trials. A representative study showed 24% cortisol reduction in the EFT group versus 14% in supportive-interview controls.
Mechanism: autonomic regulation. The combination of body contact, focused attention, and verbal naming activates parasympathetic state. Cortisol drops, heart rate variability improves, breathing deepens.
EFT's main advantage is accessibility. The basic protocol takes 20 minutes to learn from a free YouTube tutorial. Self-applied work suits surface anxiety, performance fear, daily regulation, and trigger desensitisation. For trauma-rooted material, working with an EFT-certified practitioner for the first 4 to 6 sessions is recommended because the protocol can briefly intensify the original feeling before resolving it.
Methodological caveats apply. Many studies are small (n under 100). Blinding is difficult. The effect sizes that survive across the variation are real but the field has not produced the kind of definitive trials that mainstream psychology research has fully accepted.
EFT tapping has 56 randomised controlled trials with moderate-to-large effect sizes for anxiety. Reiki shows significant impact on anxiety in a 2024 meta-analysis covering 824 patients across 13 studies.
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Glossary31 terms covering modalities, mechanisms, and conditions