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56ALTERNATIVETHERAPIESjulaug2011VOL.17NO.4EurythmyTherapyinAnxietyJaneHamptonSchwabx0isx0anx0eurythmyx0therapistx0Diplx0JohnBernardMurphyx0isx0anx0eurythmyx0therapistx0Diplx0andx0PeterAnderssonMDx0isx0ax0specialistx0forx0generalx0medicinex0atx0thex0Vidarx0Clinicx0Foundationx0Jrnax0Sweden.x0GunvorLundeMDisx0ax0con-sultantx0psychiatristx0inx0thex0Departmentx0vorx0Psychosisx0andx0Rehabilitationx0Sanderudx0Hospitalx0Norway.x0HelmutKieneMDHaraldJohanHamreMDandx0GunverSophiaKienleMDx0arex0seniorx0scientistsx0atx0thex0Institutex0forx0Appliedx0Epistemologyx0andx0Medicalx0Methodologyx0Freiburgx0Germany.Correspondingx0authorx0Gunverx0Sophiax0Kienlex0MDE-mailx0addressx0gunver.kienleifaemm.deAnxietydisordersareincreasinglyrecogniCedasamajorhealthconcernoftenunderdiagnosedandundertreatedandwithsubstantialdisabilityreducedqualityoflifereducedwor4capacityandincreasedhealthcareuse.1-6About6to19ofadultsintheWestareaffectedeveryyearandabout10to29areaffecteddur-ingtheirlifetimes.78Subtypesofanxietydisordersincludegeneral-iCedanxietydisorderpanicdisorderspecificphobiasobsessive-compulsivedisordersocialanxietydisorderandpost-traumaticstressdisorder.9GeneraliCedanxietydisorderischarac-teriCedbypersistentexcessiveandunrealisticworryabouteverydaythings.Itisaccompaniedbyvarioussymptomsofauto-nomicarousalegpalpitationssweatingtremblinginthechestandabdomenegdifGcultybreathingchestpainnauseadiar-rheaofmentalstateegdiCCinessfeelingsofunrealityfearofdyingdifGcultyinconcentratingandgeneralsymptomsegmus-cletensionnumbnessortinglingachesandpainshotHushesorcoldchillsrestlessnessfatigueandsleepdisturbance.10Treatmentoptionsaremedicationselectiveserotoninreupta4einhibitorstri-cyclicantidepressantsbenCodiaCepinesandothersandpsycho-therapyespeciallycognitivebehavioraltherapyrelaxationtherapyandself-helpapproaches.1011HowevernotallpatientsbeneGtfromthesetreatmentoptions.Evenundertheoptimalconditionsofaclinicaltrial20to60ofthepatientsdonotimprove.Furthermoreanxietydisordershavearelapsingcourseandmedi-cationalonerarelyleadstocompleterecovery.1012-16AbouthalfofthepatientswithanxietyusecomplementaryandalternativemedicineCAM.1718OneCAMsystemisanthropo-sophicmedicineAMfoundedbyRudolfSteinerandItaWegmanintheearly20thcentury.1920ItisbasedonaspeciGcunderstandingofthehumanorganismwithparticularconceptsofpathophysiolo-gyandtherapeuticintervention.AMispresentlypracticedasinte-grativemedicineintegratedwithconventionalmedicineinmostEuropeancountriestheAmericassomeAfricanandAsiancoun-triesAustraliaandNewzealand.AMisofferedinhospitalscur-rently28specialiCedAMhospitalsoutpatientclinicsandpractices.Itisprovidedbyphysiciansnursesandtherapists.SpeciGcAMtreatmentsincludemedicationmovementeurythmytherapyEYTrhythmicalmassageanthroposophicarttherapymusicpaintingpoetrysculptureandspeciGccounselingthatrelatestonutritionlifestylecopingstrategiesbiographic-existentialaspectsandsocialaspectsofillness.InadditiontherearespecialAMnursingtechniques.20TreatmentofmentaldisordersisafocusofAMhealthcare21especiallyinprimarycarebutalsoinspecialiCeddepartmentsorpsychiatrichospitals.Aprospectivecohortstudyin2009assessedoutcomeofpatientstreatedforanxi-etydisordersinoutpatientsettingsbyAMincludingEYTartandmassagetherapiesconsultationsbyAMdoctorsandspecialAMmedication.Along-termimprovementofanxietywasobservedEurythmyx0Therapyx0inx0AnxietyJaneHamptonSchwabJohnBernardMurphyPeterAnderssonMDGunvorLundeMDHelmutkieneMDHaraldJohanHamreMDGunverSophiakienleMDcasereportAnxietyisahighlyfrequentconditionmanypatientssee4complementarytreatment.OneoftheseisanthroposophicmedicineAMusingtherapeuticapproachesthatarebasedonadistinctconceptofthehumanorganismillnessandhealing.AMisappliedinanxietyhoweverlittleis4nownaboutunder-lyingtherapeuticconceptstheeffectivenessandthemodalitiesofclinicalreasoningandjudgment.Presentedisa21-year-oldwomanwhohadsufferedfromsevereandincreasinganxietyfor6monthswhichhadledtosocialisolationandcompletesic4leavefromwor4.ShehadattendedanAMhealthcarecenterandcounselingatapsychi-atrichospitalbuthadnotimprovedsignificantlyafter6months.EurythmytherapyEYTwasthenappliedfor8wee4s.WithintheAMpathophysiologicalcontextthepatientwasdiagnosedashavingstress-inducedanxietybasedonajuveniledisturbanceoftherhythmicalsystem.AssociatedsymptomswerespeciGcanomaliesinthepatientx19seurythmymovementpatternax1cbreathed-in-upwardssyndrome.x1dIntheEYTsessionsclearinterconnectionsbetweenEYT-exercisesandsymptom-reliefwereobservableparalleledbyasubstan-tialreliefofthepatientx19sanxiety.EYTmighthavesomeimpactonanxietysyndromeandshouldbeinvestigatedinmoredetail.Alternx0Therx0Healthx0Med.201117458-65.