Aromatherapy

Fresh herbs lying next to a glass bottle of essential oilsAromatherapy is the therapeutic use of essential oils and other plant materials to improve a person’s health, mood, and energy.

What Is Aromatherapy?

Aromatherapy seeks to enhance an individual’s physiological, emotional, cognitive, and psychological well-being through the controlled use of pure essential oils and other aromatic plant compounds. These naturally extracted aromatic oils are usually diluted with carrier oil or cream, applied topically, and massaged into a person’s skin. The aroma from these oils may also be directly inhaled through the nose. Other applications include adding the diluted essential oils to a warm bath, adding oils to a cold compress placed on the skin, or using an aromatherapy oil diffuser to produce an aromatic vapor.

While some oils may have particular benefits, aromatherapy is not used to target specific symptoms; rather, the approach aims to promote holistic healing by supporting the body’s natural ability to regain balance and recover from health-related setbacks. Aromatherapy may be offered as a type of alternative medicine or as a complementary therapy in company with a more established treatment approach. It is also fairly common for aromatherapy to be incorporated into certain types of massage therapy.

How Does Aromatherapy Work?

There are two major theories that attempt to explain the mechanism by which aromatherapy works. The first claims the essential oils are absorbed through the skin and into the somatic tissues. When massaged into the skin, essential oils may activate the skin’s thermal receptors and destroy fungi, bacteria, viruses, and other microorganisms. Some individuals believe a number of essential oils possess anti-inflammatory effects and provide soothing relief for arthritis, burns, and muscular pain.

The second theory posits that essential oils stimulate the olfactory nerve and send signals to the brain’s limbic system—a complex neural network that is closely associated with memories, emotions, and instincts. This stimulation is believed to trigger the release of chemicals that contribute to feelings of calm, relaxation, or stimulation.

Mental Health Benefits of Aromatherapy Oils

Aromatherapy essential oils can produce a wide range of mental effects, depending on the oil being utilized. While aromatherapy will not “cure” a health issue, it can help some people more easily cope with symptoms. Common issues that are often treated with aromatherapy and some essential oils used to treat them include:

  • Anxiety and stress: Aromatherapy for anxiety and stress tends to have a sedating effect, bringing calm and relieving tension. Lavender, neroli, sweet marjoram, and mandarin essential oils may help.
  • Sleep issues: Aromatherapy for insomnia and other sleep disorders may include treatment with lavender, chamomile, ylang ylang, jasmine, marjoram, and bergamot essential oils.
  • Depression: One study which found that aromatherapy may be helpful in treating symptoms of depression reported that lavender, bergamot, and yuzu were some of the most popular oils chosen. Jasmine and rosemary essential oils may also prove helpful for people experiencing depression.
  • Dementia: In a Japanese study on the effectiveness of essential oils for treating insomnia in elderly patients with dementia, lavender, sweet orange, cedar, and pine oils were found to be effective.
  • ADHD: Essential oils that help improve focus and mental clarity may be helpful for those interested in using aromatherapy for symptoms of ADHD. Vetiver, lavender, rosemary, eucalyptus, and frankincense oils have been found to improve cognitive performance, alertness, and attention.
  • Autism: Some individuals use aromatherapy to soothe issues such as anxiety that may occur alongside autism. Sandalwood, peppermint, and orange essential oils can have a calming effect and may help aid in relaxation for people with autism.
  • Chronic pain: Like any other health issue, aromatherapy is not going to cure chronic pain. For some individuals, however, it may help with certain aspects of pain management. Lavender, eucalyptus, and sweet marjoram essential oils were found to help relieve discomfort and improve sleep for patients with chronic pain.
  • Menstrual and menopausal issues: Both menstrual issues, such as PMS and premenstrual dysphoria (PDD) and issues associated with menopause can cause a variety of uncomfortable physical, mood, and mental health symptoms. Essential oils such as black pepper, grapefruit, ginger, and geranium could help.

Aromatherapy and Mental Health Issues

Several studies that investigated aromatherapy’s impact on anxiety reduction have reported positive results for this type of treatment. In a review of 16 randomized controlled trials conducted between 1990 and 2010, researchers reported that aromatherapy treatments reduced symptoms of anxiety, with no adverse effects.

A review of studies from 2000-2008 that explored the effectiveness of essential oils administered to people with depression found that aromatherapy may have some benefit as a form of complementary or alternative medicine to treat primary or secondary symptoms of depression.

Other experiments have suggested aromatherapy can help relieve stress and stress-related conditions. In one study, researchers found the use of lavender oil may be beneficial in relieving the effects of acute stress on cognitive function.

Aromatherapy Certification and Training

In the United States, several academic institutions provide comprehensive training programs in aromatherapy. The National Association for Holistic Aromatherapy (NAHA) is a leading organization in the U.S. and on the international scene. NAHA provides oversight, regulation, and guidance for many aromatherapy schools and educational programs.

At present, NAHA offers three approved standards for professional aromatherapy education:

  • Level One: NAHA Certified Level One Aromatherapist, which requires a minimum 50 hours of training.
  • Level Two: NAHA Certified Professional Aromatherapist, which requires a minimum of 200 hours of training.
  • Level Three: NAHA Certified Clinical Aromatherapist, which requires a minimum of 300 hours of training.

History of Aromatherapy

The practice of aromatherapy dates back as far as 4000 BC, when the ancient Egyptians produced medicine, embalming agents, perfumes, and cosmetics with the use of scented oils. Chinese, Indian, Greek, and Roman civilizations also made regular use of scented oils in therapeutic, spiritual, hygienic, and ritualistic activities. In the 5th century BC, the Greek physician Hippocrates taught and promoted the health benefits of aromatic oils.

Aromatherapy attracted public attention in 1937, after French chemist René-Maurice Gattefossé released a book entitled Aromathérapie: Les Huiles Essentielles, Hormones Végétales. In the book, Gattefossé described how he had severely burned his hand in an explosion in his lab but had recovered well after treating his burns with lavender oil. Gattefossé studied the properties of the essential oils used to treat gangrene, burns, skin infections, and wounds during World War I. In 1928, he established and spearheaded the scientific study of aromatherapy.

The concentrated oils harvested from plant leaves, flowers, stems, resins, and roots continued to be used during the early and mid-20th century, with French physician Jean Valnet employing them as antiseptics to treat injured soldiers during World War II. Aromatherapy gained wider recognition in the United States during the 1980s.

Concerns and Limitations of Aromatherapy

As with other treatment modalities, aromatherapy may be risky or dangerous in certain circumstances. Some plant oils such as pennyroyal, camphor, and wintergreen may be toxic if ingested. Many commonly used oils are highly potent, and they can cause adverse reactions if applied to the skin in concentrated form.

Women who are pregnant and those with issues such as asthma, nose bleeds, epilepsy, skin conditions, and high blood pressure should consult a doctor before undergoing aromatherapy treatment. Essential oils may also elicit allergic reactions in some people.

While several studies have indicated aromatherapy may provide some therapeutic benefits, there is currently little empirical evidence that supports the approach. As a result, researchers have called for more comprehensive studies into this treatment modality.

References:

  1. Approved standards for professional aromatherapy education. (2017). National Association for Holistic Aromatherapy. Retrieved from https://naha.org/education/standards
  2. Brazier, Y. (2017, March 20). Aromatherapy: What you need to know. Medical News Today. Retrieved from http://www.medicalnewstoday.com/articles/10884.php
  3. Cancer Research UK. (2018, November 28). Aromatherapy. Retrieved from http://www.cancerresearchuk.org/about-cancer/cancers-in-general/treatment/complementary-alternative/therapies/aromatherapy
  4. Fonareva, I., & Oken, B. (2014). Effects of stress-reducing aromatherapy on go-nogo task following acute stress: An evoked related potentials study. The Journal of Alternative and Complementary Medicine, 20(5), A65. doi: 10.1089/acm.2014.5169.abstract
  5. Johnson, J. (2017, January 10). ADHD: Can essential oils help? Medical News Today. Retrieved from https://www.medicalnewstoday.com/articles/315114.php
  6. Lakhan, S. E., Sheafer, H., & Tepper, D. (2016, December 4). The effectiveness of aromatherapy in reducing pain: A systemic review and meta-analysis. Pain Research and Treatment, 2016. doi: 10.1155/2016/8158693
  7. Lapidos, R. (2018, August 2). These essential oils help make PMS less of a pain. Retrieved from https://www.wellandgood.com/good-advice/essential-oils-pms-symptoms
  8. Lee, Y., Wu, Y., Tsang, H. W. H., Leung, A. Y., Cheung, W. M. (2011, February 10). A systematic review on the anxiolytic effects of aromatherapy in people with anxiety symptoms. The Journal of Alternative and Complementary Medicine, 17(2), 101-108. doi: 10.1089/acm.2009.0277
  9. Moore, J. (2013). Aromatherapy for anxiety. The Kansas Nurse, 88(3), 11-13. Retrieved from https://www.scribd.com/document/316902194/Aromatherapy-for-Anxiety
  10. Nichols, H. (2018, December 3). Can essential oils treat depression? Medical News Today. Retrieved from https://www.medicalnewstoday.com/articles/315481.php
  11. Panneerselvam, S. (2017). Effectiveness of aromatherapy in insomnia. International Journal of Innovative Pharmaceutical Sciences and Research, 5(11), 96-106. doi: 10.21276/IJIPSR.2017.05.11.220
  12. Pau, M. (2016, November 14). Aromatherapy for relieving chronic pain in community-dwelling older people: A feasibility study. Journal of Complementary Medicine & Alternative Healthcare, 1(1), 1-5. Retrieved from https://pdfs.semanticscholar.org/fde7/01aa9f22a92e80bcf0241dec5f106b76b342.pdf
  13. Sanchez-Vidaña, D. I., Pui-Ching Ngai, S., He, W., Chow, J. K., Lau, B. W., & Tsang, H. W. (2017, January 4). The effectiveness of aromatherapy for depressive symptoms: A systemic review. Evidence-Based Complementary and Alternative Medicine, 2017. doi: 10.1155/2017/5869315
  14. Sheppard-Hanger, S. & Hanger, N. (2015). The importance of safety when using aromatherapy. International Journal of Childbirth Education, 30(1), 42-47. Retrieved from https://www.scribd.com/document/323408024/The-Importance-of-Safety-When-Using-Aromatherapy
  15. Takeda, A., Watanuki, E., & Koyama, S. (2017, March 19). Effects of inhalation aromatherapy on symptoms of sleep disturbance in the elderly with dementia. Evidence-Based Complementary and Alternative Medicine, 2017. doi: 10.1155/2017/1902807
  16. Victoria State Government Health and Human Services. (2015). Aromatherapy. Retrieved from https://www.betterhealth.vic.gov.au/health/ConditionsAndTreatments/aromatherapy
  17. Wells, D. (2018, June 15). How to treat the symptoms of autism with essential oils – 11 ideas. Healthline. Retrieved from https://www.healthline.com/health/essential-oils-for-autism
  18. Yim, V. W., Ng, A. K. Y., Tsang, H. W., & Leung, A. Y. (2009). A review on the effects of aromatherapy for patients with depressive symptoms. The Journal of Alternative and Complementary Medicine, 15(2), 187-195. doi: 10.1089/acm.2008.0333

Last Updated: 11-5-2019