How to reduce pre-surgical fear? A study says, try EFT!

John Freedom, CEHP & Sarah Murphy, LPC • February 26, 2024

Many people who face surgery are looking for ways to reduce pre-surgical fear. Hearing about possible complications and “what might go wrong” can increase these fears. Those of us who work with energy psychology understand how tools like EFT (Emotional Freedom Techniques) can help. For instance, I (Sarah) have often used EFT with my clients who are fearful of an upcoming operation, and I know – and my clients have learned! – how effective it is.

Moreover, reducing pre-surgical fear is important. A 2021 study found that while pre-surgical fear does not seem to affect survival rates, it does impact quality of life, cognitive performance, memory and attention, and depression. It also is associated with longer hospital stays and increased physical disability. 


A study on EFT for presurgical fear, by Manevse and Yavla, appears in the October 2023 edition of the Journal of PeriAnesthesia Nursing. This adds to the body of research supporting EFT for pre-surgical fear. In the study, EFT significantly reduced fear by 54.4%.


The study setup

The research used a pretest, post-test, and randomized controlled experimental research design. A total of 112 patients participated and were randomly divided into EFT experimental and control groups. In order to have data to compare, the control group received standard treatment practices. Meanwhile, the experimental group received EFT.


Measures

Researchers used a patient information form, an Anxiety Specific to Surgery Questionnaire, a Surgical Fear Questionnaire, and Subjective Units of Disturbance (SUD) to collect the research data. There were no significant pretest differences between the groups in terms of descriptive and clinical features (P > .05).


The surgery

All participants were facing laparoscopic cholecystectomy. This is a surgical procedure where the surgeon removes the gall bladder through small punctures in the abdomen to permit the insertion of a laparoscope and surgical instruments. 


Results

The post-test score averages of EFT group in the Surgical Fear Questionnaire, Anxiety Specific to Surgery Questionnaire, and SUD were significantly lower than in the control group (P < .001). Significantly, the EFT reduced the SUD scores of the patients by 54.4% (P < .001).


The authors concluded:  "EFT was found to be useful in clinical practice in the preoperative period, reducing surgery-specific anxiety and surgical fear. EFT can be recommended for application during the preoperative period in clinics."


Why this study matters.

Pre-surgical fears and anxieties are risk factors for post-surgical complications. Reducing or eliminating pre-surgical fears reduces complications and may shorten post-operative recovery time. Clinicians and healthcare workers can help their patients by sharing EFT. Most people would love a tool that gives them a 50+% reduction in their fear. That tool exists, and we should be using it.


Want to learn more?

ACEP offers gold-standard training, designed especially for licensed clinicians, in EFT. Want to learn more about the science behind energy psychology while earning CE’s? Take our science of energy healing course. You can stay up to date with the research on energy psychology here, or ask research committee chair John Freedom to add you to the research (research_committee@energypsych.org). Want to be involved in energy psychology research? You can participate in ACEP’s research collaboration with Peta Stapleton. 


Authors

John Freedom, CEHP, serves as chairman of ACEP’s research committee. The author of Heal Yourself with Emotional Freedom Technique, he presents seminars and events throughout the US and in Europe.


Sarah Murphy, LPC, ACP-EFT, is an ACEP board member and communications committee chair. She is a counselor in private practice and specializes in working with people who have serious illnesses.



Photo by Alexander Grey on Unsplash



By Lori Chortkoff Hops, PhD, DCEP April 29, 2025
How did your ancestors heal themselves, no matter what they were going through, when, or where they lived? They may have used practices in remarkably similar ways to other people around the planet. And many of those practices are still widely used today.
By Ted Blickwedel, LICSW, MSW, MEd April 9, 2025
After retiring from the military, I conducted individual and group therapy with combat veterans as a clinical social worker for the Department of Veterans Affairs (VA) at the VET Center in Warwick, RI. In my work, I've had many experiences showing the power of energy psychology to help heal trauma . One of these amazing stories occurred during my tenure at the VA. Veteran suffers from PTSD A 70-year old Vietnam Veteran suffered for 45 years from chronic PTSD as a result of life-threatening events he endured and injuries he sustained during combat. Let's call him Joe (not his real name). His symptoms included nightmares and waking up profusely sweating every night since he returned from the war 45 years ago. Joe also had insomnia and anger issues. Conventional therapies and medication were not able to alleviate the adverse impact of his trauma. Unfortunately, Joe's experience is common among a vast number of Veterans receiving treatment for PTSD at the VA. Energy psychology resolves trauma-related symptoms In the first energy psychology session, I introduced Joe to Emotional Freedom Techniques (EFT) and explained the process and its efficacy. During the next 6 sessions, he tapped on the EFT meridian points for 2-3 rounds on each combat trauma we addressed. While he tapped, I guided him to verbally release related negative emotions. We did this until he no longer experienced any disturbance associated with these challenging events, as determined by muscle testing. The results were inspiring. At the end of six 50-minute sessions, Joe reported that his nightmares and night sweats completely stopped, and he felt more rested, peaceful, and significantly less anxious. Joe was even able to stop taking most of his anxiety and depression medication. His wife said she noticed a huge positive shift in his demeanor. Lasting results Over the next 3 years, Joe used EFT on his own to clear other developmental traumas and negative core beliefs. During this time, he only had four nightmares during one two-week period, which were triggered by watching a war movie. Afterwards, he did not have any recurrence of PTSD symptoms. Joe felt joy that he did not experience previously, and he was more emotionally open and affectionate with his wife. This heart-warming story shows the power of EFT to heal rapidly and effectively, with results that last. It's why I love using it. Going forward What a difference could be made with Veterans and their families if the VA and Department of Defense (DOD) used energy psychology techniques like these! They would be free of the devastating impact of PTSD, have better relationships and an improved quality of life. Many ACEP members have stories of hope and healing. Let’s share them! When we tell our stories, we can help inspire practitioners to adopt energy psychology methods that are powerfully grounded in effective healingwith long-lasting outcomes. Get trained and make a difference Are you a teacher or school employee? If so, get trained to bring powerful energy psychology techniques to your school by enrolling in ACEP’s free Mind Body Tools for Children training. If you are a clinician or stakeholder wanting to offer energy psychology to your community, enroll in ACEP’s free Emotional First Aid training . If you would like to get trained in using Emotional Freedom Techniques with clients, sign up for ACEP’s online training that begins with EFT Professional Skills 1 . Author Ted Blickwedel, LICSW, MSW, MEd, is an ACEP member and recipient of ACEP's 2021 Special Recognition Award. He is a retired Marine, combat veteran, former VA VET Center counselor, VA whistleblower, and author of Broken Promises: Marine Combat Veteran Turns Whistleblower Exposing Compromised Mental Health Care at the Department of Veterans Affairs. Photo by RDNE Stock Project
By Maria Limardo, PhD, CEPH April 3, 2025
In our quest for optimal health, longevity, and deeper connection, we often overlook the microscopic powerhouses driving every function within our bodies: the mitochondria. These remarkable cellular structures don't just produce energy—they may hold the key to extended lifespan, enhanced consciousness, and perhaps even our spiritual experiences.
More Posts