Anxiety has become increasingly present in clients’ lives. During the COVID-19 pandemic, mental health shifted dramatically. In less than a year—from August 2020 to February 2021—the percentage of U.S. adults reporting symptoms of anxiety or depressive disorders increased from 36.4% to 41.5%. In practical terms, two out of five adults were reporting significant anxiety or depressive symptoms. Even after the pandemic, anxiety levels continued to rise, especially among young adults.
As massage therapists, we often see these patterns show up in subtle but important ways. Clients may present with muscle tension, shallow breathing, difficulty relaxing, hypervigilance, sleep disruption, digestive discomfort, or a nervous system that seems unable to fully settle. Yet many massage therapists were never formally trained to recognize how anxiety presents in the treatment room or how to address it appropriately within scope of practice.
Clients can also experience what psychologists sometimes describe as disproportionate or “imagined” fears—situations where the emotional charge is far greater than the actual circumstance warrants. For example, if a situation would normally create a stress response of a 2 out of 10, but the client’s fear level is an 8 out of 10, anxiety may be playing a significant role in their experience. Recognizing these distinctions allows us to meet clients with greater awareness, steadiness, and compassion.
It is also important to understand that anxiety medications—known as anxiolytics—can influence how clients experience massage. Certain medications may affect sensation, perception, relaxation, responsiveness, or a client’s ability to give accurate feedback during a session. Taking note of medications, understanding potential side effects, and remaining attentive to client presentation are all part of practicing thoughtfully and responsibly.
In my practice and teaching, I utilize evidence-based modalities such as Swedish massage, reflexology, acupressure, grounding techniques, rhythmic touch patterns, breath-focused approaches, and nervous-system-supportive strategies designed to help clients move toward greater relaxation and regulation. I also emphasize therapist self-care, because supporting clients experiencing anxiety requires us to remain grounded and regulated ourselves.
To access my Massage for Anxiety video resources and expand your toolbox with an 85% off discount, click here:
Massage for Anxiety Video Access
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Live Massage for Anxiety Class
