Music therapy enhances emotional wellbeing by reducing stress, anxiety & depression through therapeutic musical experiences.
It can improve cognitive functioning & physical rehabilitation, particularly benefiting individuals with neurological disorders.
Engaging with music therapy encourages self-expression & supports meaningful connections, boosting overall quality of life.
Music has the power to boost the intensity of existing moments and stir deep emotions while helping us recall and relive meaningful memories (Solanki et al., 2013).
For me, when I hear Bob Marley’s “Three Little Birds,” I’m transported back to gently singing the lyrics — exhausted — at 3 AM to my then baby daughter as she stubbornly resisted sleep.
It’s no surprise that music across every culture, and in all its forms, is recognized as providing solace and emotional comfort to the weary and those facing difficult challenges (Solanki et al., 2013).
More recently, researchers and mental health professionals have confirmed its therapeutic potential to support good mental health and reduce symptoms of a range of conditions, including depression and anxiety (Silverman, 2022).
This article digs deeper into the benefits of music therapy in its various forms and settings.
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Music has offered humanity emotional support and prepared us for the tough times ahead throughout history and across all cultures (Solanki et al., 2013).
In recent decades, a wealth of research has confirmed its value across a spectrum of mental and physical health conditions. Studies report the many benefits of music therapy, including (Solanki et al., 2013; Silverman, 2022):
Reducing symptoms of psychosis, depression, anxiety, stress, and schizophrenia-like disorders
Enhancing social functioning
Positively impacting treatment readiness and motivation
Reducing craving intensity and volume in substance use interventions
Lowering resistance to mental health treatment due to its enjoyability compared to other therapies
Improving coping skills
Offering emotional relief by inspiring hope and optimism
Boosting memory, attention, and cognitive functioning
Promoting relaxation and reducing stress-related hormones
Offering pain relief for acute and chronic conditions
Encouraging social interaction and group cohesion
Supporting other therapeutic and rehabilitation techniques
Reducing distress and challenging behavior in patients with Alzheimer’s disease
Improving sleep quality
Music therapy is also well tolerated. It is a noninvasive and safe treatment with no known side effects and a low dropout rate (Silverman, 2022).
Promote Wellness
The capacity of music to promote psychological wellness is witnessed in our daily lives and reported in the scientific literature (Constantin, 2018; Altenmüller & Schlaug, 2012).
Music therapy involves engagement with music, such as playing instruments, singing, or listening, and is facilitated by a suitably trained professional (Lu et al., 2021).
The benefits of music therapy result from music’s ability to engage multisensory, motor, and emotional networks in the brain and involve key neural mechanisms: neuroplasticity, neurohormonal modulation, and emotional activation (Altenmüller & Schlaug, 2012; Constantin, 2018).
In a very real sense, music can change our brains. It stimulates our mental adaptation, enhancing functional connections and increasing the density of our gray matter. Such rewiring improves sensory, motor, and cognitive functioning (Altenmüller & Schlaug, 2012; Constantin, 2018).
Beyond that, music can trigger our brain’s reward system, releasing the serotonin and dopamine we associate with feeling good, motivated, and emotionally balanced.
Music’s ability to reduce stress may result from the release of immune-boosting peptides that increase feelings of wellness (Altenmüller & Schlaug, 2012; Constantin, 2018).
Music therapy connects with us at a deep level and allows us to embrace our feelings without relying on words (Barnes, 2018).
The benefits of music therapy come from fostering overall wellness and supporting individuals and groups in overcoming various emotional disorders (Constantin, 2018).
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Manage Stress and Anxiety
Music therapy is a powerful approach for individuals and mental health professionals for managing and reducing stress and anxiety (Lu et al., 2021).
The benefits of music therapy are the result of the individual and combined elements of music, including melody, rhythm, harmony, and pitch, and their ability to support physical, psychological, and social wellbeing (Lu et al., 2021).
Several mental mechanisms and strategies come into play during treatment that help clients manage and overcome stress, including (Lu et al., 2021):
Distraction
Music can shift the client’s attention away from negative stimuli, events, or thoughts to something more positive.
Emotional regulation
Musical expression can help individuals process emotions and reduce tension.
Reward and pleasure activation
Treatment can stimulate areas of the brain associated with reward and emotion (parts of the limbic system) that counteract feelings of anxiety and stress.
Therapeutic interaction
Music can support the therapeutic relationship by fostering emotional stability and more active interaction between the therapist and client.
Relaxation and stress reduction
Melody, rhythm, and harmony can be calming, lowering physiological stress responses, including heart rate and blood pressure.
The psychological and physical mechanisms impacted contribute to the benefits of music therapy and its capacity to reduce anxiety and improve coping abilities (Lu et al., 2021).
Alleviate Pain
Research within various medical settings confirms that one of the benefits of music therapy is its ability to alleviate pain, particularly in those recovering from severe burns, living with chronic discomfort, or experiencing palliative care (Klenck, 2022).
In the emergency department, musical interventions can help individuals manage pain and promote comfort during medical procedures (Klenck, 2022)
Crucially, it is noninvasive and can be personalized to the patient and their situation. It can reduce the length of hospital stays, improve patient satisfaction, and lower stress-related physiological responses (Klenck, 2022).
Pain-reducing (or managing) musical interventions can take various forms, including (Klenck, 2022; Barnes, 2018):
Patient-preferred music listening
Patients select the music they most enjoy. It can reduce pain and anxiety and encourage relaxation.
Music-assisted relaxation
Music is paired with other relaxation techniques, such as imagery or deep breathing.
Engaging with live music
The music therapist plays instruments, such as the guitar or piano, to create a calming environment to distract patients from their discomfort.
Iso-principle
The therapist matches the music with the patient’s current mood. Then, they gradually introduce more relaxing or uplifting styles to achieve the desired emotional state.
Playing instruments
When patients are engaged in playing instruments, it promotes coping, mood elevation, and distraction from medical procedures.
Songwriting
Individually or with the therapist, writing songs can support coping and the experience and processing of medical procedures.
Music for support
Appropriate music can reduce distress and support coping.
The combined benefits of music therapy make it a powerful complementary tool for pain management, particularly in medical settings (Barnes, 2018).
Express Feelings
The benefits of music therapy extend to older adults in search of a better quality of life in care settings. Studies suggest this is partly because it helps clients engage in deep emotional expression (González-Ojea et al., 2022).
Singing songs from their childhood or key points in their lives helps aging clients connect with positive emotions, while moving with music offers opportunities for emotional release and articulating how they feel nonverbally and creatively (González-Ojea et al., 2022).
Emotion-regulating improvisational music therapy uses musical improvisation to encourage clients to express emotions more fully, helping them engage with positive emotions, such as joy, trust, and relaxation, and challenging ones, such as aggression, fear, and frustration (Aalbers et al., 2022).
Music is the universal language of emotions and encourages us to reflect on what a song means to us.
Enhance Memory
Music therapy can positively impact cognitive performance and memory. Studies recognize experimental protocols such as sound training for attention and memory as a valuable treatment for people with schizophrenia, boosting memory and cognitive skills (Solanki et al., 2013).
Part of the reason for improved mental performance may be in response to increased brain-derived neurotrophic factor levels in the hypothalamus, which is known to boost neuron growth and survival (Solanki et al., 2013).
Familiar music also has the potential to trigger apparently lost memories and support recall in patients with dementia and Alzheimer’s (Solanki et al., 2013; Zhao et al., 2016).
Improve Communication
The benefits of music therapy also include its positive impact on the therapeutic alliance, improving communication between client and therapist (Aalbers et al., 2022).
More generally, such treatments benefit emotional expression and verbal processing, which are essential communication elements in any relationship.
Music offers a more relaxed and supportive environment within patient waiting rooms that encourages patients to share their needs and experiences (Klenck, 2022).
For individuals with cognitive deficits or conditions such as dementia and Alzheimer’s, acquired brain injury, and autism, the benefits of music therapy include encouraging spontaneous interaction, reducing isolation, and increasing social engagement (González-Ojea et al., 2022; Barnes, 2018).
Psychiatrists also recognize the benefits of music therapy and its ability to create supportive environments that help clients develop better communication skills, build stronger relationships, and express themselves in ways not possible through traditional approaches (Solanki et al., 2013).
Music therapy has proven to be a valuable tool alongside other treatments for supporting emotional and physical rehabilitation in patients in various settings (Weigel et al., 2023).
For example, research has identified music therapy as complementary to physical therapy in treating patients with multiple sclerosis by targeting motor, cognitive, emotional, and sensory functions, offering several key benefits, including (Weigel et al., 2023):
Improved mobility and gait
Better balance
Enhanced motor skills
Lower perceived fatigue
Increased physical comfort and reduced pain
Facilitate Emotional Healing After Trauma
Music therapy can be effective with patients experiencing post-traumatic stress symptoms who haven’t responded to conventional treatment, such as cognitive behavioral therapy (Carr et al., 2012).
Engaging with music, be that listening, playing instruments, or songwriting, provides individuals with an accessible, safe, and expressive medium to explore painful experiences without direct verbal confrontation (Landis-Shack et al., 2017).
Trauma-focused music therapy significantly reduces post-traumatic stress symptoms, fosters emotional processing, and aids emotional integration, supporting overall psychological recovery (Carr et al., 2012; Landis-Shack et al., 2017).
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Music therapy shows promising results in aiding recovery from neurological conditions such as Parkinson’s disease and stroke (Altenmüller & Schlaug, 2012).
Music simultaneously activates multiple brain regions, encouraging neuroplasticity — promoting neuron growth and connections — and supporting the rehabilitation of motor function.
Therapies involving rhythmic cues, such as playing melodies on the piano and tapping electronic drum pads, have proven effective in improving gait, coordination, and overall mobility (Altenmüller & Schlaug, 2012).
Music therapy is a valuable tool for children with neurological disorders, as it supports neuroplasticity and promotes mental and physical recovery. Bringas et al. (2015) identified vital attention and communication improvements in those treated and suggested more widespread use of such treatment in neurorestorative settings.
How music can heal our brain and heart - Kathleen M. Howland
More Music Therapy Resources From PositivePsychology.com
We have many complementary resources available to support therapists interested in using the benefits of music therapy with clients.
The Voo Sound
Breathing out while making a low-pitched foghorn sound can help regulate our body’s responses and prevent overriding our nervous system.
Event Visualization Worksheet
This visualization exercise can be adapted to incorporate music as a coping or grounding tool when anticipating stressful situations.
Feelings Garden
Music can be incorporated into this delightful activity to help children identify and understand their feelings, thoughts, and behavior.
Music has been shown to promote positive social behavior in children (Altenmüller et al., 2012). Try out the following to help them become better at sharing and caring for others:
Step one – Explain to the group that this is a singing exercise and ask them to pay attention to how they feel afterward.
Step two – Form a circle, seated or standing.
Step three – Ask the group to write down names of well-known songs, put them in a box, and choose one at random.
Step four – Invite the group to sing, with the leader encouraging the others.
Step five – Clap and cheer when finished to celebrate.
Step six – Reflect on what it was like to sing as a group and how everyone felt afterward.
Using Music to Express Feelings
Music has been described as the language of emotions. This exercise uses music to evoke complex emotions and create mood states.
Choose three songs that capture how you feel about your situation right now.
Answer the following questions: What is the title of this song? When you hear this song, what comes to mind? How does this song make you feel? Which part of the song is the most important to you?
We’ve likely all been deeply moved by music multiple times throughout our lives. As such, we can likely recognize its ability to mirror or enhance our feelings.
The benefits of music therapy are wide and varied. Music can move us and help us embrace a wide range of feelings, including joy, pain, hope, sadness, awe, and loss.
Research confirms its value as a standalone and combination treatment to support wellbeing and improve life quality in diverse groups (González-Ojea et al., 2022; de Dreu et al., 2012; Lin et al., 2020).
Music-based therapies offer powerful, non-pharmacological interventions for treating psychological, psychiatric, and behavioral disorders and addressing the physical, emotional, cognitive, and social needs of clients (Tang et al., 2020).
For patients recovering from surgery or experiencing pain from chronic conditions, musical treatment can reduce the negative consequences that result, such as hyperventilation, poor sleep, anxiety, and difficulty moving (Lin et al., 2020).
Ultimately, making or listening to music can engage our multisensory and motor networks and capacity for neuroplasticity, bringing positive mental and physical changes to our clients’ lives.
What are the psychological benefits of music therapy?
Music therapy can reduce anxiety and depression, enhance emotional resilience, and promote positive emotions by actively engaging our brain’s emotional and cognitive systems (Aalbers et al., 2022; Constantin, 2018).
Can music therapy improve mental health?
Music therapy helps clients manage their emotional responses, strengthens their coping skills, and supports their overall mental health by stimulating the brain’s reward and emotional centers (Solanki et al., 2013; Tang et al., 2020).
Is music therapy effective for anxiety?
Absolutely. Music therapy leverages melody and rhythm to lower stress hormones, reduce anxiety, and promote deep relaxation through emotional regulation and distraction (Lu et al., 2021).
References
Aalbers, S., Vink, A., de Witte, M., Pattiselanno, K., Spreen, M., & van Hooren, S. (2022). Feasibility of emotion-regulating improvisational music therapy for young adult students with depressive symptoms: A process evaluation. Nordic Journal of Music Therapy, 31(2), 133–152. https://doi.org/10.1080/08098131.2021.1934088
Altenmüller, E., & Schlaug, G. (2012). Music, brain, and health: Exploring biological foundations of music’s health effects. In R. MacDonald, G. Kreutz & L. Mitchell (Eds.), Music, health, and wellbeing (pp. 12–24). Oxford University Press.
Bringas, M. L., Zaldivar, M., Rojas, P. A., Martinez-Montes, K., Chongo, D. M., Ortega, M. A., Galvizu, R., Perez, A. E., Morales, L. M., Maragoto, C., Vera, H., Galan, L., Besson, M., & Valdes-Sosa, P. A. (2015). Effectiveness of music therapy as an aid to neurorestoration of children with severe neurological disorders. Frontiers in Neuroscience, 9. https://doi.org/10.3389/fnins.2015.00427
Carr, C., d’Ardenne, P., Sloboda, A., Scott, C., Wang, D., & Priebe, S. (2012). Group music therapy for patients with persistent post-traumatic stress disorder—An exploratory randomized controlled trial with mixed methods evaluation. Psychology and Psychotherapy, 85(2), 179–202. https://doi.org/10.1111/j.2044-8341.2011.02026.x
Constantin, F. A. (2018). Music therapy explained by the principles of neuroplasticity. Bulletin of the Transilvania University of Brașov, Series VIII, Performing Arts, 11(1), 19–24.
de Dreu, M. J., van der Wilk, A. S. D., Poppe, E., Kwakkel, G., & van Wegen, E. E. H. (2012). Rehabilitation, exercise therapy and music in patients with Parkinson’s disease: A meta-analysis of the effects of music-based movement therapy on walking ability, balance and quality of life. Parkinsonism & Related Disorders, 18, Supplement 1, S114–S119. https://doi.org/10.1016/S1353-8020(11)70036-0
González-Ojea, M. J., Domínguez-Lloria, S., & Pino-Juste, M. (2022). Can music therapy improve the quality of life of institutionalized elderly people? Healthcare, 10(2), 310. https://doi.org/10.3390/healthcare10020310
Klenck, R. M. (2022). Music therapy in the emergency department: A scoping review. ProQuest Dissertations & Theses.
Landis-Shack, N., Heinz, A. J., & Bonn-Miller, M. O. (2017). Music therapy for post-traumatic stress in adults: A theoretical review. Psychomusicology, 27(4), 334–342. https://doi.org/10.1037/pmu0000192
Lin, C., Hwang, S., Jiang, P., & Hsiung, N. (2020). Effect of music therapy on pain after orthopedic surgery—A systematic review and meta-analysis. Pain Practice, 20(4), 422–436. https://doi.org/10.1111/papr.12864
Lu, G., Jia, R., Liang, D., Yu, J., Wu, Z., & Chen, C. (2021). Effects of music therapy on anxiety: A meta-analysis of randomized controlled trials. Psychiatry Research, 304, 114137. https://doi.org/10.1016/j.psychres.2021.114137
Silverman, M. J. (2022). Music therapy in mental health for illness management and recovery. Oxford University Press, Incorporated.
Solanki, M. S., Zafar, M., & Rastogi, R. (2013). Music as a therapy: Role in psychiatry. Asian Journal of Psychiatry, 6(3), 193–199. https://doi.org/10.1016/j.ajp.2012.12.001
Tang, Q., Huang, Z., Zhou, H., & Ye, P. (2020). Effects of music therapy on depression: A meta-analysis of randomized controlled trials. PloS One, 15(11), e0240862. https://doi.org/10.1371/journal.pone.0240862
Weigel, M., Hutchinson, B., Magee, W. L., Leong, K., Sweitzer, T., Weiss, J. L., Su, W., & Fleming, R. (2023). Orchestrating a new path for multiple sclerosis: Achieving physical, cognitive, and emotional rehabilitation goals through physical and music therapy. International Journal of MS Care, 25(4), 168–175. https://doi.org/10.7224/1537-2073.2021-144
Zhao, K., Bai, Z. G., Bo, A., & Chi, I. (2016). A systematic review and meta-analysis of music therapy for older adults with depression. International Journal of Geriatric Psychiatry, 31(11), 1188–1198. https://doi.org/10.1002/gps.4494
About the author
Jeremy Sutton, Ph.D., is an experienced psychologist, coach, consultant, and psychology lecturer. He works with individuals and groups to promote resilience, mental toughness, strength-based coaching, emotional intelligence, wellbeing, and flourishing. Alongside teaching psychology at the University of Liverpool, he is an amateur endurance athlete who has completed numerous ultra-marathons and is an Ironman.
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What our readers think
Marina
on January 10, 2021 at 21:10
Music therapy is one of the most important alternative therapies. Music, like any art form, is a way to find yourself. In my free time, I usually watch online streaming shows. I recently saw the Madama butterfly through Greek National Opera’s GNOTV
dear madam,
thank you verymuch for giving us the knowledge about a most valuable topic.i am a researcher about music therapy.it is realy interesting to do research about music therapy.i hope you will publish more articles about music therapy,and new things about the topic.thank you again and wish you all the best.
What our readers think
Music therapy is one of the most important alternative therapies. Music, like any art form, is a way to find yourself. In my free time, I usually watch online streaming shows. I recently saw the Madama butterfly through Greek National Opera’s GNOTV
Thank you for informing on this. I plan on going to college to become a musical therapist.
Hi Haley,
Thanks for reading. That’s brilliant — Best of luck with your career journey and studies!
– Nicole | Community Manager
dear madam,
thank you verymuch for giving us the knowledge about a most valuable topic.i am a researcher about music therapy.it is realy interesting to do research about music therapy.i hope you will publish more articles about music therapy,and new things about the topic.thank you again and wish you all the best.