Learn Reiki for Addiction: How Energ...

Reiki for Addiction: How Energy Healing Supports Recovery

A woman with a red headband lies on a massage table with her eyes closed as a practitioner rests their hands gently on the sides of her head.
By
Hannah Friedman profile
Hannah Friedman
Updated October 18, 2026

The gentle practice of Reiki aims to promote relaxation, emotional healing, and your body’s natural healing response.1 In addiction treatment, holistic rehabs use Reiki therapy to support clients recovering from substance use disorders through the physical, mental, and emotional changes of early recovery.

But how exactly does Reiki work, and is Reiki for addiction actually effective?

What Is Reiki?

Reiki is a form of energy healing that Mikao Usui developed in Japan in the early 20th century.2 In Japanese, the word reiki means “universal life energy,” sometimes called life force energy.3 Practitioners act as a conduit for this healing energy, placing their hands lightly on or just above your body to direct it.1

Reiki aims to restore balance and support your body’s ability to heal itself.4 According to practitioner Teri Kersting, “As a holistic health practitioner, you’re looking at mind, body, and spirit. It’s very healing in all respects.”

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What Happens in a Reiki Session?

A Reiki treatment usually takes place in a relaxed environment, similar to what you’d expect during a massage. There may be soft music playing to help you relax. You’ll remain clothed and lie on a massage table or sit in a chair.

If you have physical pain, you can get into any position that will be comfortable for you to be in for the duration of the session.

During the session, the practitioner places their hands lightly on or just above your body in a series of positions.1,4 Some practitioners also trace symbols above your body, which they believe helps clear and balance your energy centers, known as chakras.

Sessions typically last 45 to 90 minutes.5 Reiki can also be offered remotely, without the practitioner in the room.4

Do I Need to Do Anything While Receiving Reiki?

Your only job during the session is to relax. If it helps, you can treat the session as a mindfulness practice by gently noticing your breath and any sensations without judgment. Some people fall asleep, which is completely okay and doesn’t interfere with your ability to receive its benefits.6 There’s no right or wrong way to receive Reiki.

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What Will I Feel During Reiki?

The experience of Reiki is different from person to person and from session to session.

In one large study, the most common experiences were deep relaxation, physical sensations in the body, and emotional shifts. Some people also noticed changes in perception or felt drowsy.6 Practitioners believe these feelings reflect a release of stuck energy.

If you don’t notice much during a session, that’s okay too.

How Will I Feel After Reiki?

Many people feel relaxed and calm after Reiki.6 Research suggests even a single session can improve several measures of physical and psychological health.5

You may choose to discuss what came up for you during the session with your practitioner, but this is optional. Reflecting on these moments can build self-awareness, a skill that supports your recovery process long after the session ends.

Will My Reiki Practitioner Respect My Boundaries?

As part of creating a trauma-sensitive environment, your practitioner should respect all of your requirements for feeling safe.

You may ask them not to lay their hands directly on you, and request any changes you need to feel comfortable, such as adjusting the volume of the music or temperature of the room.

As with any therapy, voice any questions or concerns at any point before, during, or after the session.

How Many Sessions Do I Need?

One Reiki session may be enough to lift your spirits or help you through a hard moment.

For ongoing issues, you may need more sessions. Studies showing benefits for stress and depression typically used weekly sessions over 6 weeks or more.4 You may opt for a series of sessions, based on your treatment goals.

Reiki can also be used as a regular part of maintenance and self-care, and once you’ve completed introductory training, you can practice it on yourself as a healthy coping mechanism to turn to when stress or cravings come up, which can be a helpful part of your relapse prevention plan.2

As Kersting says, “It helps us center at the end of the day. Also, it helps us prepare for the day ahead, and all the stresses and anxieties that can come up.”

Who Can Administer Reiki?

Reiki training is typically organized into three levels, ending at the master level.7 Introductory training usually takes about 8 to 10 hours and covers hand positions for treating both yourself and others, so practitioners can begin offering Reiki to others early in their training.2

Unlike some alternative medicine credentials that require years of schooling, Reiki training is relatively short.

Where Is Reiki Available?

Reiki is often offered at holistic rehabs as one form of holistic therapy, alongside clinical treatments and other alternative therapies.

If you want to continue after residential rehab, many practitioners offer it as a standalone therapy.

What Can Reiki Treat?

Reiki is intended to calm the nervous system and support physical healing, and one review found it activates the parasympathetic nervous system.8 It has been studied for a range of conditions, including pain, anxiety, and depression.1

Reiki master and practitioner Melanie Hoffstead explains that her clients report relief from depression and chronic pain. “People who come to me who’ve suffered for many years with arthritis, with quite a few treatments, seem to be almost pain-free. People who suffer from depression seem to be able to have more of a sense that life can be more manageable.”

Reiki has not been shown to have harmful effects, and it is estimated that about 60 hospitals and clinics in the U.S. offer it.1,4

How Reiki Can Support Addiction Recovery

Recovery is rewarding, but the recovery process is inevitably challenging at times. This is especially true in the early stages, when adjusting mentally and physically to a life without substances may involve confronting deeply held wounds. Reiki therapy for addiction can provide much-needed calm and comfort during tough times.

Research suggests Reiki may reduce stress and depression more than a placebo, especially when symptoms are at clinical levels.4

Researchers who reviewed placebo-controlled trials concluded that Reiki may be an appropriate complementary treatment alongside psychotherapy for depression, stress, and anxiety.4

Many holistic rehabs offer Reiki for addiction treatment as part of their alternative therapy offerings. Reiki is considered a complementary health approach, meaning it’s used alongside other therapies rather than on its own.1

Is Reiki Real?

There’s no scientific evidence that the energy field Reiki is based on exists, and  research on Reiki is limited.¹ Still, one review of placebo-controlled studies found that 8 of 13 studies showed Reiki working better than a placebo.8 Studies have linked Reiki to:

  • Deep relaxation and calm6
  • Physical sensations in the body6
  • Emotional shifts6
  • Reduced stress and depression when symptoms are at clinical levels4
  • Reduced anxiety when symptoms are at clinical levels4
  • Improved sleep quality in people with multiple sclerosis9
  • Lower diastolic blood pressure in nurses with burnout4

Researchers who studied more than 1,200 Reiki sessions concluded that Reiki can activate the relaxation response and shift emotions and perception.6

Even if you’re skeptical about energy healing, there’s strong evidence that touch, including gentle touch therapies, can benefit health. One large 2024 meta-analysis found touch was especially effective at reducing pain, depression, and anxiety in adults, and at regulating levels of cortisol (a stress hormone) in newborns.10

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Limitations of Reiki

Reiki can bring up  emotions, and it’s helpful to process these with a talk therapist, especially if you also live with co-occurring mental health disorders like depression or anxiety.6 Reiki can be used as a complementary treatment, but it shouldn’t replace treatment for mental illness or other serious conditions.1

Reiki also isn’t a substitute for medically supervised detoxification. Withdrawal from alcohol and benzodiazepines can cause serious withdrawal symptoms, including seizures, so detox should be managed by medical professionals.11

If you prefer a more evidence-based approach to healing, Reiki may not be for you.

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FAQs

Reiki may help you feel more relaxed, which can make stress and anxiety easier to manage during recovery. A 2022 review found Reiki helped people with clinical levels of stress and depression more than a placebo did.¹ It works best alongside your primary treatment, not in place of it.

Research on Reiki for addiction is limited, and the National Center for Complementary and Integrative Health (NCCIH) says it hasn’t been clearly shown to be effective for any health-related purpose.1

However, researchers who reviewed placebo-controlled trials concluded it may be an appropriate complementary treatment alongside psychotherapy for depression, stress, and anxiety.4 For now, Reiki is considered a complementary practice rather than an evidence-based addiction treatment.1

According to NCCIH, Reiki hasn’t been shown to have any harmful effects.1 Practitioners place their hands lightly on or just above you, so you can ask them to avoid touch if that feels more comfortable.1 Because Reiki can bring up strong emotions, it may help to have a therapist on your treatment team to process them with.

During a Reiki session, a practitioner places their hands on or just above you with the goal of supporting your body’s natural healing response.1

Many people feel deeply relaxed, and some notice physical sensations or emotional shifts.6

Sessions usually last 45 to 90 minutes, and you’ll stay fully clothed the whole time.5

No. Reiki hasn’t been clearly shown to treat any health condition on its own, so it’s best used alongside evidence-based care like psychotherapy, medical detox, medication, and support groups.1 It can support your well-being during recovery, but it shouldn’t replace professional addiction treatment.

  1. National Center for Complementary and Integrative Health. (2018). Reiki. https://www.nccih.nih.gov/health/reiki

  2. Ko, L.-H., Chang, W.-W., & Hu, W.-Y. (2025). Reiki in contemporary healthcare: Historical development, theoretical foundations, biofield mechanisms, and therapeutic applications. Holistic Nursing Practice. Advance online publication. https://doi.org/10.1097/HNP.0000000000000774

  3. Matos, L. C., Machado, J. P., Monteiro, F. J., & Greten, H. J. (2021). Perspectives, measurability and effects of non-contact biofield-based practices: A narrative review of quantitative research. International Journal of Environmental Research and Public Health, 18(12), 6397. https://doi.org/10.3390/ijerph18126397

  4. Zadro, S., & Stapleton, P. (2022). Does Reiki benefit mental health symptoms above placebo? Frontiers in Psychology, 13, Article 897312. https://doi.org/10.3389/fpsyg.2022.897312

  5. Dyer, N. L., Baldwin, A. L., & Rand, W. L. (2019). A large-scale effectiveness trial of Reiki for physical and psychological health. Journal of Alternative and Complementary Medicine, 25(12), 1156–1162. https://doi.org/10.1089/acm.2019.0022

  6. Dyer, N. L., Ali, A., Baldwin, A. L., Kowalski, S., & Rand, W. L. (2022). An evaluation of the subjective experience of receiving Reiki: Qualitative results from a pragmatic effectiveness study. Journal of Integrative and Complementary Medicine, 28(9). https://doi.org/10.1089/jicm.2022.0477

  7. Mehl-Madrona, L., Renfrew, N. M., & Mainguy, B. (2011). Qualitative assessment of the impact of implementing Reiki training in a supported residence for people older than 50 years with HIV/AIDS. The Permanente Journal, 15(3), 43–50.

  8. McManus, D. E. (2017). Reiki is better than placebo and has broad potential as a complementary health therapy. Journal of Evidence-Based Complementary & Alternative Medicine, 22(4), 1051–1057. https://doi.org/10.1177/2156587217728644

  9. Bahçecioğlu Turan, G., Özer, Z., & Arıkan, E. (2024). The effect of reiki on fatigue and sleep quality in individuals with multiple sclerosis: A randomised controlled study. Explore, 20(6), 103018. https://doi.org/10.1016/j.explore.2024.103018

  10. Packheiser, J., Hartmann, H., Fredriksen, K., Gazzola, V., Keysers, C., & Michon, F. (2024). A systematic review and multivariate meta-analysis of the physical and mental health benefits of touch interventions. Nature Human Behaviour, 8(6), 1088–1107. https://doi.org/10.1038/s41562-024-01841-8

  11. Center for Substance Abuse Treatment. (2006). Detoxification and substance abuse treatment (Treatment Improvement Protocol Series, No. 45). Substance Abuse and Mental Health Services Administration. https://www.ncbi.nlm.nih.gov/books/NBK64115/

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