Table 6.

Emotional Freedom Technique Process

Process	Description
Identification of the problem	Specify the problem, symptom, or discomfort to target.
Assessment	A scale of 0 to 10 determines the degree of discomfort or pain caused by the problem.
Setup	This is the process of starting acupoint tapping. With two fingers (mainly index and middle fingers) continuously tap on the opposite hand (SI3) and repeat three times a simple receptive phrase. The phrase should be about acknowledging the problem and accepting oneself nonetheless.
Sequence	Next, while repeating an associative phrase, tap the following parts of the body in the order mentioned approximately seven times: crown, beginning of the eyebrows, sides of the eyes, under the eyes, under the nose, chin, beginning of the clavicle, and under the armpits. The associative phrase may differ depending on the problem, for example, “this shoulder pain,” “an accident at that time,” “a nightmare.”
Re-assessment	A scale of 0 to 10 determines the degree of discomfort or pain caused by the problem. If the score does not decrease after performing steps 1 to 4, repeat until it decreases or the mind becomes stable. When repeating, affirmations of acceptance and associative phrases can be slightly modified to reflect the changed aspects.
Additional option: choice method	This is a choice affirmation, where the survivor recites what he or she wishes to be in the future.
Additional option: group therapy	Group therapy can provide a feeling of empathy and comfort, as well as borrowing benefits. It can be planned for 4 weeks once a week, and the duration of each episode is recommended as 1 h, but it can be set flexibly according to the situation. Self-learning audio recording files and self-care protocols are provided so that survivors can practice individually every day.
Cautions	EFT is a noninvasive method of tapping acupoints on the patient's own and it does not directly harm the subject; hence, there are no safety concerns regarding the procedure, and no side effects have been reported in previous studies.34 However, rather than directly recalling traumatic memories, apply EFT mainly to the physical/psychological symptoms of survivors. If an individual complains of symptoms such as severe agitation/restlessness, dissociation, delusions, hallucinations, or suicidal ideation or does not respond to EFT procedures after three to four sessions, other psychotherapy or pharmacological therapy should be considered and the patient should be referred to a mental health expert.

EFT, emotional freedom technique.