Psychology and Psychiatry: Open access
Open Access

In recent years, there has been growing interest in alternative and complementary therapies for managing psychiatric conditions. Traditional psychiatric treatments, including medication and psychotherapy, remain the cornerstone of mental health care. However, many patients report inadequate responses or significant side effects from these treatments. As a result, non-pharmacological therapies, such as mindfulness, meditation, and yoga, have increasingly been explored as adjuncts to conventional psychiatric care. One such alternative practice is laughter yoga, a combination of voluntary laughter exercises and breathing techniques derived from yoga. Laughter yoga was developed in the mid-1990s by Dr. Madan Kataria, a physician from India, who believed that the body cannot distinguish between real and simulated laughter. According to Kataria, prolonged simulated laughter can induce the same positive physiological effects as genuine laughter, including the release of endorphins, the reduction of stress hormones, and enhanced emotional well-being [1]. Given the widespread use of laughter yoga in wellness and therapeutic settings, its application for psychiatric conditions has drawn increasing attention. This article explores the potential psychological benefits of laughter yoga, focusing on its impact on common psychiatric conditions such as depression, anxiety, and PTSD, while considering its accessibility, mechanisms of action, and role in mental health care.

The Psychological Mechanisms behind Laughter Yoga

Laughter yoga’s effects on mental health are believed to arise from a combination of psychological, physiological, and social factors. The psychological mechanisms are rooted in the impact that laughter and social interaction can have on emotional regulation, mood, and stress reduction. Laughter has long been recognized for its ability to improve mood, increase feelings of well-being, and reduce psychological distress. Physiologically, laughter triggers the release of endorphins, the body’s natural feel-good chemicals, which can improve mood and alleviate feelings of sadness and anxiety. Laughter also reduces the production of stress hormones like cortisol, which are associated with heightened anxiety and depression. As a result, regular laughter can promote relaxation, enhance coping strategies, and improve overall emotional resilience [2].

In addition to the physiological effects, laughter yoga incorporates yogic breathing techniques (pranayama), which can further amplify the practice’s benefits. Deep, slow breathing has been shown to activate the parasympathetic nervous system, helping to calm the body and mind. This combination of laughter and controlled breathing helps reduce the body's physiological stress response, fostering a sense of relaxation and inner peace. The social component of laughter yoga is also a critical aspect of its therapeutic effect. Many laughter yoga sessions are conducted in groups, which encourages participants to laugh together. Social laughter, especially in a supportive, communal environment, is thought to strengthen interpersonal bonds and promote a sense of belonging and connection. For individuals with psychiatric conditions, particularly those suffering from depression or anxiety, the social engagement provided by laughter yoga can help reduce isolation and improve social well-being [3].

Laughter Yoga and Depression

Depression, characterized by persistent feelings of sadness, hopelessness, and loss of interest, is one of the most common psychiatric conditions worldwide. Conventional treatments for depression include medications such as antidepressants, along with psychotherapies like cognitive-behavioral therapy (CBT). However, these treatments do not work for everyone, and some patients experience side effects or limited improvement [3]. Laughter yoga has shown promising results in alleviating symptoms of depression. Several studies have examined the effects of laughter yoga on depression, reporting that participants experience significant reductions in depressive symptoms. The mood-enhancing effects of laughter and the physiological benefits of endorphin release play a major role in these outcomes. Additionally, laughter yoga promotes a shift in focus from negative thoughts to the present moment, which can help interrupt the cycle of rumination commonly seen in depression. A key study conducted by researchers in India demonstrated that laughter yoga significantly reduced depressive symptoms in participants with moderate to severe depression. The study participants who practiced laughter yoga for 30 minutes daily for six weeks reported improvements in mood, a decrease in anxiety, and an overall increase in quality of life. This evidence suggests that laughter yoga could be an effective complementary treatment for individuals with depression, particularly for those seeking alternative therapies or struggling with traditional treatment methods [4].

Laughter Yoga and Anxiety Disorders

Anxiety disorders, including generalized anxiety disorder (GAD), social anxiety disorder, and panic disorder, are another area where laughter yoga has shown therapeutic potential. Anxiety is characterized by excessive worry, fear, and physical symptoms such as a racing heart, dizziness, and shortness of breath. Similar to depression, anxiety disorders are commonly treated with medications (e.g., anxiolytics) and psychotherapy. However, many individuals seek complementary therapies to reduce reliance on medication and manage their symptoms more holistically [5]. Research has demonstrated that laughter yoga can help reduce anxiety by promoting relaxation and enhancing emotional regulation. By engaging in laughter exercises, participants activate the body’s relaxation response, which counteracts the physiological effects of anxiety, such as elevated heart rate and shallow breathing. The incorporation of controlled breathing techniques (pranayama) in laughter yoga also helps calm the nervous system and reduces feelings of nervous tension. One study on individuals with generalized anxiety disorder found that regular participation in laughter yoga led to significant reductions in anxiety levels. Participants reported feeling more relaxed, less anxious, and more emotionally balanced after engaging in laughter yoga for several weeks. The social and communal aspects of laughter yoga also provide a sense of connection and support, which can be particularly beneficial for individuals with social anxiety disorder [6].

Laughter Yoga and Post-Traumatic Stress Disorder (PTSD)

Post-traumatic stress disorder (PTSD) is a psychiatric condition that can develop after exposure to traumatic events such as combat, abuse, or natural disasters. PTSD is characterized by symptoms such as flashbacks, nightmares, hyperarousal, and emotional numbness. Individuals with PTSD often struggle with anxiety, depression, and difficulty regulating their emotions. Given the intense emotional and psychological distress associated with PTSD, therapies that promote relaxation, emotional processing, and social support are crucial for recovery. Laughter yoga offers a unique approach to managing PTSD symptoms by providing both emotional release and a sense of empowerment [7].

While research on the use of laughter yoga specifically for PTSD is still limited, existing evidence suggests that it may be beneficial for individuals dealing with trauma. Laughter and deep breathing can promote emotional release, helping individual’s process feelings of fear, anger, and sadness in a controlled environment. In group laughter yoga sessions, individuals can also experience a sense of camaraderie, reducing feelings of isolation that are common in PTSD. A pilot study examining the effects of laughter yoga on veterans with PTSD found that regular participation led to reductions in anxiety, depressive symptoms, and hyperarousal. Participants reported improved mood, increased social engagement, and a sense of emotional relief. Although further research is needed, laughter yoga shows promise as a complementary treatment for PTSD, particularly in promoting relaxation and emotional expression [8].

Accessibility and Integration into Mental Health Care

One of the main advantages of laughter yoga is its accessibility. Unlike some psychiatric treatments that require significant financial or medical resources, laughter yoga can be practiced with minimal equipment and is open to individuals of all ages and abilities. Many communities around the world offer free or low-cost laughter yoga classes, making it an affordable and widely accessible therapy for individuals with psychiatric conditions [9]. Laughter yoga’s non-invasive nature and positive side effects make it a particularly appealing option for individuals who are hesitant to take medications or engage in traditional psychotherapy. It can also be used in conjunction with other treatments, such as antidepressant medications or cognitive-behavioral therapy, to enhance outcomes and provide a more holistic approach to managing mental health. Integrating laughter yoga into mainstream mental health care could help address gaps in traditional psychiatric treatment, particularly for individuals seeking alternative therapies or those who have not responded to conventional treatments. Health professionals, including psychologists, psychiatrists, and social workers, can introduce laughter yoga as a complementary tool for patients who may benefit from its mood-boosting and stress-reducing effects [10].

Conclusion

Laughter yoga is a promising and accessible therapeutic practice that can have significant psychological benefits for individuals with a range of psychiatric conditions. Through its combination of laughter exercises and yogic breathing, laughter yoga helps reduce stress, enhance mood, and improve emotional regulation. Research supports its efficacy in reducing symptoms of depression, anxiety, and PTSD, making it a valuable complementary treatment for mental health care. While further studies are needed to establish laughter yoga as a mainstream treatment, its low-cost, non-invasive nature and positive side effects make it an appealing option for patients seeking alternative or adjunctive therapies. Given its growing popularity and potential therapeutic benefits, laughter yoga deserves continued exploration as a viable tool in the management of psychiatric conditions.

1. Efron D, Furley K, Gulenc A, Sciberras E (2018) Maternal ADHD symptoms, child ADHD symptoms and broader child outcomes. Archives of disease in childhood 103: 841-846.

Indexed at, Google Scholar, Crossref

2. Zoghipaydar MR, Ghaseni M, Bayat A, Kamal SS (2015) Comparing the Mental Health in Mothers of Children with and without Attention Deficit Hyperactivity Disorder (ADHD). Journal of Exceptional Education (J Except Educ) 8: 5-14.

Indexed at, Google Scholar, Crossref

3. Slagt M, Deković M, de Haan AD, Van Den Akker AL, Prinzie P, et al. (2012) Longitudinal associations between mothers' and fathers' sense of competence and children's externalizing problems: the mediating role of parenting. Developmental psychology 48: 1554.

Indexed at, Google Scholar, Crossref

4. Roostaei M, Abedi S, Khazaeli K (2016) The relationship between behavioral problems in 7 to 13 year old children with cerebral palsy and maternal depression: a cross-sectional study. Journal of Research in Rehabilitation Sciences 11: 401-406.

Indexed at, Google Scholar, Crossref

5. Sciberras E, Efron D, Patel P, Mulraney M, Lee KJ, et al. (2019) Does the treatment of anxiety in children with Attention-Deficit/Hyperactivity Disorder (ADHD) using cognitive behavioral therapy improve child and family outcomes? Protocol for a randomized controlled trial. BMC psychiatry 19: 1-9.

Indexed at, Google Scholar, Crossref

6. Ohan JL, Visser TA, Moss RG, Allen NB (2013) Parents’ stigmatizing attitudes toward psychiatric labels for ADHD and depression. Psychiatric Services 64: 1270-1273.

Indexed at, Google Scholar, Crossref

7. Al-Yagon M, Lachmi M, Danino M (2020) Manual-based personalized intervention for mothers of children with sld/adhd: Effects on maternal and family resources and children’s internalizing/externalizing behaviors. Journal of Attention Disorders 24: 720-736.

Indexed at, Google Scholar, Crossref

8. Motahhari ZS, Ahmadi K, Behzadpoor S, Azmoodeh F (2014) Effectiveness of mindfulness in marital burnout among mothers of ADHD children. Family Counseling and Psychotherapy 3: 591-613.

Google Scholar, Crossref

9. Lau W, Chan CK, Li JC, Au TK (2010) Effectiveness of group cognitive-behavioral treatment for childhood anxiety in community clinics. Behaviour Research and Therapy 48: 1067-1077.

Indexed at, Google Scholar, Crossref

10. Carpenter AL, Pincus DB, Furr JM, Comer JS (2018) Working from home: An initial pilot examination of videoconferencing-based cognitive behavioral therapy for anxious youth delivered to the home setting. Behavior Therapy 49: 917-930.

Indexed at, Google Scholar, Crossref