Anxiety disorders represent a growing global health challenge—underscoring the need for innovative, culturally adaptable interventions. This qualitative study explores the lived experiences of 22 Chinese young adults (aged 19 - 25) who participated in music therapy for anxiety relief. Data were collected through open-ended questionnaires and follow-up interviews, then analyzed thematically, to capture psychological, cultural, and relational dimensions of recovery. Findings reveal that music therapy supports psychological recovery in multifaceted ways: it enables emotional regulation and cathartic expression; it reduces both psychological and physiological symptoms of anxiety; and it fosters identity reconstruction and resilience. Cultural resonance—particularly through the integration of Five Elements music therapy and traditional instruments—enhanced participants’ perceptions of credibility, safety, and meaning-making. It was processes such as rhythmic entrainment and guided imagery that promoted embodied synchronization, insight, and hope, while group-based activities strengthened belonging and collective identity. The study confirms prior research on the therapeutic benefits of music therapy, while extending it by highlighting the roles of cultural adaptation, symbolic meaning, and relational healing. There are practical implications, including the integration of culturally familiar practices into therapy and the promotion of group formats to enhance both individual and collective well-being. Limitations and avenues for future research are also discussed.
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