American - Educator | March 7, 1943 -
There are a variety of techniques to help people change the kind of thinking that leads them to become depressed. These techniques are called cognitive behavioral therapy.
Irving Kirsch
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Patients who trust their doctors and have a psychological expectation of getting better could trigger a reaction in their body.
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I do a lot of research on the placebo effect, not just in depression but in irritable bowel syndrome, pain, arthritis of the knee, migraine, asthma.
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Depression comes back over time in about 90 percent of people on antidepressants. Studies show that relapses are far less common when people are treated with psychotherapy.
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The doctor-patient relationship is critical to the placebo effect.
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To someone who is not currently on anti-depressants, I would suggest trying other treatments first - for example, psychotherapy.
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Psychotherapy works, and some types of therapy have been shown to be much more effective than antidepressants over the long run.
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The big bulk of the response to antidepressants is the placebo response.
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If doctors just spent more time with their patients so they felt more reassured, that might help.
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Nocebos often cause a physical effect, but it's not a physically produced effect. What's the cause? In many cases, it's an unanswered question.
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Antidepressants can have troubling side effects and are addictive for some people.
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Perhaps 10 percent of patients who are prescribed antidepressants are really benefiting from the drugs' active ingredients.
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