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" If doctors just spent more time with their patients so they felt more reassured, that might help. "
Irving Kirsch
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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. "
Irving Kirsch
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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. "
Irving Kirsch
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" Antidepressants can have troubling side effects and are addictive for some people. "
Irving Kirsch
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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. "
Irving Kirsch
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" One problem I have with drug companies is that they don't make all their data public. "
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. "
Irving Kirsch
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" There seems little reason to prescribe anti-depressant medication to any but the most severely depressed patients. "
Irving Kirsch
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" The one thing we do know is that the chemical imbalance theory - the theory that people get depressed when they don't have enough serotonin in their brain - we know that that's wrong. "
Irving Kirsch
Know
Wrong
Brain
" There seem to be many causes of depression. One cause is profound loss, grief. Economic hardship we know is linked to depression. We don't have a full picture. "
Irving Kirsch
Picture
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Loss
" Anything that instills a sense of hope will at least temporarily help treat depression. "
Irving Kirsch
Hope
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" Perhaps anti-depressants should be best reserved for the very extreme cases and, more importantly, for those who do not respond to alternative forms of interventions. "
Irving Kirsch
More
Best
Who
" To someone who is not currently on anti-depressants, I would suggest trying other treatments first - for example, psychotherapy. "
Irving Kirsch
Someone
Other
First
" 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
Kind
Change
Help
" The big bulk of the response to antidepressants is the placebo response. "
Irving Kirsch
Big
Placebo
Response
" Perhaps 10 percent of patients who are prescribed antidepressants are really benefiting from the drugs' active ingredients. "
Irving Kirsch
Percent
Who
Active
" The doctor-patient relationship is critical to the placebo effect. "
Irving Kirsch
Effect
Relationship
Placebo
" 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. "
Irving Kirsch
People
Depression
Time