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Your beliefs can make you sick, says Dr. Richard Kradin, author of “The Placebo Response and the Power of Unconscious Healing,” and associate professor at Harvard Medical School. Expecting the worst from a medical condition can produce the nocebo effect — the evil twin of the placebo effect.
The placebo effect is beneficial and refers to health gains caused by dummy pills or other treatments that shouldn’t produce a positive effect, but do thanks to the power of a patient’s belief. The nocebo effect is just the opposite — patients expect side effects to a pill or a bad outcome to a treatment or condition and that’s what they get, thanks to the power of belief, even when the pill or treatment is harmless.
“Your beliefs, doubts, and fears can produce unpleasant symptoms of illness or slow down the healing process,” says Dr. Kradin. Here are Dr. Kradin’s six top ways to avoid the nocebo effect:
1. Don’t make assumptions based on appearance. “Studies show that people believe small pills are less effective than large ones, red pills cause more side effects than blue, generic are less effective than brand-name drugs, and oral medication is less potent than injected medication,” says Dr. Kradin.
2. Don’t have too much information. “When patients read and learn about all the side effects from a drug insert in distressing detail, they are more likely to experience those symptoms than patients who were unaware of the side effects.”
3. Don’t believe misinformation. “So many people believe penicillin allergies are commonplace that a statistically impossible percentage of patients (10 percent) experience symptoms of penicillin allergies, even though less than 3 percent of adults are actually allergic.
4. Don’t pay attention to scary language. “The language adopted to describe side effects of a drug can greatly influence expectancies and outcomes. In one study, instructing subjects to ‘look for evidence of nasal obstruction’ evoked more upper airway symptoms than instructing them to "pay attention to the free passage of air."
5. Don’t pay attention to irrelevant environmental cues. “Nausea occurs in a full one third of chemotherapy patients and may be triggered by incidental environmental cues, like being in a treatment room the same the color as the last one where a patient felt sick.”
6. Don’t fear the worst. In the Framingham Heart Study, women who feared they were at risk for heart disease were nearly four times more likely to die than women with similar risk factors — obesity and high levels of cholesterol and blood pressure — who didn't.
Taken from Newsmax Health
Dr. Richard Kradin, author of “The Placebo Response and the Power of Unconscious Healing,” and associate professor at Harvard Medical School.