Re-thinking the treatment of depression: have we been misinformed about antidepressants? A webinar discussion with Irving Kirsch, Ph.D. and Michael D. Yapko, Ph.D.

This article provides an edited transcript of a moderated discussion between depression experts Irving Kirsch and Michael Yapko regarding the role of antidepressants in the treatment of major depression. It includes references to the role of expectancy and the merits of hypnosis in treatment. This presentation was sponsored by , an Australian-based digital therapeutics company (mindsethealth.

Addressing global cognition and ineffective depressogenic discrimination strategies with clinical hypnosis.

It is a fundamental truth in living that . One's cognitive style determines whether one is more likely to be detailed and linear in thinking or more general and impressionistic, obvious influences on the way experiences are interpreted and reactions formed. Global thinking, also referred to as over-general thinking, has been linked to depression for several reasons.

The "Whack-a-Mole" Challenge of Hypnosis Research: A Commentary Regarding "Guidelines for the Assessment of Efficacy of Clinical Hypnosis Applications".

In this short commentary, the author acknowledges the merits of trying to establish treatment guidelines for the use of hypnosis in treatment and applauds the efforts and intentions of the . He identifies a few of the complex issues in trying to promote guidelines for conducting research and clinical practice in the domain of hypnosis; these include the difficulties in defining hypnosis and hypnotically-based interventions, the divergent ways hypnosis is applied in actual practice by clinicians who rely on their own understandings and biases in designing and delivering hypnosis, and the inevitable variations in skill level across practitioners. To their credit, the has considered these and other practical issues in their approach to formulating guidelines.

Encouraging hindsight in advance: Age progression in therapy - and .

Each person forms a relationship to the dimension of time, called a "temporal orientation." How that relationship is defined and prioritized, whether consciously or non-consciously, plays a huge role in the way people go about living their lives. In psychotherapy, the quality of one's expectations plays a pivotal role in virtually every phase of treatment.

Contemplating…the Obvious: What you Focus On, you Amplify.

Mindfulness has been transformed over recent years from a spiritual practice to a method of clinical intervention. This is a new evolutionary step in applying mindfulness in ways that move it much, much closer to the related domain of hypnosis. Both approaches now share a goal-oriented, purposeful clinical pragmatism.

The spirit of hypnosis: doing hypnosis versus being hypnotic.

The spirit of hypnosis is reflected in the belief that people are more resourceful than they realize and through hypnosis can create meaningful possibilities. Thus, it is puzzling why hypnosis isn't better regarded. Do we present as too internally conflicted to inspire others' confidence? Do we overstate the dangers of hypnosis and scare people away? Do we define hypnosis as such a unique approach that others don't see its relevance for their work? Self-exploration is important if we want to ensure we are not unwittingly adding to our image problems as a field.

Treating depression with antidepressants: drug-placebo efficacy debates limit broader considerations.

The core issue regarding antidepressants for many clinicians is whether they perform significantly better than placebos. However, this article suggests eight additional concerns beyond drug efficacy alone to consider regarding antidepressants including: (1) formulating only a one-dimensional, biological view of depression; (2) defining the client's role as passive in treatment; (3) economic corruption of the research and reporting; (4) false or misleading consumer advertising; (5) conflicting data that confuse practitioners and consumers alike; (6) over- and under-prescription of medications; (7) drug side-effects; and (8) harm to the environment. The enhanced effects of psychotherapy utilizing hypnosis offer a means of avoiding most, if not all, of the problems associated with the use of antidepressants as a primary form of treatment.

Hypnotically catalyzing experiential learning across treatments for depression: actions can speak louder than moods.

A number of psychotherapeutic approaches for the treatment of major depression have received empirical support in the literature, most notably cognitive-behavioral and interpersonal therapies. Recent studies have shown the therapeutic value of the behavioral activation component of such interventions. Depressed individuals actively learning and applying new skills on their own behalf is widely considered a critical component of recovery.