Does Depression Go Away on Its Own?
Many depressed patients recover, with or without medical intervention, because that's the nature of the illness. It comes and it goes.
Emil Kraepelin (1856-1926), who coined the term "manic depressive," found that in contrast to patients suffering from dementia praecox (schizophrenia), those suffering manic depression had a relatively good prognosis, with 60% to 70% of patients suffering only one attack and attacks lasting, on average, seven months.
Modern drug trials for antidepressants seldom take into account the fact that people with depression often get better on their own. The typical randomized controlled trial (RCT) has a placebo arm and a treatment arm, but no non-placebo/non-treatment arm (otherwise known as a wait-list arm). It's commonly assumed that people who get better on placebo, in drug trials, are experiencing the placebo effect when in reality a certain number of people just get better on their own even without placebo. Hence, the placebo effect is almost certainly overstated.
But do people really get better on their own? In the Netherlands, researchers looked at the progress of 250 patients who had reported an episode of major depression. Two thirds of the patients were female and for 43%, it was a recurrent episode. Some patients sought treatment at the primary-care level; others sought mental-health-system care; others sought no care. The researchers found that the overwhelming majority of patients recovered (defined as "no or minimal depressive symptoms in a 3-month period"), regardless of the level of treatment.
The median duration of major-depressive episodes was 3.0 months for those who had no professional care, 4.5 months for those who sought primary care, and 6.0 months for those who entered the mental health care system. (It's not told what percentage of patients who sought care took meds, but for this discussion it doesn't matter. The point is, most people do get better, one way or another.) The differences in mean episode duration may reflect severity (no data were given for this). The people who recovered quickly on their own may have done so because they were less depressed. It stands to reason that those who sought help at the mental-health-system level were probably more depressed, hence took longer to recover.
In any case, the point is that today, as in Kraepelin's time, many depressed patients recover, with or without medical intervention, because that's the nature of the illness. It comes and it goes.
You can find the above study online at http://bjp.rcpsych.org/content/181/3/208.full. The full reference is Spijker, et al., "Duration of major depressive episodes in the general population: Results from the Netherlands Mental Health Survey and Incidence Study (NEMESIS)," The British Journal of Psychiatry (2002) 181: 208-213
Meteorologists propose a stunning new explanation for the mysterious events in the Bermuda Triangle.
One of life's great mysteries, the Bermuda Triangle might have finally found an explanation. This strange region, that lies in the North Atlantic Ocean between Bermuda, Miami and San Juan, Puerto Rico, has been the presumed cause of dozens and dozens of mind-boggling disappearances of ships and planes.
Nazi supporters held huge rallies and summer camps for kids throughout the United States in the 1930s.
- During the 1930s, thousands of Americans sympathized with the Nazis, holding huge rallies.
- The rallies were organized by the American German Bund, which wanted to spread Nazi ideology.
- Nazi supporters also organized summer camps for kids to teach them their values.
A Bund parade in New York, October 30, 1939.
Credit: Library of Congress
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Tea and coffee have known health benefits, but now we know they can work together.
Credit: NIKOLAY OSMACHKO from Pexels
- A new study finds drinking large amounts of coffee and tea lowers the risk of death in some adults by nearly two thirds.
- This is the first study to suggest the known benefits of these drinks are additive.
- The findings are great, but only directly apply to certain people.