Article: Cognitive therapy for depression.(Clinical report)

Does talking make medical conditions better? Preconceptions do not prevent us thinking out criteria necessary to test whether talking works. For talking here, read cognitive therapy, and for a condition, depression.

Trials should include active and placebo comparators to demonstrate superiority of talking to pill taking. That ensures sensitivity. One might choose several outcomes, like some form of depression measure, a defined level of improvement, say, plus a higher level of improvement equivalent to being better (or no worse than if your football team lost on Saturday). A long trial would examine what happened when cognitive therapy stopped.

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