Laughter induces a number of physiologic effects similar to those induced by narcotics and anxiolytics, without the threat of addiction or adverse reaction. A good, hard belly laugh causes a brief rise in pulse and blood pressure followed by a reduction in pulse and blood pressure lasting an hour or more (Fry 1992). It is known that during stress the adrenal gland releases corticosteroids of which prolonged secretion may induce depression. Laughter lowers levels of corticosteroids. It also reduces other catecholemines, improves arterial oxygen levels and enhances endorphin production (Berk 1989). There are beneficial effect of humor on lymphocyte function and IgA secretion. (Dillon 1985)
It is unlikely that any single pharmacologic agent will match the therapeutic effects of laughter, but encouraging patients to have fun and laugh more sounds almost silly. It s not. Positive emotional states are as beneficial to emotional health and mood as any antidepressant.
Conclusion
Depression is a complex condition and optimal therapy must be holistic. Ideal treatment should be a regime tailored to the client s beliefs, values, and lifestyle. It may include medication, yet should also consider the many safe and beneficial CAM therapies available. In this age where many psychiatric and general practitioners prescribe Prozac and other antidepressants for even mild forms of depression, after just a 30 minute consult, it is no wonder that most clients are led to think of pharmaceuticals as the “magic pill” that cures depression. Many of them are disappointed. Considering the “alternatives,” potentially inexpedient drug therapy may not always be indicated.
CAM practices offer remedies that apply to more than just the physiological. They are not only a “cure” for a disease but they add the dimension of personal involvement and a sense of having some control over ones health. Many of them stress the need for social connection that is lacking in much of biomedicine today.
While expanded effort to further establish efficacy, safety, and cost-effectiveness are necessary in CAM, there is already enough evidence for us to consider it for our personal and professional lives. By using these techniques ourselves and imparting them to our clients we set in motion a powerful healing process that benefits all involved. It is time to get back to the roots of healing and open our minds to new possibilities in bringing light into the dark worlds of those with depression.
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