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Bipolar Disorder Blog

By Kimberly Read & Marcia Purse, About.com Guides to Bipolar Disorder since 1998

Botox as a Treatment for Depression?

Wednesday June 24, 2009
Smile! It’s free therapy. No, seriously. There is a theory in the study of psychology entitled the "facial feedback" hypothesis. This hypothesis holds that the muscle movements of our face tell our brains that yes we are happy because we are smiling or confirm anger when our brows draw together.

So given that our expressions are a reflection of our mood and vice versa, I suppose it was only a matter of time before someone took a serious look (no pun intended!) at how cosmetic procedures might serve as a treatment for depression.

Dermatologist Eric Finzi, M.D., Ph.D., conducted a very small pilot study evaluating Botox injections and improvement of depression. Ten depressed patients (9 diagnosed with depression; 1 diagnosed with bipolar disorder) were treated by having Botox injected into the lines between the eyebrows. Dr. Finzi reports that 9 of the 10 patients were depression free two months following treatment.

This study is interesting. It made me think, “Huh?” But I’m personally not running to schedule a Botox injection. I’ll risk a smile and I have been known to jump on the bed to improve my mood, but I need to see a whole lot more scientific rigor and evidence before I’ll let someone near my face with a needle. (We can talk about phobias in another conversation.)

What do you think about facial feedback? I’ve tried to force a smile now and then. I tend to be a bit intense so it usually comes off more as a grimace. Then my kids tease me and we all end up laughing anyway. ~ Kimberly

Comments

June 30, 2009 at 7:50 am
(1) Phil Fischer says:

A permanent smile (like the ‘Joker’). Now, that is another marketing scheme. As if Botox needs another one. Fact is, a person that is always happy is a sign of mental illness.

June 30, 2009 at 10:52 am
(2) Time says:

I’ve had some success with ’smile therapy’. I keep pics of smiling faces next to my mirror. I try to smile when I see them and then look at my reflection.
I don’t think I’d go as far as modifying my face to do it, though.

June 30, 2009 at 1:09 pm
(3) Katy K says:

A person who is always smiling seems foolish, but a positive “attitude of gratitude” is always helpful.

This is just another sales gimmick. Snake oil, and nothing more.

July 1, 2009 at 3:48 pm
(4) TheresAlwaysTomorrow says:

Cant say it has done much for depression, but has done wonders for my chronic headaches!!

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