128. What is the Impact of the Nocebo Effect? episode artwork

EPISODE · Feb 24, 2026

128. What is the Impact of the Nocebo Effect?

from Grounded | The Vestibular Podcast

You might be familiar with the placebo effect, which is the opposite of the nocebo effect. The nocebo effect is how negative expectations about how medical encounters can produce negative outcomes. And, as we’ve talked about before, your brain is a prediction machine. That’s literally its job! So what does this actually look like in everyday life, how can it impact vestibular disorders, and the role mindset plays in the impact of the nocebo effect. In this episode, we’ll dig into: How side effects play a role in the nocebo effect Examples of the prediction method in action What research reveals about the impact of the nocebo effect How asking better questions can lessen the impact of the nocebo effect When your brain is told something, it will believe it. As humans, we’re designed to find the negatives. And we know that about ourselves, so we need to then intentionally decide that we’re going to shift the way we think about things. Though it’s not always our first instinct, it’s absolutely doable! Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit Colloca L. (2017). Nocebo effects can make you feel pain. Science (New York, N.Y.), 358(6359), 44. https://doi.org/10.1126/science.aap8488  Colloca, L., & Miller, F. G. (2011). The nocebo effect and its relevance for clinical practice. Psychosomatic medicine, 73(7), 598–603. https://doi.org/10.1097/PSY.0b013e3182294a50 Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n ⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd ⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership ⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit ⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor Work with Dr. Madison: For 1:1 Vestibular Rehabilitation Therapy, email [email protected] Otherwise, I’ll see ya in Vestibular Group Fit! Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/ Learn about the Oak Method: https://thevertigodoctor.com/why-vestibular-group-fit Love what you heard?Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you! This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here. ————————————— the nocebo effect, vestibular group fit, VGF, vestibular disorders, vestibular health, placebo and nocebo effect, negative outcome, side effects, expectations, chronic dizziness, vestibular migraine, mindset and the nocebo effect, increased anxiety and depression

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