Most of us think of the placebo effect as something that only happens in clinical trials—a sugar pill that works because someone believes it will. But if you live with chronic illness, especially autoimmune or neuroinflammatory disease, the placebo effect isn’t just a research anomaly. It’s a tool.
And when your body throws annoying, low-level symptoms at you—like random itching, background nausea, or buzzing skin—that tool can become surprisingly powerful.
What Is the Placebo Effect Really?
At its core, the placebo effect is your brain and body teaming up to create real physiological changes based on belief, expectation, and ritual. When researchers study it, they see actual shifts in brain activity, hormone release, and even immune signaling.
It’s not “all in your head.” It’s what happens when your head talks your body into doing something helpful.
That means we can sometimes reverse-engineer it.
Why It Matters for Chronic Illness
As someone who lives with multiple overlapping autoimmune conditions, I’ve learned that it’s not just the big symptoms that derail your day—it’s the constant swarm of little ones. The invisible annoyances. The ones you feel silly mentioning at a doctor’s visit but that still erode your focus, your mood, and your sense of control.
When you have a complex condition, small symptoms pile up. An itch that won’t stop. Tingling feet. A weird flickering muscle in your back. And these symptoms might not always need medication—but they do demand attention.
And attention is costly.
The more you focus on a symptom, the more your brain flags it as important. The symptom becomes louder, more present, more annoying.
The placebo effect lets you play the opposite game.
First Person: The Itching That Wasn’t a Rash
One of my go-to examples is itching. I sometimes get patches of skin that feel like they’re on fire—but there’s no rash, no hives, no redness. It’s just “phantom itch.” And because I have lupus and Sjogren’s, I know that it’s probably inflammation misfiring through my nerves.
Scratching doesn’t help. Cream doesn’t help. But one thing almost always does: acting like I’m treating it in a serious, deliberate way. One of my favorite tools for this is Aveeno Skin Relief Moisture Repair Cream—it’s gentle, unscented, and thick enough to feel like a real treatment even when it’s functioning as a placebo anchor.
Here’s what that might look like:
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I make a “treatment plan” for the itch
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I apply a plain lotion or salve with intention
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I visualize the itch fading as I rub it in
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I say out loud, “This is going to stop the itch”
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Then I distract myself with something mildly engaging
Nine times out of ten? It fades.
The Science Behind the Placebo Effect
Research from institutions like Harvard Medical School and the NIH shows that the placebo effect isn’t just a psychological illusion—it produces real, measurable changes in the body. Brain imaging studies reveal that placebo treatments can activate the same areas involved in pain relief as opioids. They also stimulate dopamine and endorphin release, influencing both perception and physiology.
A 2020 meta-review published in Nature Reviews Neuroscience noted that placebo responses are especially strong in conditions involving subjective symptoms—like pain, fatigue, or itch—because these symptoms are processed through networks tied closely to emotion, attention, and memory. You can explore more from Nature Reviews Neuroscience here
In other words, the more you focus on a symptom, the more your brain tunes into it. But when you create a believable context for relief—even with a non-active intervention—your brain can shift how it processes the signal.
And that shift is often enough to reduce your discomfort significantly.
Read more on the science from Harvard Health
Why It Works: Ritual, Expectation, and Control
The placebo effect taps into three critical ingredients:
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Ritual — Repeating a set of actions that signal care and intervention
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Expectation — Believing it will help (or even just hoping)
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Control — Regaining agency over something the body has hijacked
These elements turn what feels like passive suffering into an active, structured response.
You’re not “fooling yourself.” You’re leveraging the mind-body loop.
How to Try It (Without Feeling Silly)
I’ve used this process not just for itching, but for buzzing sensations in my hands, waves of lightheadedness, and even that strange sense of “internal static” that sometimes hits during a flare. The specifics don’t matter as much as the intention. And intention, paired with action, is where the placebo effect shines.
Start with a symptom that’s annoying but not dangerous:
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Phantom itch
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Mild nausea
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Skin buzzing
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Dull background pain
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Brain fog or eye fatigue
Then:
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Pick a low-risk treatment (a cool compress, lip balm, or something calming like the InnoGear Essential Oil Diffuser with Oils)
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Apply it with slow, deliberate movement
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Narrate what you’re doing to yourself—out loud or in your head
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Pair it with a visualization of relief
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Let yourself believe in the possibility of comfort
You may need to repeat it a few times. That’s okay. This is a muscle you’re building.
Final Thought: This Is a Tool, Not a Cure
Think of this not as a trick, but as a form of gentle self-coaching. You’re offering your nervous system a different story to follow. A little structure. A little hope. Sometimes, that’s all it takes to shift the moment back in your favor.
The placebo effect won’t fix a flare, shrink inflammation, or stop a crisis. But it can interrupt the spiral of attention that makes small symptoms feel unlivable.
Use it to clear space. Calm your brain. Return to yourself.
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