No, Effectiveness I don’t feel is based on our feelings. Medication doesn’t completely take away the illness just lessen it. So if your depression is lessened then the med is doing it’s job. That said my pdoc use to prescribe placebo's to clients before he came to US when he felt it was a situational issue.

Therapy is based on learning skills so your attitude does affect how well the coping skills work. I say that because it takes practice to really be effective.