Exercise should be a “core treatment” for people with depression, academics have said, after a new study suggested that some forms of exercise were just as good as therapy and even better than anti-depressants.
Walking, jogging, yoga and strength training appeared to be more effective than other types of exercises, according to a major new analysis.
And the more vigorous the exercise, the better, according to a research team led by academics in Australia.
But even low intensity exercises such as walking and yoga had meaningful benefit.
The effect of exercise appeared superior to antidepressants, according to the study which has been published in The BMJ.
But when exercise was combined with antidepressants, this improved the effect of the drugs.
That’s lovely but as the article tucks away at the end pretty unrealistic.
When people experience more severe forms of depression simply offering exercise may not be completely helpful, for example, when someone is struggling to get out of bed let alone get to the gym.
Depression is a spectrum. When I was suffering I was still able to go to work and school, I was just in a sort of behavioral rut where that’s all I did. Every experience I had felt like eating unseasoned food. There was no joy to it, it was just “if I don’t do this I’ll die and I guess I don’t want that…”. I tried Effexor and not only did it not help, it destabilized me pretty badly. Getting into the habit of exercising first thing in the morning every day has really turned that around.
That’s on them. They’d no different than them being to depressed to get up and take their medicine.
If exercise is the best treatment for depression, and someone refuses to exercise… well, enjoy depression I guess.
I hope you never experience crippling depression where it takes all your mental energy just to get out of bed and shower, where, the thought of doing anything more is just too much.
Exercise is wonderful, and yes helps massively. But depression is a feedback loop. You know exercise (or going to therapy) will make you feel better, but depression stops you, so you start beating yourself up about how much of a worthless piece of shit stain person you are because yes, you’re right it is, on you and you’re making your depression worse you can’t even fucking help yourself you lazy fucking cunt arse piece of shit fucker. And society thinks you’re a lazy fat useless slob who is no good to anyone and what’s the point of it anyway. What’s the point of trying to help yourself when you’ll just fuck it up anyway like you fuck up everything because you’re a useless waste of oxygen.
My take away from what you said was I was right. Lol, thanks for all that.
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Those were some great insults, I’m very impressed.
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Just cause you said a lot of things doesn’t mean you’re right, lol.
And my takeaway is you’re either 14, an idiot or a troll. Or maybe all three.
Spoken like someone with no empathy and no idea what they are talking about.
Cool story bro.
Really living up to your namesake there cause judging by that comment you’re dense as fuck.
It’s fucking reality bro.
There isn’t going to be a miracle cure. If exercise rant really does treat depression effectively, and someone won’t exercise… what the fuck else is supposed to happen?
If you don’t go to your cancer treatment cause you’re too tired from previous treatment… I guess you don’t get treated.
Do you want people to come pick up depressed individuals and start moving their arms for them??
No one takes you seriously because you sound incredibly ignorant. My guess is this how you are with everything.
Whiner
Loser
Lol!
The fucking reality is you don’t know what you are talking about. You don’t know depression, you never had it so kindly stfu when talking about a sickness you know exactly zero about.
Mental illness is illness. If someone had a physical disability that made even going to physical therapy difficult, we’d expect more resources to be directed to help them get there to improve their lives. Or at the very least, we’d have enough empathy to say “damn, that sucks, and it isn’t your fault alone.”
I genuinely hope you never have to experience a mental health that gives you a real perspective on how that deep depression feels. But I also hope you show basic empathy to people struggling. It’s a boomer mindset that’s trickled down to us.
Bipolar 1 checking in:
Exercise has been a godsend. When I’ve been better, I would run a 5k a day at lunch. I felt calmer, more stable, and happier.
But when the depression hits, the whole process falls apart. I’ll find myself smoking weed to try and numb the feelings but I just end up in a hole for weeks or months. Are these things I can change? Yea, but if I don’t have the support of professionals, meds, friends and family, I don’t get that push that gets me out of it.
But maybe you have had that experience of waking up on a new day. Perhaps the first day of spring. Perhaps after an oddly good sleep. You wake up and that voice saying “it doesn’t have to be like this” is louder than the voice telling you “it’s hopeless to try”.
Moods go up, moods go down. I have found the time I’m strongest against my depression is when I’m stable, and it’s the actions I do then that help me survive the darkness. Exercise won’t get me out of a depression, but it does keep it from rearing it’s ugly head; at least for one more day.
I know one day I will go back to that hole. I know full well my brightest days will come to an end and I will feel that empty feeling. Until then, I try to put on my running shoes, start my running playlist, and take it one step at a time.
P.S, sorry for launching you meeps.
🌎 🚀🥺 🌔
So what’s the solution?
There’s no direct one-size-fits-all solution because mental illness is complex and very personal. Anecdotally, depression can be more of a symptom than the underlying root cause in a lot of cases, especially if trauma is involved. A good therapist and support from peers is invaluable for identifying deeper causes and patterns. On a day-to-day level, depressed people may need gentle encouragement from someone in their proximity, something to break their routine in a positive way, support if they’re frustrated with what little they’re able to accomplish, and help breaking down big tasks into small pieces that they can more easily summon the energy for.
Medication can certainly help, as well as exercise and diet - but if someone’s not there yet, simply pointing to those and treating someone like they’re just not putting the effort in is extremely damaging. It reinforces the catastrophization that can occur and makes people feel like they’ll never be able to take control of their lives and it’s their fault. And if deeper causes are involved, they may not be able to explore those around someone telling them to just exercise more.
One of the problems with depression is that it’s corrosive to your internal drive. “Just” getting up and exercising takes the same level of will as “just” getting up and running an ultra-marathon.
Depression isn’t just feeling sad. Its depression of the synapses in the brain. This means it takes FAR more effort just to do simple things. One of the areas affected is the executive functioning. This is the part that enables the shift from thinking “I want to exercise” to actually doing it. Effectively it translates will power into action. When this area is depressed it’s akin to a car with a damaged gearbox, no amount of revving the engine will just make it work.
It’s like “just” fighting off cancer. Depression is an illness. Exercise can be a good treatment for some people but we wouldn’t leave it up to a cancer patient to determine and manage their own treatment. Especially when the illness actively prevents the patient from being able to “self medicate” as it were.
hustle culture is destroying us
How is hustle culture to blame for a mental illness?
swing and a miss
It was a question you fucking idiot.
it’s a question that implies that you don’t understand the basis of my statement. thanks for being abusive, though!
After a couple of decades of people telling me exercise would help, I finally decided to try it last year. For 6 months, I did at least some form of exercise at least every other day which, coming from years of being completely sedentary, was quite a change. And at the end of all of that…nothing. I was in better shape of course, but I didn’t feel any better, didn’t have any more energy, and wasn’t any less depressed. That’s just one anecdote of course, but my point is that it really sucks seeing studies continually say exercise is the best thing we’ve got because if that’s true then I am well and truly screwed lol
I’m in the same boat. I’ve tried almost everything; hiking, running, biking, swimming, climbing… All it ever gives me is sore muscles the days after, but apart from that it doesn’t change my mood in any way. In fact, it usually frustrates me since I don’t feel any perceived benefits, but it still costs me time, effort and pain. Doesn’t help that I’m very sport-averse because of negative expeiences in my youth.
I’ve been clinically diagnosed with depression and other fun stuff for nearly two decades now. Exercise is great as a stimulant to your emotional fortitude but it hasn’t “fixed” shit for me like they said it would. “Here’s a bottle of 60mg pills, give it a month to feel better”. If I had a plank of wood every time I heard that after trying their holistic idea, I’d have built my own house to get away from this fucking dismal housing market.
However, I think our problems paint the picture for us: Mental health issues are treated more like chronic staph infections than the psychological trauma they are. Everyone’s damage is so acutely unique to them, because it happened to them, so treatments need to be equally as personal. I don’t have the source on me, so take my statement how you wish, but nearly half of all diagnosed Depressives are given drug-only treatments.
The solution is to expand therapeutic services to help more people (i.e. government programs to subsidize the cost of services to the psych practice) and only use medications as a short-term supplement during treatment. This would help those afflicted to reach the point they can do the more holistic approaches and wean off the drugs.
Then again, that doesn’t get the pharmaceutical corporations paid… ¯\_(ツ)_/¯
On a more personal note, we also need better therapists. The ones I have must’ve had some shit they’re dealing with of their own because my sessions were typically abysmal and fruitless. Maybe if I had someone who cared a titch more my brain wouldn’t hate me so much. It’s probably just another pay-to-win scheme; I’m poor so I’m doomed to shitty service. Idk. I just work here, man.
What were you doing for exercise? The key is getting your heart rate up to like 90% for your age and weight and keeping it there for like fifteen minutes.
Since the study wasn’t actually linked (as far as I can tell on mobile), here’s a link to it.
https://www.bmj.com/content/384/bmj-2023-075847
From the conclusion: “Depression imposes a considerable global burden. Many exercise modalities appear to be effective treatments, particularly walking or jogging, strength training, and yoga, but confidence in many of the findings was low”
I always worry about studies like this because it always seems to me like it might be difficult to determine if exercise is the catalyst to better mental health or if someone’s bettering mental health through any number of other kinds of treatments or even changes in a persons social life was the catalyst for exercising more. When I’m feeling particularly depressed, I absolutely don’t feel like exercising, and when I start to feel hopeful for the future, I find myself wanting to exercise more. Same with “just go outside and walk through the woods”. I only feel like doing that on days my depression isn’t particularly bad.
Thanks for the link.
I think the authors shared your concern as well.
Our review did not uncover clear causal mechanisms, but the trends in the data are useful for generating hypotheses. It is unlikely that any single causal mechanism explains all the findings in the review. Instead, we hypothesise that a combination of social interaction,61 mindfulness or experiential acceptance,62 increased self-efficacy,33 immersion in green spaces,63 neurobiological mechanisms,64 and acute positive affect65 combine to generate outcomes. Meta-analyses have found each of these factors to be associated with decreases in depressive symptoms, but no single treatment covers all mechanisms.
With anti depressants to help keep it under control, adding exercise has helped me for sure. Ymmv of course.
Cosigning this, getting into the habit of working out every day has changed everything about my life for the better. I’m happier, more productive at work, more present for my friends and family at home and, counterintuitively, have a lot more energy with which to attack the day.
I hate when people tell depressed people to “just go work out.” When I was struggling with depression, I could hardly get out of bed and put on a fresh change of clothes, and somehow, they thought that I’m going to go outside and go for a walk! They really need to start with something more realistic like telling them to finally go and brush their teeth, because that is a lot more doable for them, and that still feels good too.
I do recognize that exercise does help. I’m in a lot better place now and I exercise daily, but if you’re asking a depressed person to do that, you might as well be talking to a rock. Also sometimes people are just really depressed, and even if they do exercise, it hardly helps, since exercise probably isn’t fixing the root issue.
how about just like
MAKE THE WORLD LESS DEPRESSING
maybe that might help
Chicken and egg. Both things need to be done. The world is increasingly dangerous to human nature. We have built a system that is detrimental to our existence. That said, everyone needs to get off their asses and go outside and touch grass.
i live in the city, the grass has cigarette buds in it
In my years of depression, I was also in peak fitness. Like, hours of cardio a day level of fitness. Maybe it helped (I sure couldn’t tell, but I would probably have been worse without it), and I imagine it helps a lot of people. But a lot of these reductive headlines are going to encourage the “just go outside or something” crowd to be even more dismissive of people with depression. Or people will see “core treatment” and think “instant cure treatment”.
Jokes on them! I can’t get myself to exercise because I am depressed.
Right, I wonder if there’s just a misunderstanding here and they’re just asking people exercising if they’re less depressed than when they weren’t exercising and it’s like, no shit they’re feeling better if they weren’t they wouldn’t be out there exercising.
This is a meta analysis of 218 clinical trials, they would have been more controlled than that.
This is the “just decide to be happy” of treatments but with extra steps (like a jog).
This has been known for quite sometime, it’s amazing to me that it’s not one of the first recommendations for treatment
Have you ever tried exercising when depressed? I’m overweight and depressed. I know exercise could make me feel better.
But how the fuck can I do it? I can barely muster the motivation to shower more than once a fortnight.
It’s not ignorance. I used to be a runner and know the Ashtanga yoga first series by heart. Also did judo.
But actually doing anything is way fucking beyond my reach.
So no. It’s not a panacea.
It’s just another “smile and you’ll feel happy” comment.
I think this study suffers from confirmation bias. The people who actually got themselves to do excercise were already intrinsically motivated enough to actually do it. That way you self-select for a positive result.
I didn’t read the actual study btw, it’s possible they already adjusted the results due to this.
I’m aware that depression causes major lack of motivation, nothing in my comment insinuated the opposite. That doesn’t mean it shouldn’t be the first avenue for treatment, ahead of medication.
Assuming exercise is a valid treatment…
It’s not just another smile and be happy. You CAN exercise. It’s not impossible, but you’re making a choice not to.
You want someone to snap their fingers and make you better, apparently. But that’s never going to happen. You can accept/engage with the treatment, or you can continue to be depressed. That’s just reality.
You’re sharing a very common ignorant belief in depression. So common and ignorant I can’t be bothered to engage.
You’ve never been depressed have you?
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I’ve been doing aports and exercising my whole life, but it does nothing for my depression.
Like every single treatment for all ailments that have ever and will ever exist, some will not work for certain people.
Not one time have my doctor’s recommended it for me. Just a new pill or nothing. Guess I’ll buy some running shoes.
It won’t be implemented, because personal trainers are more expensive than (most) antidepressants.
Most forms of exercise do not require a personal trainer.
You can get an exercise prescription in the UK. It’s basically a pass to use the local (public) leisure centre. Your don’t get a trainer but you do get to use the equipment.
Rec centers are all over the place. They are cheap and they have decent equipment. They also have people who help. You don’t need a personal trainer to go for a walk or lift weights.
I’m always worried I’ll do something wrong and drop something on my head or something and end up on some zoomer’s tiktok snuff video.
Probably stupid but anxiety is commonly co-morbid with depression so I doubt I’m the only one.
Rec centers are full of old people, they are not like gyms at all. Trust me, no one will be paying attention, and people will even be nice! I have social anxiety, so I really relate to your concerns. I dislike gyms, but love my rec center.
You don’t need a personal trainer anymore than you need a mechanic to change your wheel/tire. A little research and/or just a decently competent fitness-minded individual to mentor you for a few sessions is all you need.
