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
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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.
Effexor
Absolutely everyone I have talked to/seen who has taken effexor has horror stories about it. That drug should not be prescribed.
For me it caused multiple manic episodes. One where I had a seizure. One where I didn't sleep for a week and was hearing voices by the end(and some worse stuff I don't want to mention). Also weird sensory effects. It's been 4 years since I have taken it and I still don't feel like I have recovered from the trauma of that drug.
Exercise has been helping a lot lately tho. I cant say I do it every day but I do a moderately intense exercise session about 1-3 times a week. Intense enough my legs hurt the next day. Tho I do forget to do it some weeks.
I was in the "struggles to get out of bed" category of depression. For me what helped was just doing the absolute minimum amount of exercise I could muster, like jog in place for a min while I waited for my hot pocket to nuke. Just did that every once in a while when I remembered. Having a baseline of occasionally doing it let me build on that over many months to more intense exercises. I'm not going to say my depression is cured but it has very objectively improved. Getting out of bed is not nearly as hard now, and my ability to take care of myself and my environment has improved as well. Looking for work again too.
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.
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".
how about just like
MAKE THE WORLD LESS DEPRESSING
maybe that might help
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.
During my deepest depression I would go to the gym to lift weights because it was an invisible way to punish myself.
Jokes on them! I can't get myself to exercise because I am depressed.
With anti depressants to help keep it under control, adding exercise has helped me for sure. Ymmv of course.
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.
Not one time have my doctor's recommended it for me. Just a new pill or nothing. Guess I'll buy some running shoes.
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.
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