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“I am a big believer in the value of physical activity,” says clinical psychologist James Blumenthal of Duke University. For most people with mild to moderate depression, exercise is one of the strongest, safest, most practical, most affordable and even most enjoyable treatments available. It appears to combat depression in a number of ways: by strengthening our biochemical resilience to stress, encouraging the growth of new brain cells, bolstering self-esteem and possibly even counterbalancing an underlying genetic risk for mental illness. But scores of experiments now show that exercise is much more than a temporary distraction from mental woes or some ultimately inconsequential palliative. Exercise is by no means a panacea, and in severe cases of depression, it may be futile on its own. In the case of depression, the collective evidence to date suggests that the answer is an emphatic yes. But how often do we seriously consider exercise as a viable treatment for mental illness, one just as effective as medication or counseling? Can a steady routine of physical workouts really help to keep psychological disorders in check? We work out to “get in shape,” and some of us depend on bike rides, neighborhood jogs or yoga to help clear our mind and relieve stress. In contrast, the benefits of exercise for mental health are not quite so obvious or well publicized. Decades of research demonstrate that regular exercise lowers the risk of many illnesses-heart disease, diabetes, cancer-and extends the average life span. The fact that exercise improves physical health is so well known as to be a platitude. To this day, they continue to incorporate movement into their daily routine as much as possible.
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This is something positive about myself.’ And the dancing was joyful-just being able to move around in a way that was free and felt good.” Since incorporating exercise into their regimen for managing depression, Metta has never relapsed to the point of requiring another hospitalization. Using weight machines or jogging on the treadmill allows you to be self-reflective: ‘Look at the strength and endurance I have.
There’s something wonderful about the mind-body connection exercise provides.
“It was empowering,” says Metta, now 37 and living in Denver. So after leaving the hospital, Metta started going to the gym three to five times a week, walking and jogging on the treadmill, lifting weights and attending Zumba, a popular dance fitness class. During their stay, a hospital therapist also recommended exercise.
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In addition to medication and counseling, their doctors prescribed a full schedule of daily activities such as arts and crafts and walks around the grounds. This time Metta turned to a hospital in Saratoga Springs, N.Y., some two and a half hours away, that offered a more holistic treatment. But when they went back to school in August 2014, the unbearable sadness and dark impulses resurfaced. For a while they seemed to be getting better.
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“I felt very unsafe.” They realized they needed a serious intervention.Īfter a week and a half on suicide watch at the hospital, plus a stronger cocktail of medications, Metta returned home, taking an academic leave of absence for the remainder of the school year. In their darkest moments, obsessive and frightening thoughts of self-harm and suicide flooded their mind. Some days that winter they could not even make it out of bed, despite the fact that they had started taking antidepressants the previous fall. They had withdrawn from friends and were routinely missing classes at Syracuse University, where they were a fifth-year graduate student in evolutionary biology. For more than a year they had been struggling with depression-not eating well and losing interest in the movies, books and music that usually delighted them. On Valentine’s Day 2014 Jack Metta (then known as Elizabeth Droge-Young) admitted themself to a hospital in Syracuse, N.Y.
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