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Exercise works for depression. So why isn't it treated like real medicine?

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Re: Exercise works for depression. So why isn't it treated like real medicine?

#61

Surprisingly I've found some stigma attached to it - because people can get "preachy" about exercise I guess.

As evidenced by multiple examples already in this discussion. Food, exercise, willpower, mental health, all examples where randos without a problem feel entirely comfortable preaching to the victims that they just aren't trying hard enough.

Re: Exercise works for depression. So why isn't it treated like real medicine?

#62

I've always thought the hard cure to depression was to rip the person completely away from their lifestyle and give them an entirely new, physically active job, witness security program style.

1. While it's difficult to put a number on exactly what % of the time this is true, depression is not always, and I would say not often, a situational problem. For almost every depressed person, there's a happy person living the same lifestyle. For literally every happy person, there's a depressed person living the same lifestyle.

2. People with depression often have careers they care about and families they need to support. Even if leaving their lives behind worked, they wouldn't want to do that for the same reason you wouldn't.

Re: Exercise works for depression. So why isn't it treated like real medicine?

#63
post #54
post #37

Earlier quoted context omitted.

Why do we not treat this as an ill?

Much of it comes from the same place. Depression, ADHD, and many others affect our ability to concentrate and plan. When you are in those situations, long term doesn't matter - you are fighting to live in the short term. Part of using medication is helping to get those effects under control so that you can be forwarded looking and disciplined. Simply saying "exercise more" to someone struggling with mental health is…

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Re: Exercise works for depression. So why isn't it treated like real medicine?

#66
Exercise helps symptoms of depression. Yay!

Also, when fat people eat less they lose weight.

As with any intervention, the devil is in the details. The author doesn't really provide any.

If the fix was easy we wouldn't need doctors to provide it.

Re: Exercise works for depression. So why isn't it treated like real medicine?

#67

Just because a thing is true doesn't mean you can apply it. There are vast numbers of active ingredients discovered or developed that are effective in curing many deceases but there aren't "drugs"/pills with it because we haven't found a delivery mechanism for them to be effective where they should in the human body. Going back to the subject: Have you ever been clinically depressed or dealt with people in that predi…

Hear, hear. I've fortunately not had to personally deal with depression, but have been around those who have, and "just go to the gym" is right up there with "have you just tried not being sad?" on the list of unactionable plans.

See also: "Why don't more people with ADHD get treatment?" "Because if they were able to initiate and follow through a complex plan of meeting with care providers, arguing with insurance, and having prescriptions filled, they probably wouldn't need it."

Re: Exercise works for depression. So why isn't it treated like real medicine?

#68
I've experienced what this guy has experienced. I don't think that's unique. Being an athlete who gets injured and has mental health suffer because they lose their sense of identity and purpose is not anywhere near the same thing as clinical depression. It's a poor term in a way. You can be depressed or feel depressed and those are perfectly legitimate uses of the term, but it's not "depression," not in the same way. It's closer to grief. It's a response to loss.

In any case, I'm not exactly up to date on the state of the art in terms of standard of care, but as far as I understood the role of a psychiatrist, it is specifically to write prescriptions. Exercise is not a controlled substance. You don't need a prescription to do it. Any doctor or even just a clinical therapist, counselor, anyone with a license to listen to you and make recommendations, can recommend exercise. And I'm sure they do. If you make it to a psychiatrist, it's because the less controlled options didn't do the trick.

Re: Exercise works for depression. So why isn't it treated like real medicine?

#69

Earlier quoted context omitted.

Can you help me understand? Why does safety have to be all or nothing?

Isn't the alternative that people get hurt or die? And we want to prevent that?

Every decision has a cost as well as a benefit.

Re: Exercise works for depression. So why isn't it treated like real medicine?

#70

Earlier quoted context omitted.

A lot of us are concerned about more than objecting to GLP-1’s. They’re pretty aggressive as a “treatment” used for weight loss, TONS of people are on it, it’s aggressively marketed in ways that seem rather backwards with what we’ve learned about how to talk about bodies and weight, and we are already seeing concerning GI issues emerging from prolonged usage - which is a given unless someone makes a lifestyle change,…

> we are already seeing concerning GI issues emerging from prolonged usage Could you elaborate? I have been looking for a scientific discussion on that topic and coming up with not much.

Here are some hits from a search for “studies on GI problems associated with GLP1's.” I have not read them start to finish but it’s a starting point for you to do your own searches off of. I used Kagi, for reference.

https://pmc.ncbi.nlm.nih.gov/articles/PMC10213739/

https://www.mayoclinicproceedings.org/article/S0025-6196(25)...

https://www.ncbi.nlm.nih.gov/books/NBK551568/

https://pmc.ncbi.nlm.nih.gov/articles/PMC9821052/

https://www.nature.com/articles/s41366-025-01859-6

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