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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?

#81
post #78

> Start with brisk walking three times a week for 20-30 minutes at an intensity where you can still talk. When people talk about exercise as a treatment for depression, i never imagined they meant such small amounts.

You have to start somewhere. A full on daily HIIT routine for someone who's struggling to get out of bed is not going to help them much (setting aside risk of injury, they're going to be frustrated and that will set them back too).

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

#82

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…

> 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.

That's not super meaningful though. Just because a specific lifestyle doesn't affect every person doesn't mean it doesn't effect some people.

Like you could probably also say for every smoker with lung cancer there is a smoker who didn't develop lung cancer (since risk is only 15% so the majority dont). But smoking is still terrible for you.

> 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.

Depends on what severity of depression we are talking, but there is a very real way that depressed people do leave their families and lives behind by the very nature of the disease.

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

#83

What do you mean exercise isn't treated like real medicine? Doctors have been trying to advocate for people to be more active to help with basically every major health issue for decades. People complain about "ThEy JuSt WaNt To SeLl YoU pIlLs" as if it's not the people who want to solve their health issues by just taking the correct combination of magic pills. You can be sold exercise too. Physical therapy exists. Pe…

> What do you mean exercise isn't treated like real medicine? It's in the article. How doctors actually recommend it (the complaint of many patients that they are only told, or only hear, "exercise more") versus how medical treatments usually provide plans and guidance . Telling people to exercise more (mostly) doesn't help (especially for people already dealing with reduced motivation from a disorder like depression…

Fair enough, I usually read the comments first before digging into the article, expecting them to be about the article. My comment was more in response to them. Most of the comments (including mine until now) seem to have not read the article at all. That was a mistake on my part.

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

#84
post #78

> Start with brisk walking three times a week for 20-30 minutes at an intensity where you can still talk. When people talk about exercise as a treatment for depression, i never imagined they meant such small amounts.

You have to start somewhere. A full on daily HIIT routine for someone who's struggling to get out of bed is not going to help them much (setting aside risk of injury, they're going to be frustrated and that will set them back too).

I understand that, but regardless there is presumably an exercise amount threshold you need to clear in order to get the anti-depression effects.

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

#85

Exercise helps my ADHD, but it requires quite a bit of sequential cognitive processing to actually get to the point of starting it. Adderall makes this initial part much easier. I expect something parallel is happening in those with depression.

For me exercising regularly is about as effective as the medication. Eating well and cutting out sugar and coffee helped a bit too.

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

#86

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, an…

Bingo. It took years to get an ADHD diagnosis after severe issues with productivity and executive function.

I finally get a medication to try, and on the way home it falls out of my pocket. Don’t realize till I’m home and go back and find it… smashed in the street, run over by a car. Lol. So yeah, it’s a real struggle.

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

#87

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…

The article says that 41% of mental health professionals never recommend exercise. Is it really the case that these 41% have only patients with the severest forms of depression who struggle to get out of bed at all? Or do they have many patients who get out of bed for work and such, and could force themselves to exercise, but don't know that it's worth the hurdle because they haven't been told about the mental health…

I don’t know a single person in my life who thinks exercise isn’t worth it. I think it’s widely known that exercising is one of the best things you can do for your health, but actually making it a habit is extremely hard.

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

#88

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

I just think the entire idea of "preachiness" about exercise is wrong. When I tell people that they should start using ibuprofen/acetaminophen fixed-dose combinations (you should! They're substantially better at pain relief than anything else in the OTC market) it would be very strange for someone to jump in to announce that they have kidney problems and I have to stop preaching about things that don't work for them.

It's true that there's some people who can't exercise, and we should have sympathy for them.

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

#89

Earlier quoted context omitted.

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/PMC9…

Ah, okay, I was thinking you might have run across something more recent. The latest science seems to be going mostly in the opposite direction, saying that with additional data it looks like early concerns about things like pancreatitis (and worse, cancer) were overblown. If there are some newly identified adverse reactions I'm always interested to learn more about them.

[deleted]

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

#90

Earlier quoted context omitted.

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/PMC9…

Ah, okay, I was thinking you might have run across something more recent. The latest science seems to be going mostly in the opposite direction, saying that with additional data it looks like early concerns about things like pancreatitis (and worse, cancer) were overblown. If there are some newly identified adverse reactions I'm always interested to learn more about them.

I don’t know what exactly this is but it rubs me the wrong way. You say you’re curious and can’t find anything, but then you dismiss all the stuff I linked in minutes as if no valid literature exists yet and you already have a formed opinion. It doesn’t seem like you’re particularly curious and it feels like my time is being wasted by a lack of transparency.
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