I must warn you now that the following post is long and, at times, rambling. However, it is an extremely topical, and dear to my heart, subject so please bear with me. And the focus of this literary shambles? The relationship between exercise and mental health. Or more specifically, a recently published report which declared that the effect of exercise upon those suffering from depression was so minimal as to be statistically insignificant – a conclusion which made my heart drop a beat and my frequently depressed brain seethe with anger. ‘How dare some little know it all in an ivory tower contradict, and thus invalidate my own, at times struggling, experience?’, I raged.


Fortunately, I’m not the only one who felt or thought this way. The Guardian ran a series of comment pieces and articles arguing against the findings of said research. These articles, which can be found here, here and here, went a long way to restoring my sense of balance within the world. Part of my anger towards the report derived from the feeling that it was not only (probably unintentionally) invalidating my own experience of exercise and depression but that it was also doing the same to countless others out there, some of whom may have been in a less than brilliant position with regards to mental health provision to begin with. There is a certain fear experienced time and time again when you are depressed that someone – whether that be a friend, family member, doctor, boss, teacher etc – will tell you ‘to pull yourself together’. Sometimes this piece of advice is delivered carelessly unintentionally, other times it is born out of well-meaning ignorance, always though the effect upon recipient is the same; the sense of isolation and despondency felt by many who are depressed increases – often with negative results. It was the subsequent production of these negative results that I feared would grow following the publication of the report’s findings.
Now, I must admit that some (or most) of this was derived from my own neuroses. But, as a human being I share qualities with the rest of the species and thus, it could be reasoned, I must also possess similarities in my thinking, to a lesser or greater degree. I was therefore worried not only for myself but also for anyone who has ever felt isolated and depressed. Nobody likes feeling that way but with the right guidance a path out of the deepest darkness can be found. For me, this path was built upon the twin foundations of medication and DBT. In that sense my experience supports the findings of the report. The medication allowed me to become well enough to be receptive to the DBT whilst that in turn enabled me to ‘build a life worth living’ which very much relied upon exercise to keep me well, along with continued medication of course. However, if the current thinking on the subject is that exercise does not help depression then why should anyone bother trying to make themselves feel better? More importantly, is a depressed person to just be handed some medication and a diagnosis and be told that is all there is in the world to make them feel better? Don’t get me wrong, I’m not against medication. However, I do understand the disempowering effect upon a person’s already depleted mental health of being handed a pack of pills and being told that is all the world has to offer you right now. When you’re depressed, you are looking for some shred of humanity and compassion in a world where you might already believe that none exists. An almost robotic production of a prescription and an impersonal diagnosis does nothing to contradict such a view.
It is, however, something which I believe that exercise can do. Exercise builds self-worth. Exercise encourages self belief. Exercise facilitates the setting and achieving of goals – it thus encourages a longer term perspective. Exercise taken outside opens your eyes to the (however minuet) beauty of the world, whether this be achieved through noticing the leaves on the trees or exchanging nods of camaraderie with fellow enthusiasts. Exercise signals a determination to change, to not settle for the present whilst also accepting (and even loving) your physical and mental being for all its wheezy, self-defeating inner and outer shell.
I’m not saying that exercise is the cure-all magic potion; although, neither is medication alone. But, I honestly believe that no-one ever regrets a workout – and it is for this reason and all those listed above, plus many more, that I believe the publication of such a report is not only irresponsible but down right dangerous.

Have you read the report or the subsequent news articles? What is your view on the relationship between exercise and mental health?
Tags: dbt, depression, exercise, mental health, news, recovery, running, working out