this post was submitted on 15 Feb 2024
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That's on them. They'd no different than them being to depressed to get up and take their medicine.
If exercise is the best treatment for depression, and someone refuses to exercise.... well, enjoy depression I guess.
I hope you never experience crippling depression where it takes all your mental energy just to get out of bed and shower, where, the thought of doing anything more is just too much.
Exercise is wonderful, and yes helps massively. But depression is a feedback loop. You know exercise (or going to therapy) will make you feel better, but depression stops you, so you start beating yourself up about how much of a worthless piece of shit stain person you are because yes, you're right it is, on you and you're making your depression worse you can't even fucking help yourself you lazy fucking cunt arse piece of shit fucker. And society thinks you're a lazy fat useless slob who is no good to anyone and what's the point of it anyway. What's the point of trying to help yourself when you'll just fuck it up anyway like you fuck up everything because you're a useless waste of oxygen.
One of the problems with depression is that it's corrosive to your internal drive. "Just" getting up and exercising takes the same level of will as "just" getting up and running an ultra-marathon.
Depression isn't just feeling sad. Its depression of the synapses in the brain. This means it takes FAR more effort just to do simple things. One of the areas affected is the executive functioning. This is the part that enables the shift from thinking "I want to exercise" to actually doing it. Effectively it translates will power into action. When this area is depressed it's akin to a car with a damaged gearbox, no amount of revving the engine will just make it work.
It's like "just" fighting off cancer. Depression is an illness. Exercise can be a good treatment for some people but we wouldn't leave it up to a cancer patient to determine and manage their own treatment. Especially when the illness actively prevents the patient from being able to "self medicate" as it were.
Fully agreed on that.
The only proviso is that I think it's less that exercise makes depression better, and more than a lack of exercise makes it worse. It's a subtle distinction, but makes a difference.
Unfortunately, it seems that self driven treatment is the norm. Even worse, if you stop engaging with it (due to being unable to balance everything), it's taken as you are now fine, and you are removed from care, and so back to square 1.
Mental illness is illness. If someone had a physical disability that made even going to physical therapy difficult, we'd expect more resources to be directed to help them get there to improve their lives. Or at the very least, we'd have enough empathy to say "damn, that sucks, and it isn't your fault alone."
I genuinely hope you never have to experience a mental health that gives you a real perspective on how that deep depression feels. But I also hope you show basic empathy to people struggling. It's a boomer mindset that's trickled down to us.
Bipolar 1 checking in:
Exercise has been a godsend. When I've been better, I would run a 5k a day at lunch. I felt calmer, more stable, and happier.
But when the depression hits, the whole process falls apart. I'll find myself smoking weed to try and numb the feelings but I just end up in a hole for weeks or months. Are these things I can change? Yea, but if I don't have the support of professionals, meds, friends and family, I don't get that push that gets me out of it.
But maybe you have had that experience of waking up on a new day. Perhaps the first day of spring. Perhaps after an oddly good sleep. You wake up and that voice saying "it doesn't have to be like this" is louder than the voice telling you "it's hopeless to try".
Moods go up, moods go down. I have found the time I'm strongest against my depression is when I'm stable, and it's the actions I do then that help me survive the darkness. Exercise won't get me out of a depression, but it does keep it from rearing it's ugly head; at least for one more day.
I know one day I will go back to that hole. I know full well my brightest days will come to an end and I will feel that empty feeling. Until then, I try to put on my running shoes, start my running playlist, and take it one step at a time.
P.S, sorry for launching you meeps.
🌎 🚀🥺 🌔
So what's the solution?
There's no direct one-size-fits-all solution because mental illness is complex and very personal. Anecdotally, depression can be more of a symptom than the underlying root cause in a lot of cases, especially if trauma is involved. A good therapist and support from peers is invaluable for identifying deeper causes and patterns. On a day-to-day level, depressed people may need gentle encouragement from someone in their proximity, something to break their routine in a positive way, support if they're frustrated with what little they're able to accomplish, and help breaking down big tasks into small pieces that they can more easily summon the energy for.
Medication can certainly help, as well as exercise and diet - but if someone's not there yet, simply pointing to those and treating someone like they're just not putting the effort in is extremely damaging. It reinforces the catastrophization that can occur and makes people feel like they'll never be able to take control of their lives and it's their fault. And if deeper causes are involved, they may not be able to explore those around someone telling them to just exercise more.