I'm only one data point, but I've exercised more days of my life than not and have observed absolutely no difference in mental health between the me that exercises and the me that doesn't.
What about athletes: students-athletes, NBA players, olympians. Do they show a significantly lower rate of mental health issues?
This argument has been floating around in my head for a while. The reason I think this suggestion is harmful is because it is the most vocal and popular, and yet excludes anyone who already exercises.
Who is recommending this? My hypothesis is people who only exercise every once in a while and so they get a huge hit of endorphins and think, "Man if I did this every day I would feel great." Maybe, some people with mental health issues use exercise as an escape and are really recommending it for its temporary relief. But I'm just in denial about the majority of people being people who didn't exercise, were miserable/anxious/whatever, started exercising and now they're happy/normal/perfect.
Again, I'm not trying to start any arguments here. For those of you who have been saved by exercise, I'm envious. I would really just like to see more answers than this instead of seeing it as the go to answer. It makes the assumption that people who have mental health issues don't exercise.
As a kid, I remembering hearing - "drink water" all the time.
It never helped. I never once felt better drinking water than not. But no-one cared. "I'm already drinking water." "It doesn't help." It was the panacea to a sea of unrelated problems and no-one was interested in actually checking up on whether it worked.
Now, I'm at a different place in my life, and the water is immensely helpful.
Exercise really helps - on average, statistically, it's one of the most effective interventions, and if you're any sort of health care provider you immediately notice the difference in a whole group of patients after they exercise vs a day they don't. And a lot of times individuals cannot notice the difference from inside, even if their behavior is a lot more upbeat.
But for someone people who need something entirely different, it might not help for that particular issue.
But where most commenters go off the rails is in assuming that other people's depression is equivalent to what they experienced in the past, which couldn't be farther from the truth. If exercise produces a mild improvement for you and your symptoms were mild to begin with, you'll likely approach remission, which is awesome. But if your depression is moderate or severe, then intense exercise may only move you from "really miserable" to "still kind of miserable". Again, not arguing that exercise shouldn't be encouraged, but it's critical to remember that your depression experiences are not equivalent to others' depression.
Of course, the same is true of someone who is experiencing no mental health problems. But although someone without mental health problems perhaps ought to exercise, and probably would enjoy both a significant improvement in mood and a reduction in stress levels; that person nonetheless doesn't need and hasn't been identified as someone who needs a significant improvement in mood or ability to cope with stress.
To my understanding, the reason that exercise is mentioned so often in the context of mental illness is that (a) it very, very likely to have a definite and subjectively detectable positive effect (unlike many potential medications), (b) it has very few potential negative side effects, (c) it may improve the body's ability to metabolize some drugs, (d) it is something that the patient can have control of, (e) it can add some structure to an otherwise unfocused life. Although it might have a "tipping point" effect for some people at some times, and some people may associate it with the end of an isolated episode of chronic depression, I don't think that it is often recommended (by doctors) in the hopes that it will 'cure' mental illness, per se. It can help treat it, and it can help treat confounding factors like lack of purpose, lack of success, lack of agency or autonomy, lack of social contact... et cetera.
I'm sorry that exercise doesn't provide any positive benefit for you. It's not entirely clear whether you're comparing sustained periods (on the order of weeks or months) of low exercise to periods of frequent exercise, or whether you're expecting to find a difference between a day on which you exercise and a day in which you don't. From my experience, I tend to think of it as a general metabolic effect. It's possible that it genuinely doesn't or won't help you; it's possible that you do exercise more than enough, and that you might (or might not) feel worse than you do now were you to cease exercising entirely.
I certainly share your frustration with people who deflect conversations in the direction of exercise as an answer to (let alone cure for) mental illness, most especially when they are proposing to "solve" a problem that they themselves have not experienced or have no substantive knowledge of.
I can see why assumptions about the curative powers of exercise would bother you.
We have this testimony from Pete Sampras: [Letter to My Younger Self](http://www.theplayerstribune.com/pete-sampras-letter-to-my-y...)
HN discussion: https://news.ycombinator.com/item?id=9803867
You know one thing those studies do, though, that we don't on HN? Screen every participant to make sure they qualify. Those screening tests take out people who don't meet clinical definitions of (ADHD, depression, anxiety, etc.), screen out people with physical problems that prevent them from completing the protocol, and then track participants.
Exercise is good medicine, but it's not the only one -- and the parent post here points out that sometimes it isn't the answer at all. For an anecdote I'll pull out a friend diagnosed as "just depressed" -- stomach hurt, some tough family situations. "Exercise! It'll help!" All the running, swimming, rock climbing in the world didn't really help. You know what did? Two surgeries to take care of the endometriosis that wasn't diagnosed for 6 years.
We're complex creatures. Try exercise: it's cheap, don't need a prescription, might have benefits esp if you form more social ties while you're at it. If it doesn't help, don't ignore that -- keep looking!
Feel free not to answer if you're not comfortable, but would you say your anxiety is more 'mental' (e.g. catastrophic thinking) or 'physical' (e.g. shaking, butterflies in stomach etc.)?
Not the parent, but are there different types of anxiety?
For me, the most prevalent effects are faster heartbeat at anxious moments (this even happens in the morning after waking up) and elevated symptoms of tinnitus and muscle pain in the neck.
Interestingly, working hard mentally seems to make the anxiety go away, but at the end of the day it hits me back hard.
I wonder how such symptoms would be classified.
Perhaps you focus well enough not to notice the physical effects. I know sometimes I'll stand up and realize I really need to take a bio break of some sort.
Definitely many kinds of anxiety. I think there are two broad groups (which aren't mutually exclusive): 'physical' anxiety/panic/phobia (your body's fight or flight response spools up at inappropriate times), and 'mental' anxiety (either specific or generalised). PTSD is in many ways is like a panic disorder, except the stimuli are memories or sensory inputs similar to ones that were salient during a traumatic event.
I've got much more experience on the 'physical anxiety' side of things. I've found propranolol (a beta-blocker) to be extremely effective at suppressing physical anxiety. It's a very safe medication (unless you have asthma) and is non-narcotic. If your physical symptoms are troubling you, maybe raise this with your doctor. It's very cheap too. There have also been recent studies on treating PTSD sufferer's (with sleep episodes) with a similar kind of drug: alpha-adrenergic blockers (e.g. prazosin). This makes a lot of sense as it would also suppress the physical FoF response.
I've tried a number of anti-depressants in the past with little success. They have a low probability of success in monothreapy for anxiety. Lastly, I'd strongly advise steering clear of benzos (e.g valium), unless you need acute short-term releif and are under medical supervision. You build a tolerance to them very quickly, and they're very physically addictive. The withdrawal can cause grand mal seizures (literally translates to 'big bad' seizures) and potentially even kill you (for long-term high dose usage). At the very least, when you come off them you'll generally experience rebound anxiety, which is not pleasant.
If it's mostly physical, a you consider it a big enough impairment, I'd suggest meds might be a better option (unless there's a strong phobic aspect present [e.g. fear of spiders], in which case exposure therapy and CBT can be helpful). If it's more mental, maybe discuss your options with a GP and give talk therapy a try first.
Good luck with your health. Don't leave it all in the hands of doctors; research and come to your own views before rocking up at an appointment.
I was planning to see a doctor soon, so this might very well come helpful.
Yes, I am a teeth grinder. No sleep apnea, and only little stress. Could that provide additional clues?
https://en.wikipedia.org/wiki/Temporomandibular_joint_dysfun...
And take a look at 'sleep bruxism' in the table on this page: https://en.wikipedia.org/wiki/Bruxism#Classification_by_temp...