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.
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.
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.