Depression is draining. It can make any type of exertion -- going to the grocery store, cleaning up the yard, or exercising -- seem daunting.
"Energy loss is one of the key characteristics of depression. Some people feel that it’s the key characteristic of depression," says Robert E. Thayer, PhD, a psychology professor at California State University, Long Beach, an expert in managing mood, and the author of Calm Energy: How People Regulate Mood with Food and Exercise.
If you’ve ever taken an antidepressant, you know that the first several days or even weeks can be rough. Antidepressants take time to work and some can cause unpleasant side effects like dizziness, nausea, sweaty palms, and diarrhea. When you put all that together, you may start to doubt the value of a medication that takes a month to make you feel better.
Chances are good that you will feel better, eventually. If your response to medication is inadequate after 6-8 weeks, talk with your doctor about...
Can depressed people get into a vicious cycle if they feel stressed and overeat and don’t exercise and then become more depressed?
"Definitely. People self-regulate with food, and I think that’s one of the reasons for the obesity epidemic that’s occurring -- the combination of increased stress and depression going on for a long time and people needing to self-regulate, using food and other substances for doing that."
If depressed people begin to exercise instead, what happens physiologically?
"There’s a whole series of things that happen when we begin to exercise. As we get up and begin to move and exercise, there’s a general bodily arousal state that occurs. It includes many different systems of the body -- everything from metabolism to cardiovascular activation, various kinds of endocrine changes in the brain, various kinds of hormonal changes and shifts."
What happens psychologically when people start to exercise?
"It depends on the degree and level of exercise. With moderate exercise, [in our research] we’ve been working with short, brisk walks [of] five or 10 minutes. The primary mood effect in that situation is increased energy. Secondarily, sometimes -- but not always -- there’s a tension reduction."
"With more intense exercise -- for example, an hour of heavy aerobic exercise -- there is a reduction in energy and a reduction in tension. But oftentimes, after recovery [from the workout], there’s an energy resurgence that occurs."
Do depressed people have to exercise intensely to get a mood boost?
"No, it actually can occur fairly quickly. One of the things about our 'short, brisk walks’ studies really illustrates this point. People can think about ... how tired they’re feeling, then get up and begin to walk -- walking moderately, maybe quickly down the street for a short while. Immediately, they will begin to feel differently. As we’ve found with short, brisk walks of five to 10 to 15 minutes, there’s a significant increase in energy. They begin to feel it almost immediately."
"When people are seriously depressed -- with clinical depression, of course -- it may be not as efficacious as it would be for people in a normal state, but it still will have an effect."