Don Salmon
2 min readMar 17, 2023

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Excellent article with one caution:

There's been a lot of hoopla about the exercise vs. medication and psychotherapy studies, with the reporting varying from misleading to simply wrong (Robert Roy Britt published an article on this on Medium in which he quotes the lead Australian researcher blatantly misrepresenting the results the study)

A few things to think about.

1. People are reporting this as if it's new. The biopsychosocial model was developed for ALL mental health in 1977. The "bio" part has ALWAYS included exercise along with medication. I notice almost none of the reports include the fact that about 80% of ALL people who start an exercise program don't continue; nor do they observe the fact that of the 1000s of clinicians who recommend exercise, a large percentage of them report their patients won't even CONSIDER exercising.

2. I've looked at the linked articles here. None of them make any distinction with severity of depression. As long as 20 years ago, in order to inspire patients to exercise more, I used to quote well known studies that showed the 30 minutes of exercise was the equivalent of one dose of anti-depressant medication - FOR MILD AND POSSIBLY MODERATE DEPRESSION. To date, I haven't seen a single study showing exercise ALONE is "Superior" to medication OR therapy for severe depression (something that Britt erroneously claimed in his article)

So, great stuff. EVERYONE should exercise - aerobics (including HIIT if you're in shape for it), strength training, stretching and balance. The more the merrier. I average about 2 hours a day. About 80% of Americans don't even get 1 hour a week.

So, if you can come up with ways to inspire more people just to move more, great. But please, when you're referring to scientific studies, be careful. If you need to, ask someone (but of course, Britt asked and got the wrong answer - so ask several people)

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Don Salmon
Don Salmon

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