Our minds and bodies are connected and without a healthy mind we cannot have a healthy body. See my article and listen to my radio show on: Mental Wellness: Why We Need to Have Hope For Our Body’s Health and Our Mind’s Health.

Gretchen writes:

     Prescribing Exercise to Treat Depression: August 31, 2011
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Can a stroll help ease depression? That question preoccupied Dr. Madhukar H. Trivedi, a professor of psychiatry at the University of Texas Southwestern Medical Center in Dallas, after several of his patients, all suffering from serious depression, mentioned that they felt happier if they went for a walk. The patients in question were taking the widely prescribed antidepressants known as S.S.R.I.’s, for selective serotonin reuptake inhibitors, but not responding fully. They remained, by clinical standards, depressed. Dr. Trivedi and his colleagues began to wonder if adding a formal “dose” of exercise would increase their chances of getting better.

Certainly the possibility was worth investigating. Clinical depression, as anyone who has experienced or watched a loved one struggle with the condition knows, can be stubbornly intractable. Even if patients have been taking an antidepressant for months, recovery rates tend to hover below 50 percent.

In order to increase the odds of improvement, doctors frequently add a second treatment — often another drug, like lithium or an antipsychotic — to the S.S.R.I. regimen at some point, Dr. Trivedi said. Most patients ultimately require at least two concurrent treatments to achieve remission of their depression, he said. Studies have shown that these secondary drug treatments help an additional 20 to 30 percent of depressed patients to improve, but the medications can be expensive and have unpleasant side effects.

Which prompted Dr. Trivedi to look to exercise. His investigation joins a growing movement among some physiologists and doctors to consider and study exercise as a formal medicine, with patients given a prescription and their progress monitored, as it would be if they were prescribed a pill.

In this case, Dr. Trivedi and his collaborators, who included researchers at the Cooper Institute in Dallas, the Pennington Biomedical Research Center in Louisiana and other institutions, recruited 126 people with depression who had been using S.S.R.I.’s for a minimum of two months, without achieving remission. None of the patients exercised.

Dr. Trivedi and his colleagues divided these volunteers into two groups. One began a gentle aerobic exercise routine, under the tutelage of Cooper Institute researchers, which required them to burn a certain amount of calories per session, depending on their weight. How the subjects expended the energy was up to them. Some walked for about 10 minutes a day, on a treadmill or by strolling around the block, at a pace of three miles an hour. Others chose an equivalent easy cycling workout.

The second group was more energetic, walking briskly for about 30 minutes a day at a pace of four miles an hour, or the cycling equivalent, a regimen that meets the current exercise recommendations from the American College of Sports Medicine.

Each volunteer exercised for four months, while continuing to take an antidepressant. At the end of that time, according to the study published recently in The Journal of Clinical Psychiatry, 29.5 percent had achieved remission, “which is a very robust result,” Dr. Trivedi said, equal to or better than the remission rates achieved using drugs as a back-up treatment. “I think that our results indicate that exercise is a very valid treatment option” for people whose depression hasn’t yielded to S.S.R.I.’s, he said.

As with most scientific findings, though, there are caveats.

One is practical. More patients improved in the group that completed the longer, brisker workouts than in the group assigned the easier exercise, but more of them also dropped out of the study. “We need to find ways to support people’s efforts to exercise,” Dr. Trivedi said. “It’s not going to be enough to casually say, ‘Go for a walk.’” Exercise, if it’s to be medicinal in depression treatments, will have to be monitored, he said, so it can’t be shrugged off.

Even then, many people will not respond. Almost 70 percent of the volunteers in this study did not achieve full remission. Failure rates were particularly high for women with a family history of depression, perhaps as a result of some as yet unknown genetic quirk. And women in that group who did recover were more likely to succeed using the lighter exercise program than the more strenuous routine.

Then there is the issue of a control group, whose members would have continued with their S.S.R.I.’s but not exercised. This study did not have one, making interpreting the results tricky, said James A. Blumenthal, a professor of psychology and neuroscience at Duke University who was not involved with this study but who has written extensively about exercise and depression. Perhaps four additional months of S.S.R.I. treatment raised people’s moods, and the exercise was incidental. “Evidence is accumulating that exercise may be an effective treatment for depressed patients who are receptive to exercise as a possible treatment and who are able to safely engage in exercise,” he said. But the evidence is by no means definitive.

Still, Dr. Trivedi said, although additional studies certainly are needed, there’s no reason for people with unyielding depression not to talk now with their doctors about exercise as a treatment option. “Side effects are almost nonexistent,” he said, “while you get additional benefits, in terms of improvements in cardiovascular health and reductions in other disease risks,” things antidepressant drugs do not provide. “Plus,” he pointed out, “the cost profile is very favorable.” Exercise, as medicines go, is cheap.

To read the article from the New York Times, Click here

Thank you Gretchen for this fantastic insight to what many know and now it’s time the rest of the medical community put away their prescription pads, get the drug companies out of their pockets and teach their patients how to exercise for the mental health.

Suzie Cooney, CPT of Suzie Trains Maui

  @SuzieTrainsMaui

Do not let other’s “shape” your thoughts of how you feel about yourself or your body. I’ve written this article for those who have yet to learn how to love the skin you’re in.

When you look in the mirror what do you see? Remember the mirrors at the fun house when you were a kid? You laughed and giggled when you saw your body as short or wide and a little distorted. But as we come up in age sometimes in real life we may feel awkward or uncomfortable in our bodies.

As a fitness expert and lifestyle fitness coach, I often work with individuals who sometimes come to me with a picture of a movie star, or model or someone that has an entirely different genetic body type than what may be realistic. They say, “Suzie I want legs and arms just like that.”

There’s nothing wrong with desiring a shapely or fit body, but the reality of how we are made can often prevent us from being real with who we really are and accepting that genetics, medical conditions and other physiological factors play a role in how our bodies literally take shape.

The key to feeling good about your body is to learn and respect our natural shape. We must get rid negative thoughts and replace them with positive ones. We can do this by learning more about the physiological factors that may influence the result of your training efforts and desired outcome.

Body Image is…

• How you see or picture yourself.
• How you feel others perceive you.
• What you believe about your physical appearance.
• How you feel about your body.
• How you feel in your body.

It’s been studied, that people with negative body images have a greater likelihood of developing an eating disorder and are more likely to suffer from feelings of depression, isolation, low self-esteem and obsessions with weight loss.

To read the rest of my article go to ATHLETA Chi: http://www.athleta.net/chi/2010/11/09/a-whole-person/

Suzie Cooney, CPT

Suzie Trains Maui     Follow Suzie on Face Book: http://www.facebook.com/suzietrainsmaui

Having a Healthy Body Image  

The media, our families, our friends’ can sometimes bombard us with unhealthy messages that can “shape” our thoughts of how we feel about ourselves when we look in the mirror.  The diet and cosmetic industries assure us that if we have size 2 waists, our lives will be more fulfilling and everything will be wonderful! 

How ridiculous to think that skinnier people are more happy.  This is so off the mark! Would you agree?

We all want to feel and look our best. What you see on the outside in not always true on the inside.  A healthy body is not always linked to how we look. Thank goodness we come in all shapes and sizes, otherwise, it would be so boring. 

Body image can be described as:

       How you see or picture yourself

            How you feel others perceive you

                        What you believe about your body

                                    How you feel inside your body

A person with a positive body image has a real perception of their shape, size and is okay and comfortable with themselves.  Now, a person with a negative body image, this person experiences a distorted view of their body.  They are always comparing themselves to others and feel shame and maybe anxiety. In addition, these feelings can lead to emotional issues, such as extreme obsessive behaviors, low self-esteem, depression, and other eating disorders.

Here are a few tips to learn to love what you see in the mirror and help change your own perception of your body:

1. Take a deep breath, look in the mirror and smile really big.  Sounds silly, but that’s my point. I want to you loosen up and not be so serious.  Surely you can find something you like about yourself. 
2. Don’t hide or walk away from mirrors in your home.  Walk by and say, “hey I look good!”  Remind yourself that true beauty is not skin deep.  Walk in confidence and self-acceptance.
3. Wear what makes you feel good!  Don’t hide behind a dress that’s 4 sizes too big, or surf shorts that are too big. But, wear something that you’ve been complimented in before. I love that feeling, especially if I feel a little on the awkward side that day. 
4. Exercise because it makes you feel good, not because you just ate huge Big Mac and you feel guilty!  Just don’t’ eat the Big Mac next time.
5. Be with people, family, or friends that make you feel good just the way you are. Shift away from people who take your energy or who are critical. They are than likely not happy with themselves either.  How draining!

We are who we are.  Genetics, change of life, our natural aging process should be embraced in our society.  I do believe that some parts of the media get it, but surely not enough! 

Call me, and I’ll remind you just how beautiful you are!

Warm aloha,

Suzie Cooney, Suzie Trains Maui