To be consumed alongside the Instagram and Podcast series of the same name, this series aims to look through the world of strength training through the lens of mental health and sheds light on different people with different living, working, or health conditions.
What does the current landscape of mental health support look like?
As we know, mental health places a considerable burden on the individual, the social support network, and the healthcare system as a whole. Over the years, research engaging in exercise has been demonstrated to improve mental health outcomes comparable to medication.
Exercise is medicine.
We’ll hear this phrase touted from all parties that practice in the area of exercise for health. There’s already a lot of support in place for someone with conditions like cardiovascular disease or diabetes to begin exercising. There is a growing network of Allied Health Practitioners who are pushing for exercise to be considered among treatment options for people with mental illness.
Despite an impressive body of evidence supporting exercise as a treatment option for mental health, healthcare support systems are yet to catch up, only offering exercise or exercise-related therapies to people with chronic musculoskeletal, cardiovascular, or metabolic conditions.
Who funds support for mental health?
The COVID-19 pandemic jettisoned mental health to the early 2020’s zeitgeist, sparking conversations and actions built to further education and support into mental health. Part of this was the Australian Medicare system adding further funding towards psychological interventions, increasing the rebate sessions from 10 to 20 per calendar year.
This was undoubtedly a positive move but knowing that exercise interventions also improved mental health outcomes, exercise-based professionals were still left by the wayside. Obviously the huge growth in online personal training groups were a positive, financially accessible step but for people without experience or fondness of these modalities, it was difficult to break through into exercise for health.
How else can I get support?
We won’t touch on the NDIS system here as that is going to be covered in a separate blog.
In the case of support for Medicare/DVA, Return to Work or other insurance claims, all too often we see a trend of treatment approvals based on table top tests rather than the mental health of the patient related to either the injury or factors around the injury.
“Range of motion is good? Good.”
“Oh they’re still anxious and in pain? Get them into a psychologist that may be available in 3 months.”
***Just a quick note: I am not saying don’t see a psychologist. I am merely explaining how, as an exercise-based healthcare professional, we are overlooked on the mental health assistance we provide on a smaller but more frequent basis.***
This can obviously be very frustrating on our level of client interactions and the pride we put into our client care.
Good news is that at the time of writing this, The Queensland Mental Health Select Committee released an enquiry to increase opportunities to improve mental health outcomes for Queenslanders. Part of this was a recommendation to integrate dietitians and exercise physiologists within the mental health workforce to provide more holistic care to people experiencing mental and physical health comorbidities.
So how can we use exercise to support mental health?
Short answer from the research perspective is that there’s no specific findings comparing different modalities. The aim is having support in completing Australian Healthy Guidelines of 150min of vigorous or 300min of moderate-intensity physical activity.
My general argument stems from the social support engaging in frequent physical activity through varying modalities. Lifting can be empowering. Running can be exhausting. Yoga can be relaxing. A coach can act as the void you vent into (within reason).
Ok so, how do you create that support for an individual from exercise selection/ specificity?
From a programming perspective, we want to create a program that the client wants to do. Easier said than done. We might spend a bit more time introducing someone to the general feeling of movement, ensuring more difficult exercises can be done under supervision for a short time.
It’s honestly always surprising and a good feeling when a client with no previous enjoyment of strength training actually lights up when a movement feels good.
Perhaps this will become a program staple for now?
Depending on the experience and goals, we may need to employ some level of trickery to balance what we need to get out of the program and what the client wants to do in the program. This might entail;
The famed “shit sandwich” approach
Ascending, descending, tri-, quad-, super- sets
Playing with volume, constraints, load, RPE, set numbers
It’s quite a bit to consider but that’s my role. You just do the thing, self-regulate, and communicate your findings.
There’s a lot to explore in the realm of mental health and secondary comorbidities which is why we’re going to continue plugging these blogs, podcasts, and posts.
Feel free to follow me on Instagram or LinkedIn as well as check out my shows on the Performotion Podcast.