David Rose
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Alternative therapies for depression – such as country walks and care farms, where patients are prescribed agricultural work – are being ignored as Britain becomes ever more reliant on chemical treatments, campaigners say.
Findings from two studies released today suggest that “ecotherapy” – which includes such simple exercises as outdoor walks – can improve a person’s poor mental health dramatically. The studies have prompted calls for the approach to become a recognised frontline treatment.
Ecotherapy: The Green Agenda for Mental Health, in which the studies are published, is the first report to look at how “green” exercise affects those suffering from depression.
Researchers from the University of Essex compared the benefits of a 30-minute walk in a country park with a walk in an indoor shopping centre on 20 people affected by depression.
After the country walk, 71 per cent said that they felt less depressed and tense while 90 per cent reported increased self-esteem. After the walk in the shopping centre only 45 per cent felt less depressed and 22 per cent actually felt more depressed. About 50 per cent felt more tense and 44 per cent said that their self-esteem had dropped.
The researchers conducted another study in which they asked 108 people with various mental health problems about their experiences of ecotherapy. Ninety-four per cent said that green activities had benefited their mental health and lifted depression and 90 per cent said that the combination of nature and exercise had the greatest effect.
The mental health charity Mind described ecotherapy as “getting outdoors and getting active in a green environment as a way of boosting mental wellbeing”.
The charity said that if it was prescribed as part of main-stream practice, ecotherapy could potentially help millions of people. It would also be vastly cheaper than antidepressant drugs.
Mind said that Britain lagged behind the rest of Europe in prescribing agricultural work to treat mental distress. The Netherlands had 600 care farms operating as a fully integrated part of the health service, while Britain had only 43, the charity said, and none was dedicated to mental health.
Paul Farmer, Mind’s chief executive, said: “It is a credible, clinically valid treatment option and needs to be prescribed by GPs, especially when for many people access to treatments other than antidepressants is extremely limited.
“We’re not saying that ecotherapy can replace drugs but that the debate needs to be broadened.”
The ecotherapy report will be published today at the start of Mind week, which is dedicated to raising awareness about mental health. This morning Mind will hold a mass kiteflying event in Primrose Hill, North London.
On prescription
—SSRIs include citalopram, escitalopram, fluoxetine (Prozac), fluvoxamine, paroxetine (Seroxat) and sertraline (Lustral). They block the uptake of the mood chemical serotonic into the cell that releases it, prolonging its action
—SNRIs include venlafaxine and duloxetine. They slow the reuptake of serotonin and noradrenaline
—Tricyclics can affect heart and circulatory system
—Monoamine oxidase inhibitors have more serious side-effects, and are prescribed when SSRis and tricyclics have failed
—SSRIs are generally better tolerated than older antidepressants. Anxiolytics may be used alongside antidepressants to help to treat severe agitation
Source: Times database
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I live in the country and also suffer from depression. I must admit when I make myself get out of doors (and it can be an effort) I do come back feeling better, but it's only temporary. I agree with Spider, the pace of life today is hectic, especially for those livng in cities. As for these camps, who on earth would pay for them? At least a walk is free!
Sue, Banbury, Oxon
Wordsworth to Coleridge explaining how to clear his mind describes the calming, transcending effect of walking on the brain. The left right activity in itself produces a zone-like state of protracted thoughts.
There is more in the head about walking than left right but left right is of incomparable good effect to the health of the brain and body.
Let's hear it for walking.
RThompson, Austin, USA Texas
This is not a sufficient study of individuals [ie 20 and 108] respectively. We are all aware that a healthy lifestyle encompasses eating the right sort of foods as well as the right sort of exercise which all help us to maintain our physical and mental health. It is nothing new.
However, the bone of contention is when individuals have been prescribed antidepressants or anxiolytics over many years despite their continued requests for a natural therapy. It maintains the GPs control over the client by continual prescribing but also maintains a hefty income for the drug companies. Where does the client sit? Feeling the side effects and most definately feeling unempowered.
It would be refreshing to see more GPs encouraging clients to take more control by suggesting alternatives that are "eco friendly" [in other words alternative therapies].
It would also be hugely beneficial to the nation if we talk positively about Mental Health and natural ways to reduce depression and/or anxiety
The Emotional Problem Solver, Southampton, UK
I did research about this as well as using outdoor education
as a intervention with young people in risk of commiting crime..
doctors often recomend depressed patients to take up exercise. I personally think there is something in it ... going back to where our anscestors came from rather than being forced into a world obbsessed with so called miracle drugs, cosmetics, money, possessons, bright lighting and google boxes..
It wont take away the symptoms but possibly allow a time for reflection and some space and interaction with nature and others.
Get out there and feel the elements. :)
P, Sheffield,
The University of Essex 'experiment' sounds very dodgy to me. The aim of depression treatment is not to make people "feel better" (even though they will), but the patients to function normally again. It is not possible to measure that with a simple questionnaire in which people rate themselves.
No doubt a walk in the countryside could form part of a treatment regime for depression, but it this little article seems to be saying that if you feel bad a walk in the park will make you feel better. That is just not universally true.
Niel Malan, Bronkhorstspruit, South Africa
It seems to me so obvious that it is healthier and nicer to spend some time outside, digging or walking or biking or catching things or whatever takes your fancy, and that probably the majority of people prescribed these drugs are not suffering from a 'chemical imbalance' but are leading unhealthy, unhappy lives! It is the life they live that is causing the problem, not some "technical fault" in their brains.
Of course in some cases medicine can be very helpful, if only to break the mental habit - its like a hole, once you fall in its hard to get out. but I really do think we live in such an unhealthy way. Many seem to think its normal to be stressed, crowded, harassed and under high expectations from those around us and ourselves. Look at a cat. He just likes to sit there looking out of the window or under a hedge. That is what we all need more of in our culture - for such a "wealthy" country it is strange we all carry on as though the roof were about to fall in - creating misery.
Spider, London,
Very worrying. A return to 'therapeutic work' by the back door?
There are some of us who 'experienced' the 'Industrial Rehabilitation Units' still around who will let you know that this sort of stuff only works when NOT forced.
Unfortunately the IRUs were not run or monitored properly, although started with equally positive intent.
A working holliday would be one thing but there would be severe problems if these were anything but voluntary. With the present NHS ethos there is no understanding of 'voluntary treatment' and refusal always leads to 'reprisals'.
J D S, Cardiff, Wales UK
The beauty of the English countryside, peace and tranquility, the mild exercise, the possibility of sighting interesting wildlife can only be good for everybody, mental health problems or not. I spent 20 minutes watching a woodpecker last week and arrived home feeling much better about things, despite being rather wet.
But I loath gardening so much that the thought of work on a care farm is likely to make me depressed. Perhaps some could be prescribed a term baking with the produce of the care farm?
Cam, essex,
I strongly believe that due to the British Weather during the wintry and cold months, it is a normal effect of DEPRESSION in the degree and age factors. When a person is young, married and full energy to work or even at hom, there is no depression except at times. When a person sit/relax/reduce the physical activities, it built up the mind so many auto thoughts which brings nothing else but the degree of DEPRESSION, which would never ever cure a person with CHEMICALS/DRUGS eg PROZAC etc. cost to the tax payers and damaging the mental and physical health. The chief Executive of THE MIND reaffirmed it that EXERCISE AND SOCIAL/FAMILY/ CLUBS OR DAY CENTRES are the remedial answers instead of ANTI-DEPRESSANTS TABLETS.
Open Air, Green Gardens, Exercise, walk about, talk about and thinking some thing POSTIVITE always would help the patients, which costing £231m to the NHS/Govt.paid by the TAX PAYERS.
I believe more to the NATUREOPATHY OR HOMOPATHY THAT WOULD LONGER TIME BUT SURELY CURE.
S VERMA, Newe Southgate, UK