Take charge of your energy level and depression with movement and posture

I felt depressed when I looked down walking slowly. I realized that I walk like that all the time. I really need to change my walking pattern. When doing opposite arm and leg skipping, I had more energy. Right away I felt happy and free. I automatically smiled.    –Student

Hunched forward at the computer, collapsed in front of the TV, bent forward with an I-pad and smart phone while answering emails, updating Facebook, playing games, reading or texting—these are all habits that may affect our energy level.  Students may also experience a decrease in energy level and concentration when they slouch in their seats.

The low tech solution is not caffeine or medications; it is episodic movement and upright posture. In the controlledresearch study published October 5, 2012 in the journal Biofeedback, Erik Peper, PhD of San Francisco State University and I-Mei Lin, PhD of Kaohsiung Medical University, Taiwan, showed that subjective energy level can quickly be increased.

In this study 110 participants rated their immediate subjective energy level and their general depression level.  The participants either walked in a slouched position or engaged in opposite arm and leg skipping (see Figure 1).

Figure 1. Illustration of slouched walking (left) and opposite arm and leg skipping (right). Reproduced from Peper & Lin (2012).

Skipping even for even one minute significantly increased energy level and alertness for all subjects. On the other hand, walking in a slouched pattern reduced the energy level significantly for those participants who had high levels of depression as shown in Figure 2.

Figure 2. Self-rating of energy level for the top and bottom 20% of the students’ self-rating of depression. Reproduced from: Peper & Lin, (2012).

For people with a history of depression, their energy level may covertly increase or decrease depending upon posture and movements. When individuals have less energy, they feel that they can do less, and this feeling tends to increase depressive thinking. They also tend to label the lower energy state as the beginning of depression instead being tired. At the same time, the lower energy state tends to evoke depressive memories and thoughts which escalate the experience of depression. This process can be interrupted and reversed by shifting body posture and performing movement.

This study offers a strategy for people with depression to reverse conditioned cues associated with posture that evoke depressive thoughts and feelings. Wilson and Peper (2004) showed previously that ‘‘sitting collapsed’’ allowed easier access to hopeless, helpless, powerless, and negative memories than sitting upright and looking up. Posture appears to be aan overlooked aspect in the prevention of depression.

There is hope if you tend to become depressed and experience low energy. Numerous participants reported that after they performed opposite arm/leg skipping they did not want to walk in a slouched position.  This suggests that this type of movement my act as a protective mechanism to avoid energy decrease and depression. Some participants with attention deficit disorders reported that after skipping they could focus their attention much better. I recommend being more aware of your body posture during the day and increasing your arm and leg skipping movements.

*Adapted from: Peper, E. & Lin, I-M. (2012). Increase or decrease depression-How body postures influence your energy level.  Biofeedback, 40 (3), 126-130.


Should I take meds for depression or anxiety? Read Whitaker’s book first!

The recent book, Anatomy of an Epidemic, by Robert Whitaker is a must read for anyone who is planning or taking medications to treat mood disorders such as depression, anxiety, or panic attacks. His in-depth evidence based book, which reads like a novel, suggests that psychiatric drug benefits are mainly a myth and contribute significantly to creating life-long dysfunction and worsening of the  symptoms. He cites study after study demonstrating this for depression, children with ADHD, biopolar disorder, panic attacks, anxiety and even schizophrenia. For example he cites a  Canadian study of  1,281 people who went on on short-term disability for depression. Only  19 percent of those who took an antidepressant ended up on long-term disability, versus 9 percent of those who didn’t take the medication.

More importantly, when people are treated for panic attacks with benzodiazepine such as Xanax,  the placebo groups does much better in the long term than the drug treatment group after medication is tapered off. Whitaker illustrates this concept  by showing the following research data that was part of the FDA approval for the medication.

This Upjohn’s study of Xanax, patients were treated with the drug or placebo for eight weeks. Then this treatment was slowly withdrawn (weeks 9 through 12), and during the last two weeks patients didn’t receive any treatment. The Xanax patients fared better during the first four weeks, which is the result that the Upjohn investigators focused on in their journal articles. However, once the Xanax patients began withdrawing from the the drug, they suffered many more panic attacks than the placebo patients, and at the end of the study were much more symptomatic. Source: Ballenger, C “Alprazolam in panic disorder and agoraphobia.” Archives of General Psychiatry 45 (1988): 413–22. Pecknold, C “Alprazolam in panic disorder and agoraphobia.” Archives of General Psychiatry 45 (1988): 429–36.

From: Whitaker, Robert (2010-03-31). Anatomy of an Epidemic: Magic Bullets, Psychiatric Drugs, and the Astonishing Rise of Mental Illness in America (p. 297).

This book and the scientific evidence suggests that non-pharmacological treatment approaches should be the first strategy for treatment–it may save your life.


What is the best single thing we can do for our health

There are so many factors that contribute to our health: diet, social support, preventative medical screening, etc.   Yet, what is one single most important procedure that gives largest return of investment for your health? Listen to  Dr. Mike Evans describe the  procedure that if is used as treatment- one hour a day three times a week- reduces pain by 47% for patients with arthritic knees;  if the treatment is done most days, patients with diabetes reduce the progression of their disease by 58%; post menopausal women who have the treatment four times a week reduce hip fractures  by 41%; the treatment also reduces anxiety by 48% and patients with depression who receive a low dose of this treatment experience  relief of depression by 30%  while those on a high dose experience a  47% relief; in addition, it is the number one treatment of fatigue.

The treatment is 30 minutes of exercise–mostly walking–as described in the superb YouTube video, 23 and 1/2 hours: What is the single best thing we can do for our health?