MHM Magazine

movement, rather than pushing them to become athletes. Addressing the barriers: from intention to action In practice, helping patients move from intending to exercise to actually exercising isn’t always easy, especially when depression reduces motivation and energy, or when anxiety makes it difficult to focus and take action. This is where a simple, clear message can make a real difference. Even a 30 second conversation, delivered with confidence and compassion can shift behaviour. As healthcare professionals, we’re in a powerful position to reframe exercise from a vague “you should try it” into a specific, evidence-based part of treatment. To help exercise advice really stick, be clear and specific-say something like, “I’m prescribing 30 minutes of brisk walking, three times a week,” instead of just telling someone to “be more active.” Start by checking their activity levels early on with simple tools like the Physical Activity Vital Sign (PAVS). Write down their activity plan in their file, just like you would with any medication or treatment. Then, keep an eye on how they’re doing at follow-ups and tweak the plan to fit their progress and needs. It’s time to act! In conclusion, exercise isn’t a cure- all, but it’s a powerful, affordable, and proven way to help people manage depression and anxiety. It also gives patients a way to take an active role in their own recovery. For health professionals, including exercise prescription for mental health care isn’t just good practice - it’s a responsibility. With an increased amount of individuals being diagnosed with depression and anxiety as well as limited resources, physical activity offers a practical, sustainable, and science- backed approach to assist these patients. Let’s support more South Africans in reconnecting with their bodies and wellbeing. References available on request. Exercise is Medicine. (2021). Physical Activity Vital Sign.(10) MHM | 2025 | Volume 12 | Issue 3 | Movement as Medicine: How Exercise Can Support Patients with Depression and Anxiety MHM 20 | MENTAL HEALTH MATTERS | 2025 | Issue 3 H