Dr. Nicholas Fabiano
👤 PersonAppearances Over Time
Podcast Appearances
Like you said, as physicians... With our training, a lot of our formal teaching and comfortability comes with medications. So you have someone with depression, the two-pronged simple approach is therapy, medications, maybe both. And that's where maybe that comfort level comes in. I think the other part too with exercise and sometimes people wanting this quick fix is
Like you said, as physicians... With our training, a lot of our formal teaching and comfortability comes with medications. So you have someone with depression, the two-pronged simple approach is therapy, medications, maybe both. And that's where maybe that comfort level comes in. I think the other part too with exercise and sometimes people wanting this quick fix is
Like you said, as physicians... With our training, a lot of our formal teaching and comfortability comes with medications. So you have someone with depression, the two-pronged simple approach is therapy, medications, maybe both. And that's where maybe that comfort level comes in. I think the other part too with exercise and sometimes people wanting this quick fix is
Sometimes there's this misperception because in depression, innately, there's this amotivation. A lot of people experience that.
Sometimes there's this misperception because in depression, innately, there's this amotivation. A lot of people experience that.
Sometimes there's this misperception because in depression, innately, there's this amotivation. A lot of people experience that.
So sometimes the provider kind of rather than speaking with the patient in front of them and seeing what might work for them, just automatically kind of assumes that and jumps to the other treatment options rather than entertaining that discussion, which I think is an important barrier as well, too.
So sometimes the provider kind of rather than speaking with the patient in front of them and seeing what might work for them, just automatically kind of assumes that and jumps to the other treatment options rather than entertaining that discussion, which I think is an important barrier as well, too.
So sometimes the provider kind of rather than speaking with the patient in front of them and seeing what might work for them, just automatically kind of assumes that and jumps to the other treatment options rather than entertaining that discussion, which I think is an important barrier as well, too.
Which is important to really make sure, you know, is this patient wanting to talk to me about exercise? And then that brings up the other point of the severity level of depression too. So as a provider, you have a responsibility, you have different treatments to offer, but exercise and where most of the research lies is in people that have a mild or moderate depression.
Which is important to really make sure, you know, is this patient wanting to talk to me about exercise? And then that brings up the other point of the severity level of depression too. So as a provider, you have a responsibility, you have different treatments to offer, but exercise and where most of the research lies is in people that have a mild or moderate depression.
Which is important to really make sure, you know, is this patient wanting to talk to me about exercise? And then that brings up the other point of the severity level of depression too. So as a provider, you have a responsibility, you have different treatments to offer, but exercise and where most of the research lies is in people that have a mild or moderate depression.
Versus someone that has a severe depression. And to give a picture of what that looks like, someone with a severe depression is someone that is completely bedbound. They're not able to do their activities of daily living. Stuff is really, really hard.
Versus someone that has a severe depression. And to give a picture of what that looks like, someone with a severe depression is someone that is completely bedbound. They're not able to do their activities of daily living. Stuff is really, really hard.
Versus someone that has a severe depression. And to give a picture of what that looks like, someone with a severe depression is someone that is completely bedbound. They're not able to do their activities of daily living. Stuff is really, really hard.
And offering exercise to someone in that setting maybe isn't inappropriate, but perhaps it can be kind of this bridged approach where maybe other interventions can be offered first and then having that discussion about exercise.
And offering exercise to someone in that setting maybe isn't inappropriate, but perhaps it can be kind of this bridged approach where maybe other interventions can be offered first and then having that discussion about exercise.
And offering exercise to someone in that setting maybe isn't inappropriate, but perhaps it can be kind of this bridged approach where maybe other interventions can be offered first and then having that discussion about exercise.
But I think before you go into that discussion with a patient, I think you also need to understand that, as you alluded to before, people have probably had poor experiences with other physicians, whether it be a psychiatrist, whether it be a primary care doctor, surrounding exercise. So if you came in with a physical ailment and you were told just go exercise,
But I think before you go into that discussion with a patient, I think you also need to understand that, as you alluded to before, people have probably had poor experiences with other physicians, whether it be a psychiatrist, whether it be a primary care doctor, surrounding exercise. So if you came in with a physical ailment and you were told just go exercise,