Dr. Nicholas Fabiano

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,

that's not very actionable and it can feel that a finger is being pointed at you if you're the patient, that you're being blamed for this condition. So the patient already walking into this encounter with you, the psychiatrist, can already have that view of exercise or lifestyle metrics in general. So it's important to kind of Presented in a way that it's not confrontational.

that's not very actionable and it can feel that a finger is being pointed at you if you're the patient, that you're being blamed for this condition. So the patient already walking into this encounter with you, the psychiatrist, can already have that view of exercise or lifestyle metrics in general. So it's important to kind of Presented in a way that it's not confrontational.

that's not very actionable and it can feel that a finger is being pointed at you if you're the patient, that you're being blamed for this condition. So the patient already walking into this encounter with you, the psychiatrist, can already have that view of exercise or lifestyle metrics in general. So it's important to kind of Presented in a way that it's not confrontational.

You're not blaming someone for having depression or something because of their diet or because of their exercise regimen or lack thereof. More so framing it in an educational view and feeling if the patient seems interested at this moment.

You're not blaming someone for having depression or something because of their diet or because of their exercise regimen or lack thereof. More so framing it in an educational view and feeling if the patient seems interested at this moment.

You're not blaming someone for having depression or something because of their diet or because of their exercise regimen or lack thereof. More so framing it in an educational view and feeling if the patient seems interested at this moment.

And again, as I mentioned, even if this moment, if they're not able to engage or not wanting to, it doesn't mean that it can't be an option for future discussion as well too. And I think that's where some of that disconnect lies between the patient and the physician and having or facilitating that discussion.

And again, as I mentioned, even if this moment, if they're not able to engage or not wanting to, it doesn't mean that it can't be an option for future discussion as well too. And I think that's where some of that disconnect lies between the patient and the physician and having or facilitating that discussion.

And again, as I mentioned, even if this moment, if they're not able to engage or not wanting to, it doesn't mean that it can't be an option for future discussion as well too. And I think that's where some of that disconnect lies between the patient and the physician and having or facilitating that discussion.

No, that's fair. And I think to that point, too, like you mentioned, it distorts the view from both the provider and patient perspective. So it looks like that is the quick fix. And where the disconnect lies, too, is with exercise and different interventions.

No, that's fair. And I think to that point, too, like you mentioned, it distorts the view from both the provider and patient perspective. So it looks like that is the quick fix. And where the disconnect lies, too, is with exercise and different interventions.

No, that's fair. And I think to that point, too, like you mentioned, it distorts the view from both the provider and patient perspective. So it looks like that is the quick fix. And where the disconnect lies, too, is with exercise and different interventions.

These trials have sometimes shown that exercise actually has a faster antidepressant response than some of the medications, because we typically speak to patients about from a depression perspective that sometimes medications can take four to even eight weeks to start having that immediate effect or a noticeable effect.

These trials have sometimes shown that exercise actually has a faster antidepressant response than some of the medications, because we typically speak to patients about from a depression perspective that sometimes medications can take four to even eight weeks to start having that immediate effect or a noticeable effect.

These trials have sometimes shown that exercise actually has a faster antidepressant response than some of the medications, because we typically speak to patients about from a depression perspective that sometimes medications can take four to even eight weeks to start having that immediate effect or a noticeable effect.

can be a long time for someone that's experiencing severe depression or anxiety even if the exercise intervention within the first few weeks isn't meeting meeting its maximal effects i think it's something that providers need to be aware of that it could be something to help bridge that and this is to another point that's important is sometimes when we discuss lifestyle interventions so exercise diet sleep we artificially create these two camps where

can be a long time for someone that's experiencing severe depression or anxiety even if the exercise intervention within the first few weeks isn't meeting meeting its maximal effects i think it's something that providers need to be aware of that it could be something to help bridge that and this is to another point that's important is sometimes when we discuss lifestyle interventions so exercise diet sleep we artificially create these two camps where

can be a long time for someone that's experiencing severe depression or anxiety even if the exercise intervention within the first few weeks isn't meeting meeting its maximal effects i think it's something that providers need to be aware of that it could be something to help bridge that and this is to another point that's important is sometimes when we discuss lifestyle interventions so exercise diet sleep we artificially create these two camps where

you're either lifestyle or you're either the regular path of medications and therapy, where the reality is the benefit lies best with everything that you can do that the patient's wanting to do that works for them. So looking at it, not at these separate camps, but that these are all first-line interventions that can go together, I think is a better way of framing it for patients.