Monday 12 November 2018

Grow Your Own as therapy

Today, after some initial rain, it was relatively mild and at times sunny. In between routine tasks around the holding I spent time tidying the vegetable plots, including some easy weeding, in readiness for spreading compost. It was good to be outside. Pleasant? Definitely. Enjoyable? Actually, indeed it was. Therapeutic? In a general sense of increasing well-being, I'd go so far as to say 'yes' to that too. 

In my early days working in the mental health field, in a large mental hospital, some patients attended ‘horticultural therapy’. The hospital had a small market garden supplying other local hospitals with tomatoes and salad vegetables which the patients helped to cultivate. At the time there was a movement promoting the idea of horticultural therapy. The thinking behind it centred on the assumed benefits of regular constructive activity, instilling a sense of achievement, the rehabilitative potential of keeping to a normal work routine, working and interacting alongside others in a shared task, and the promotion of a sense of being a contributing member of society. The ideas behind the therapeutic benefits of horticulture have continued to develop and nowadays, with the demise of the long stay hospital patient, horticultural and gardening projects have moved to community settings where they increasingly flourish. 


For myself, a long-standing amateur gardener and subsequently a smallholder, I can certainly identify with the potential benefits of  physical work outside, and in engaging in horticulture specifically, on well-being. With a career as a mental health practitioner and academic, as well as being a smallholder, I’m naturally interested in this area of activity.

In recent years there has been accumulating research on the benefits of physical activity on mental health. The evidence indicates that the benefits apply to feelings of well-being in the general population as well as having a positive therapeutic impact on those with a specific clinical diagnosis such an anxiety disorder, depression and psychotic conditions like schizophrenia. 

The research appears to suggest that even a small amount of physical activity is beneficial if done on a regular basis, and that moderate activity has greater efficacy than vigorous activity. The type of activity undertaken does not seem to be critical but it helps if it is enjoyable. So if you are not keen on gyms, running, swimming, competitive sports and so on, then gardening, DIY projects and going for a walk can work well too. 

This might seem obvious but there are three points to bear in mind. Firstly, research has now generated a strong evidence base to support these claims. It’s more than just common sense or a reasonable hunch. 

Secondly, the relative benefits of physical activity on mental health have also become apparent. For example, for mild depression it has been found that physical activity is just as effective as anti-depressant medication or psychological therapies such as cognitive behavioural therapy (CBT).

Thirdly, neurophysiological studies are providing biological evidence of some of the reasons why physical activity is beneficial for mental health. It has an effect on dopamine and serotonin. These are neurotransmitters that help regulate activity, motivation, mood and feelings of well-being. (Many commonly prescribed anti-depressant medications’ mode of action intervene in dopamine and serotonin levels in the brain). More recently it has been found that physical activity helps stimulate increased levels of brain-derived neurotrophic factor (BDNF). These are proteins which help sustain existing neurons and also generate new neuron growth thereby contributing to increased cognitive functioning and acting in those areas of the brain that influence mood. 

The benefits of growing your own are more than the produce itself and eating healthily. It potentially has an anti-depressant effect, it  can contribute to anxiety management, it can be a useful stress coping mechanism, it can help raise self-esteem, and possibly acts as a dementia inhibitor. I'll be having another dose tomorrow.








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