It may seem obvious that running is good for mental health. A quick Google search on the topic returns hundreds of pages of personal anecdotes and compelling science. But the truth is far more nuanced than that. In fact, the interconnectedness between running and mental health is fairly complicated.

Mental health isn鈥檛 an on-off switch that you only need to worry about once it鈥檚 been flipped. Mental health, like physical health, is better conceptualized as existing on a spectrum with a dial moving you back and forth between the thriving and unwell ends of the continuum. Any number of factors inside and outside of your control can turn the dial in either direction, and where a runner finds themselves on the spectrum at any given moment can have big implications for their running.

鈥楾ake Time for Yourself, Get Out There, Stay Consistent鈥�

, two-time Mountain Worlds Champion, reminds us, 鈥�80 percent of your training and success is mental, especially if you are in ultras. If you aren鈥檛 going in with a good mental state then you aren鈥檛 going to perform well. The times I have been in my best mental state is when I have performed best. It is worth it.鈥� When a runner鈥檚 mental health is thriving, their performance benefits, too.

At the same time, athletes who find themselves moving toward the unwell end of the mental health spectrum may see negative impacts to training, performance, and recovery. Many common mental health conditions include physical symptoms such as low energy, loss of motivation, and sleep disruptions. Any of these can directly impact training.

This can be especially true with depression, where doing anything, even things that are known to elicit joy, feels like a daunting task. A runner may know, intellectually, that a run helps them feel better, but getting out there and doing it feels impossible.

Darcy Piceu, an ultrarunner with ten Hardrock 100 finishes who is also a licensed professional counselor, encourages runners who face low motivation to not get overwhelmed by overambitious training targets. Instead, she recommends they shoot for something small and manageable. 鈥淎im for twenty minutes,鈥� she says. 鈥淵ou don鈥檛 have to do your planned workout. Even if you end up walking. Take time for yourself, get out there, stay consistent.鈥�

Impacts of Running on Mental Health

Running is often considered an activity that moves individuals along the spectrum toward thriving, and that makes sense. There鈥檚 and an abundance of accounts supporting the between running and mental health.听

While the science about the mood boosting effects of endorphins or the stress-mitigating impacts of endocannabinoids and norepinephrine is convincing, most runners don鈥檛 need to read research to know that running can be a tool to support their mental health. Runners naturally turn to exercise as a place to process emotions, think through problems, temporarily avoid overthinking, or just feel better. Moderate exercise is linked to , and decreases in symptoms of , and .听

According to the , one in five adults in the United States experience mental illness. Runners are not immune to this statistic. While running can help reduce symptoms and risk, runners are just as susceptible to the genetics, hormones, traumas, and losses that can both cause and exacerbate mental health conditions. Running supports mental health in the same way that eating well can support physical health, but consistent running can鈥檛 itself prevent mental illness any more than eating well can prevent a broken arm.听聽

In fact, it鈥檚 possible that running can move someone toward the unwell end of the spectrum. While running can alleviate symptoms of some common mental health conditions, it may exacerbate others. 鈥淚f someone has a history of panic disorder or eating disorders or dependency, running can actually make things worse,鈥� Piceu reminds us.听

Even runners without a history of mental illness can experience physiological and psychological impacts from running or their relationship with it. Running is stress on the body, and anything that is stress on the body is also stress on the brain. The longer and harder the runs, the more the stress. A bit of stress is a good thing鈥攊n fact, stress is necessary for athletic development鈥攂ut if that stress isn鈥檛 met with adequate food and rest, runners can find themselves facing mental health challenges unique to athletes.

Conditions such as (OTS) and (RED-S) have mental health impacts as a result of an imbalance between training stress and rest or fueling. The same factors that put a runner at risk for a physical injury鈥攐vertraining, under-fueling, inadequate resting鈥攁lso put them at risk for a mental health injury.

Running can even impact us well after a run is over. Though not clinically defined, there are abundant anecdotes of 鈥減ost-race blues.鈥� Piceu has experienced this marked change in mood following a big event, and has heard countless stories of others with similar experiences. 鈥淲hen you exhaust yourself at that level, it鈥檚 impossible not to impact you,鈥� she says. 鈥淧hysiologically. Hormonally. Psychologically. There鈥檚 a crash that comes after the high and it hits in multiple ways.鈥�

In addition to the physical toll running takes on the body, a runner is also at risk for psychological stress related to the sport. Challenges such as , , , , and have been linked to negative mental health in athletes. Any one of these topics can lead to unhelpful thoughts, feelings, and behaviors for runners at every level of the sport.听

Start with Self-Awareness

These complicated impacts and relationships can change over the course of a single training block or an entire running career. To make thoughtful and intentional decisions about training, a runner needs to develop self-awareness that allows them to honestly assess where they are on the mental health spectrum at any current point, and whether running is moving them in one direction or another.

To develop this self-awareness, Piceu encourages us to start from a place of curiosity. 鈥淏e genuinely curious about your relationship with running,鈥� she advises. 鈥淎sk hard questions. Pay attention to what your body feels before, during, and after runs. Does it just feel good in the moment, or does it still feel good later? You have to be curious.鈥澛�

With a lens of curiosity, there is an absence of judgment. There is no right or wrong answer; instead, it is just neutral information to inform the next step. Piceu speaks from both professional and personal experience. 鈥淲hen I finally got really curious about my own relationship with running, I realized it didn鈥檛 have the power to do for me what I thought it could.鈥澛�

Murphy shared a similar experience. 鈥淚 always heard that running was good for mental health. People say 鈥業 run for my mental health.鈥� It never occurred to me that the opposite could be true. But I learned it鈥檚 easy to go in the other direction and for it to become unhealthy,鈥� she says.听

Now Murphy pays close attention to the way running makes her feel and uses that self-awareness to make training choices. If she starts to run out of obligation instead of desire, Murphy makes an intentional change. 鈥淚f I feel a shift, I take a step back,鈥� she says. 鈥淢aybe I cross-train. Maybe I take a rest day. I don鈥檛 want to run out of compulsion, I just want to run for the joy of running.鈥�

There are lots of tools athletes can use to foster self-awareness, and most of them have the additional benefit of improving mental health. Piceu encourages all runners to engage in a stillness practice, like meditation or mindfulness. In addition to stillness, Murphy highlights the benefits of awareness and processing that come with simply putting thoughts into words.听

鈥淚 go to therapy. I write things down, make lists, write in my journal, stay present with myself鈥攊t all helps.鈥� Murphy finds this practice so helpful that she developed her own that is filled with tracking tools and journal prompts to help other runners cultivate their own self awareness.

The Role of a Coach in Mental Health

Murphy benefits from a history of coaches who prioritize mental health, including her current coach. She shares the insights she gains from her own self-awareness practices with him, which directly informs her training strategy. 鈥淢y training log isn鈥檛 just about my stats. We talk about my mental health and how I鈥檓 feeling about life in general. He asks about it, especially around harder times, or if I have a race coming up, or if I haven鈥檛 mentioned it in a while.鈥�

While it may not be intuitive for coaches and athletes to talk about mental health, it鈥檚 not possible to separate the athlete from their mental health. An athlete鈥檚 ability to engage with training, manage training stress, and recover are all linked to their mental health.听

Dr. Lara Pence, psychologist and founder of the , a collaborative professional development group for coaches, reminds us that coaches should be familiar with mental health. 鈥�Humans have feelings, belief systems, and thought patterns that impact their capacity to follow through with training, adapt to training, and benefit from training,鈥� she says. 鈥淪o while a coach may feel like an athlete鈥檚 mental health is not their job, the minute they start asking their athlete to do anything they are signing up for supporting mental health along the way.鈥�

A coach has a lot of power to create a culture within their team and build relationships with their athletes. He or she can destigmatize mental health and makes it a comfortable topic of conversation. Pence encourages coaches to set the stage early in the process. 鈥淢ake sure that your [athlete] onboarding asks some basic questions like: 鈥楬ave you ever struggled with depression, substance abuse, or eating disorders?鈥� Ask if they are seeing a therapist and let them know that if the therapist ever wants to touch base with them, that鈥檚 OK. Help create that wraparound approach.鈥� Right away, the coach should demonstrate that mental health is a part of training, not separate from it.听

Pence reminds us that talking about feelings and caring about an athlete鈥檚 mental health is different from diagnosing and providing therapy. 鈥淒on鈥檛 be afraid of feelings. Not every depressed mood is depression. Not every anxious response is anxiety disorder. It鈥檚 OK to have conversations,鈥� she says. Pence encourages coaches to have a strong referral list of trusted mental health professionals on hand, but also advises them to resist the urge to immediately refer out. 鈥淪ometimes, all an athlete needs is validation.鈥澛�

Expanding the Conversation

In 2019, the non-profit (BTTT) was founded to help provide access to mental health services and reduce the stigma around accessing services in the trail running community. Co-founder Tommy Byrne has observed stigma to be a primary barrier to runners accessing needed services. 鈥淚n a culture where grit and grinding is glorified, it can feel like weakness to ask for help or admit you can鈥檛 do something on your own,鈥� he says.听

This is exacerbated by the belief that running alone is sufficient to meet mental health needs and is always a positive for mental health. 鈥淲hen we overemphasize the benefits of running, we promote the idea that running is the same thing as seeing a therapist or taking medication,鈥� Byrne argues. 鈥淭he reality is that professional support is beneficial. You can鈥檛 just rely on movement and community alone. Those things are helpful, and they should be a part of the puzzle, but it is OK to need more.鈥澛�

Byrne recommends incorporating a variety of tools and strategies for your mental health, even when you鈥檙e feeling good. 鈥淲hether it鈥檚 mindfulness, therapy, medication, a network of people outside of running鈥攆ind what works for you. Spending time on your mental health is never a waste of time. It鈥檚 the easiest way to improve your running.鈥�

We all have the power to influence the trail running community to be one that supports and celebrates caring for mental health. Normalize having easier days and harder days. Normalize needing therapy or medication. Normalize facing challenges and having doubts. Normalize feeling signs of burnout or post-race blues. Normalize needing more than running to take care of your mental health. You鈥檙e not alone.听

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