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What is the relationship between physical therapy and mental health?

The relationship between physical therapy and mental health is multifaceted and interconnected. Let’s explore some key aspects:

  1. Reducing Pain: Chronic pain can significantly impact mental health, leading to depression and anxiety. Physical therapy interventions that alleviate pain can positively affect mental well-being.

  2. Improving Mood: Regular exercise has long been associated with improved mood and overall well-being. Physical activity releases endorphins, which contribute to a positive mental state.

  3. Boosting Self-Esteem and Confidence: Achieving physical goals through therapy can enhance self-esteem and confidence. Feeling stronger and more capable positively influences mental health.

  4. Incorporating Mindfulness Practices: Some physical therapy approaches incorporate mindfulness techniques. Mindfulness can reduce stress, anxiety, and promote mental clarity.

  5. Promoting Healthy Sleep Patterns: Proper sleep is crucial for mental health. Physical therapy can address sleep-related issues, indirectly benefiting mental well-being.

  6. Promoting Social Interaction: Group therapy sessions or exercise classes provide social interaction, combating feelings of isolation and enhancing mental health.

Remember, physical and mental health are intertwined, and addressing both simultaneously leads to better overall outcomes. Physical therapists play a vital role in promoting holistic well-being. 


Physical therapy plays a crucial role in promoting both physical and mental health. Let’s explore how these two aspects are interconnected:

  1. Physical Therapists’ Role in Behavioral and Mental Health:

    • The American Physical Therapy Association recognizes that physical therapists can actively contribute to preventing, managing, and promoting mental health. They can screen for and address behavioral and mental health conditions in patients and clients.                              
    • Physical therapists employ various interventions to support mental well-being:
      • Exercise and Physical Activity: Regular physical activity has positive effects on mood, stress reduction, and overall mental health.                                                  
      • Nutrition: Proper nutrition contributes to mental well-being by supporting brain function and overall health.     
      • Stress Management: Techniques like relaxation exercises and mindfulness can help manage stress and improve mental health.                                                      Also read- physical therapy versus surgery for stress urinary incontinence                                                     
      • Psychologically Informed Care: Physical therapists can provide care that considers psychological factors, enhancing patients’ ability to cope with distress related to depression and anxiety.                                                  
    • Mindfulness-and-Acceptance-Based Interventions: These methods, including mindfulness and acceptance-based therapies, promote mental well-being. They address conditions like chronic pain, stress, hypertension, cardiovascular disease, and more.                                            
    • ACT for Chronic Pain and Mindfulness-Based Pain Relief: Mindfulness has been found to be as effective as traditional cognitive-behavioral therapy (CBT) for pain management. 
  2. Physical Therapy as Emotional Support:

    • Beyond exercises, physical therapists serve as sources of encouragement and emotional support. 

Remember, mental and physical health are intertwined, and addressing both aspects holistically can lead to better overall well-being.


Stress management by physical therapy

Physical activity is a powerful tool for managing stress. Whether you’re an athlete or just starting out, exercise can significantly impact your well-being. Let’s explore how physical activity can help you cope with stress:

  1. Endorphin Boost: Exercise stimulates the production of endorphins, which are natural painkillers in the brain. These feel-good neurotransmitters can elevate your mood and reduce stress.

  2. Meditation in Motion: Engaging in physical activity allows you to focus on your body’s movements, temporarily forgetting daily irritations. Whether it’s a brisk walk, a game of tennis, or a swim, exercise provides a form of meditation in motion.

  3. Stress Reduction: Regular exercise helps your body adapt to stress by mimicking the effects of the fight-or-flight response. It strengthens your cardiovascular, digestive, and immune systems, protecting you from the harmful effects of stress.

  4. Improved Sleep: Physical activity enhances sleep quality, which is often disrupted by stress, anxiety, and depression. Better sleep contributes to overall stress reduction.

Putting Exercise to Work for Stress Relief:

  • Consult with Your Physical therapist: If you haven’t exercised recently or have health concerns, seek advice from your physical therapist before starting a new exercise routine.                                  
  • Start Gradually: Build up your fitness level gradually to avoid overexertion or injury. The Department of Health and Human Services recommends at least 150 minutes of moderate aerobic activity or 75 minutes of vigorous aerobic activity per week.

Remember, even a little exercise can go a long way in managing stress. So lace up those sneakers and take a step toward a healthier, calmer you!


Physical therapy and mental health are closely interconnected. Here are some key points:

  1. Coexistence of Conditions: Mental and physical health conditions often coexist. To achieve optimal physical therapy outcomes, neither should be treated in isolation.

  2. Physical Therapists’ Role: Physical therapists have many interventions which support mental health and wellbeing. From exercise, physical activity and nutrition to stress management and psychologically informed care, they can improve mood and boost patients’ ability to cope with distress related to depression and anxiety.

  3. Mindfulness-and-Acceptance-Based Interventions: These interventions, which include ACT & mindfulness, have been proven to promote mental wellbeing. They address conditions commonly treated by physical therapists including pain, stress, hypertension, cardiovascular disease, sports performance enhancement, immune function, tissue healing, geriatric, pelvic, and pediatric health.

  4. Physical Therapy Practice: Physical therapy intersects with people experiencing mental health disorders across a broad spectrum of diagnoses, covering a range of interventions with a small but growing evidence base.

  5. Future Focus: Exercise and physical activity studies dominated the highest levels of evidence and future focus. However, economic evaluations and consumer-driven or patient experience studies are needed.

In summary, physical therapy plays a significant role in promoting mental health, and its importance is increasingly being recognized in the healthcare sector.


How can physical therapy help with anxiety?

Physical therapy can be a beneficial tool in managing anxiety. Here’s how:

  1. Exercise: Regular physical activity, such as jogging, swimming, or yoga, can promote relaxation and a sense of well-being. Exercise contributes to overall physical health and can help reduce symptoms of anxiety.

  2. Therapeutic Alliance: Building a therapeutic alliance and trust can assist with education, such as improving a patient’s understanding of pain.

  3. Lifestyle Habits: Physical therapists may influence a patient’s lifestyle habits such as their diet, physical activity levels, and sleep hygiene.

  4. Psychological Benefits: Physical therapy can have psychological benefits that increase the value of care provided.

  5. Scope of Practice: While physical therapists can facilitate psychological benefits for patients, it’s important to remember that they are not clinical psychologists or psychiatrists. If a patient may have clinical depression or other psychiatric disorders, physical therapists can determine whether they are receiving appropriate care, and make necessary referrals.

Remember, it’s always important to consult with a healthcare professional for personalized advice. Physical therapy is just one of many tools that can be used to manage anxiety.

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