
When Does Anxiety Become a Disorder?
We all feel anxious sometimes, before a big presentation, walking into a room of strangers. But when does ordinary anxiety cross the line into something more serious, like social anxiety disorder? Learn more.
Eating well, exercising, connecting with friends—these are the new doctor’s orders. Lifestyle medicine, which is essentially a prescription for the good habits, behaviours and choices we make as individuals, is a field of medicine that’s gaining traction, says Dr. Bryn Hyndman, a family doctor and former naturopathic in Vancouver, B.C. who recently chatted with Dr. Diane McIntosh about its increasing popularity.
“How we live has a tremendous impact on our day-to-day lives and how we feel,” Dr. Hyndman says. “There are all these factors in our life that really impact our risk of chronic disease.”
Alongside medications and surgical procedures, lifestyle medicine involves prescribing simple changes that people can make to their daily habits in order to prevent disease and optimize health. These interventions are meant to work alongside traditional medicine – patients are still prescribed medications when appropriate, but they are also counselled regarding lifestyle modifications that promote optimal wellness.
Lifestyle medicine isn’t a new-age concept unsupported by science, says Hyndman. There is actually scientific data, with many studies supporting such practices as forest bathing to support mental health, the role of the Mediterranean diet in preventing depression, or the impact of social contact on preventing mental illness.
And best of all, these interventions come with no side effects, can be easily adopted by patients and can have a powerful impact on mental health. “We need support for lifestyle medicine,” says Hyndman.
Mental and physical health are tightly correlated, and tackling health with just a prescription pad or a surgical procedure is like practicing with one arm tied behind your back.
Lifestyle medicine complements medications and procedures in addressing the “whole health” of the individual. Exercise, diet, social well-being and quality sleep are all key factors in whole health, and each is supported with ample research evidence underpinning its value.
The challenge at the moment is with integrating lifestyle medicine into traditional medical care to optimize patient outcomes, says Hyndman. She says that silos and time constraints within the healthcare system often prevent clinicians from looking at the whole picture – leading to an overreliance on other treatments without also considering lifestyle elements that could significantly impact health outcomes. While medications often play a critical role in the recovery from a mental illness, healthy lifestyle interventions can go a long way to help an individual get better faster and to stay well.
Hyndman says that in her practice she undertakes an assessment of a patient’s lifestyle to determine what conditions require drug treatment and which could be helped through diet and exercise. Then she develops a treatment plan that incorporates elements of traditional medicine and elements of lifestyle medicine.
“These habits should be integrated into every medical interaction with your family doctor, nurse practitioner and with your psychiatrist,” she says, adding, “Lifestyle medicine isn’t the be-all and end-all, but let’s just become more aware of how we’re living.”
This blog post is part of a series looking at the state of our mental healthcare system and ways we can create sustainable change to improve quality and outcomes for anyone impacted by mental illness.

We all feel anxious sometimes, before a big presentation, walking into a room of strangers. But when does ordinary anxiety cross the line into something more serious, like social anxiety disorder? Learn more.

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