Often this includes a nature walk, which Cowan finds “incredibly restorative.”Hersh stays well by focusing on six elements: “medication, sleep, exercise, nutrition, social support groups and stress management. All three of my depressive episodes occurred when I didn’t have or know what type of medication worked or I refused to take the small dose of an antidepressant that keeps me well.”Running injuries also contributed to her depression, which coincided with the darkest time of the year. Today, if she has an injury, she engages in other types of exercise and watches her vitamin D levels.Hersh also meditates and limits her alcohol intake.

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