The Physical Foundations: How Eating, Movement, and Sleep Anchor Our Mental Health

It’s probably a bit self-defeating for a psychotherapist to go down this rabbit hole, but I’ve been thinking a lot about the oversaturation of therapy models, self-help content, and mental health apps flooding the attention vacuum of our TikTok/App Store/Instagram psyches, particularly as I’m on the precipice of joining the fray. Under the circumstances, it's easy to forget that some of the most profound shifts in how we feel mentally don’t require a deep dive into our subconscious—they require getting back to basics.

Eating well, moving often, and sleeping enough aren’t just good habits; they’re the biological foundation for psychological well-being. Research supports this: nearly 70% of Americans cite poor sleep, diet, or inactivity as barriers to mental wellness, even while engaging in therapy or wellness tools. When these foundations are weak, everything else we do has to work overtime—and even then, we often fall short of the change we’re hoping for.

We like to think of ourselves as a modern, advanced species. And in many ways, we are. But our brains are still wired for a world that existed thousands of years ago. For most of human history, we lived in close connection with the natural rhythms of the day. We rose with the sun, moved constantly in pursuit of food or safety, ate what the earth provided, and slept when it got dark. Our ancestors didn’t need sleep trackers, gym memberships, or nutrition apps. They moved, ate, and rested in sync with the environment; and their mental health, in many ways, benefited from that alignment.

Fast forward to today: most of us spend the majority of our time indoors, sitting for hours on end, eating processed food at irregular hours, and staring at screens well past sunset. It’s no wonder anxiety, depression, and burnout are epidemic-level issues.

The upside to all of this is that many of us don’t need to overhaul our lives to start feeling better. Sometimes the most powerful intervention is not more insight—but more movement, better food, and consistent sleep.

1. Eating: Fuel for the Brain

Our brains use more energy than any other organ in the body; so it’s no surprise that what we eat directly affects how we feel mentally. Diets rich in sugar, processed carbs, and artificial ingredients can spike blood sugar, disrupt hormones, and contribute to inflammation—all factors linked to depression and anxiety. Conversely, diets emphasizing whole foods, healthy fats, complex carbs, and plenty of hydration are strongly associated with improved mood stability and lower rates of depression and anxiety.

The SMILES trial, a 2017 randomized controlled study, showed that people with moderate to severe depression who improved their diets experienced significantly greater reductions in depressive symptoms than those who received only social support. The emerging science of the gut-brain axis also suggests that fiber-rich, fermented, and anti-inflammatory foods support mental health by promoting healthy gut bacteria and neurotransmitter balance.

It’s not just what we eat, but how. Are we rushing through meals? Eating in the car? Snacking late at night? Slowing down, savoring our food, and eating regular, balanced meals can restore a sense of rhythm and regulation—benefiting our body and mind.

2. Exercise: Movement as Medicine

It’s hard to overstate how powerful regular movement is for mental health. A 2023 review of over 90 studies found that physical activity was 1.5 times more effective than medication or cognitive-behavioral therapy in reducing symptoms of depression, anxiety, and psychological distress. Movement increases blood flow to the brain, boosts endorphins, and improves sleep—all of which directly impact mood and stress regulation.

Our ancestors didn’t go to the gym or attend spin classes, but they moved constantly. They walked, climbed, lifted, hunted, and gathered. Movement wasn’t scheduled; it was life. Today, we sit—a lot—and our bodies feel it: stiff joints, low energy, and a subtle but constant restlessness we often mislabel as anxiety.

You don’t need to train like a professional athlete to feel the benefits. A brisk daily walk, bodyweight exercises, a light jog, or a bike ride can significantly shift your mental baseline. Movement—especially outdoors—grounds us, lifts our mood, and helps metabolize stress. I’ve told my clients for a long time that, simply put, fitness is the ultimate antidepressant and benzodiazepine: it calms, centers, and regulates—without the side effects.

3. Sleep: The Unsung Hero

Sleep is often the first thing we sacrifice and the last thing we prioritize. Yet it’s arguably the most essential pillar of mental health. During sleep, the brain processes emotions, consolidates memories, and regulates stress hormones. Poor sleep is linked to increased risk of depression, anxiety, irritability, and cognitive fog.

Even a single night of sleep deprivation decreases activity in the prefrontal cortex—the brain’s emotional regulation center—while increasing activity in the amygdala, which governs fear and reactivity.

Our ancestors slept in sync with the sun. They didn’t have artificial lighting, screens, or 24/7 access to stimulation. Today, we often treat sleep as an afterthought—something we squeeze in when everything else is done.

But if your mood is off—if you feel irritable, anxious, or foggy—ask yourself: how’s your sleep? Are you getting 7–9 hours? Going to bed and waking around the same time? Even small changes can help: dim lights an hour before bed, cut back on screen time (especially blue light), and avoid caffeine in the afternoon.

The Power of Simplicity

It’s easy to get lost in the complexity of mental health. We dig deep into trauma, diagnoses, brain chemistry—and all of that has value. But sometimes we need to come up for air and ask: am I giving my brain the basic support it needs?

Before we label our emotions or pathologize our stress, we should check the foundations:

  • Am I eating food that nourishes me?

  • Am I moving in a way that feels good and sustainable?

  • Am I sleeping enough to function?

Mental health isn’t just about what happens in the mind—it’s about how we care for the body that houses it. And in that way, some of the most meaningful healing starts not in the therapy office, but in the kitchen, the bedroom, or on a quiet walk through the neighborhood.

When we tend to these foundations, we often find that the world feels a little less overwhelming, and our inner life a little steadier. We’re not just brains walking around; taking care of our bodies isn’t just good for our physical health—it’s medicine for the mind.

Be well.

 

Reflecting and Resolving: A Year-Round Journey

As we close the book on 2023, it's almost instinctive for a lot of us to start scribbling down a list of New Year's resolutions. The tradition is said to have been started by ancient Babylonians nearly 4,000 years ago. It’s kind of like a rite of passage into the new year: to make a bunch of promises for self-improvement and change. Yet, call me an anti-establishment contrarian, but I wonder: why should we wait for a specific date to start making positive changes in our lives?

The concept of New Year's resolutions, while well-intentioned, often comes with an unspoken rule: that self-improvement is a once-a-year event. This perspective is not only limiting, but also somewhat unrealistic. Life is continuous, and so should be our growth, and so I think it’s worth breaking the calendar's chains and embracing personal development as a daily process, not just a yearly ritual.

Typically, resolutions revolve around health, finances, relationships, and personal development. Whether it's hitting the gym, saving money, or learning a new skill, these goals share a common theme of bettering ourselves. However, by mid-February, 80% of all resolutions have been surrendered, a statistic that might surprise even the biggest of New Year’s resolution skeptics. In this end of the year blog post, I’ll briefly explain why that’s the case, and offer some strategies for how to increase the likelihood of adhering to resolutions, regardless of the time of year we make them.

There are a few psychological and practical reasons why the gym parking lot is 40% less crowded on February 10th than it was on January 2nd. First, many resolutions are based on lofty, ambitious goals without a realistic plan or concretely articulated steps. This approach can lead to early burnout or feeling overwhelmed, as the distance between the current state and the idealized goal seems insurmountable. Additionally, these resolutions are often framed in absolutes, such as "I will not eat junk food" or "I will exercise daily," which leaves little room for the natural ebb and flow of motivation and life circumstances. When inevitable slips occur, people may feel a sense of failure and abandon their resolutions altogether.

Another key factor is the timing of New Year's resolutions. They coincide with the post-holiday period, a time when many people experience a drop in mood and energy levels. This can make the initiation of new, challenging behaviors particularly difficult. Moreover, resolutions are often externally motivated; inspired by societal pressures or comparisons rather than internal desires or readiness for change. This lack of intrinsic motivation can lead to a lower commitment level and a higher likelihood of giving up when faced with obstacles. Finally, the "fresh start effect" of the new year may create an initial surge of enthusiasm that fades quickly as the routine of daily life resumes, leading to a gradual abandonment of the newly set goals.

The likelihood of sticking with resolutions hinges upon several factors: setting realistic, feasible goals; breaking those goals down into smaller, more manageable steps; identifying specific, appointed times you’re going to engage those steps; implementing concrete measures to track progress; and, finally, building in some degree of flexibility, as well as accountability throughout the process. This adaptability allows for the natural fluctuations of motivation, as our circumstances and levels of enthusiasm can change. It also acknowledges that life's unpredictable nature sometimes requires a shift in plans or timelines. What's vital is the ability to recalibrate one's efforts and continue moving forward.

To reinforce accountability, it can be effective to share your intentions with others or to set up a system of regular check-ins with a friend or mentor. This introduces a social component to the commitment, which can be a powerful motivator. Also, on the PDF page under the resource tab, I’ve shared a task log I developed as a tool that I use for monitoring progress towards goals by breaking them down into smaller objectives. Additionally, recognizing and celebrating small victories can provide a sense of achievement and bolster our determination. This positive reinforcement helps to sustain momentum over the longer term.

Moreover, integrating your resolutions into your daily routine can convert them from abstract ideas into concrete actions. By doing so, these actions become habits, ingrained in your daily life, which is the ultimate goal of any resolution. When a habit is formed, the need for constant self-discipline diminishes, as the behavior becomes a standard part of your day. It's through these incremental changes that profound transformation can occur, leading to the fulfillment of personal and professional aspirations.

Remember, the process of self-improvement is continuous and evolving. It doesn't start on January 1st and doesn't end on December 31st. Each day is a chance to make a change, to learn something new, and to grow a little. So, as we welcome 2024, let’s embrace the process, ready to evolve not just at the turn of the year, but every single day.

Happy New Year.