Video: Using Trail Therapy for Mental Health Recovery

Aug 26, 2022
by Alicia Leggett  

Developing Mountain Biking in Scotland (DMBinS) has been rolling out its Trail Therapy mental health program over the last year, and it's been on my radar as one of the most interesting things happening in mountain biking organizations. As research accumulates that validates what many of us know anecdotally - that mountain biking can work wonders for mental health - the program, backed by the Edinburgh Napier University and Scottish Cycling, has picked up momentum and released a short documentary about its efforts so far.

Trail Therapy is an intervention program that combines traditional therapy methods with mountain biking to support those with diagnosed mental health illnesses. As mentioned in the film, the program focuses on research around the four components of DBT (dialectical behavioral therapy) as they relate to mountain biking and other sports that merge intense focus with intentional movement - something I hope to dive into more in future articles.

The program is based heavily on the understanding that mental and physical health are intrinsically linked, and the best way to approach mental health issues is in a holistic way that addresses the physical body, too.

Based on the program's success so far, we hope to see more support for similar initiatives in the future.

bigquotesRecovery - We, Developing Mountain Biking in Scotland (DMBinS), are breaking new ground by delivering a holistic approach to positive health outcomes through an innovative Mountain Bike Trail Therapy programme.

We wanted Scotland to be a place where everybody thrives. We want to reset how Scotland thinks about wellbeing and health. Our Trail Therapy programme is something we are exceptionally proud of and have worked hard to secure funding to be able to pilot, then roll out in South Lanarkshire and Tayside. Recovery is our film about the programme.

The film focuses on the journey of James, a participant on our Trail Therapy programme, who has used mountain biking to accelerate and sustain his recovery from mental ill-health.

The film interviews and captures the feelings of the participant, a mental health professional and Paul our Trail Therapy leader, who continue to help support James's recovery journey.

Our hope is that this stunning film by Joe Norledge and Reuben Bakker-Dyos, and supported by Trek Bicycles, will promote the benefits of the programme far and wide and attract donations which will help us (DMBinS) unlock the potential for it to be rolled out nationwide.

Learn more, and if you can, please consider donating to this programme so we can roll it out across Scotland.

Film by Joe Norledge and Reuben Bakker-Dyos
DMBinS

Those in crisis can find a directory of mental health resources here.

Author Info:
alicialeggett avatar

Member since Jun 19, 2015
745 articles

30 Comments
  • 46 0
 As someone who has suffered from anxiety for years and who has recently had his fair share of knocks, riding my bike puts me into such a place that everything kinda melts away and becomes irrelevant, it has saved me in the past and will continue to do so no doubt.
  • 10 0
 Totally agree. For me it's the need to accept risk and uncertainty in MTB that's relaxing, as well as the more conventional "nature bathing" benefits. In search of the elusive flow state!
  • 6 0
 100% with you. Not sure how I'd live without it, but I know it probably wouldn't be as good.

My buddy and I were just talking about this the other day... our theory is the trifecta of
1. whatever normal exercise hormones
2. the extra stuff that comes with flow and excitement of going fast and smooth
3. and then all the extra stuff that comes with being in a more natural environment
*bonus for riding with people you enjoy being around

It's all very scientific
  • 4 0
 Same here. Some dark days/months/years but riding has saved me as well. Stay strong.
  • 10 0
 I'm torn on this (edit: by which I mean the benefits of riding for my mental health; I'm not criticising the video).

I've had depression and anxiety for a decade or two -- the depression extremely serious at times. While riding used to help a lot in my early-to-mid twenties, nowadays, when I'm down, it's a coin toss as to whether a ride will leave me feeling better, and sometimes I feel worse. I actually find riding far more uplifting when I'm already feeling OK

This is perhaps largely location-based. Winter in the UK is grim, so that's when depression hits me more often. And it's also when riding is much less rewarding, because it involes a s**tload of cleaning and additional maintainance (my bike lives in the flat), requires a drive to get to trails if I don't wanna deal with loads of walking-pace bog-hopping, and requires time off work if I don't want to be restricted to the weekends and I want some actual daylight

As uninspiring as it is, I've learnt that an hour in the gym is typically a much more effective remedy. It requires so little investment of time and logistical energy, and I can do it the morning I need that release, rather than having to wait a couple of days until I have the time and motivation to go ride. And within 20 mins and can be pouring with sweat with my heart rate soaring, all that gloomy mental fog lifting, knowing that a quick shower is all I need before I'm back to my day

Obviously that's never going to replace the highs of riding, but for me, relying too heavily on riding for moderating my mental health has been a mistake. And may be that's the real problem; I got too reliant
  • 1 0
 Crazy read!
  • 3 0
 @overconfident: This. I've been suffering from PTSD for some time, and physical exercise is not a cure all mental health magic.
Depending on the mood riding can make me feel better or just worse, and I can't often say which way things will go. Especially if the ride starts with a steep climb I tend to pack up halfway up the mountain and go home, feeling garbage all day.

Same with the winters, winter is rough regardless and having to put on 200 layers and take a ridiculous amount of supplies is not super fun.

What I usually do is similar to you (except it also invovles a bike). I built myself something more xc-orientated and I just go for a quick run to the neighbouring village to get myself cream tea. It's more along the lines of light exercise, nothing to feel too dramatic about, and it's on tarmac which means less dirt. Gym's not an option for me (I get scared of people)

But in the end everyone gotta find their own way. It's just good to hear different people's approaches from time to time, especially when a lot of people tell you 'oh, do exercise, it'll make you feel better'.
  • 3 0
 @Greyfur: damn, that sounds tough

And I totally agree, the 'just go exersice that'll fix everything' crowd bring their own brand of toxicity to a lot of people

I actually bought an old Pompino single speed to do similar to you: just grab a quick hour ride in whatever weather and with minimal faff. After 6 months I counted I'd been on one ride, aside from just getting around... That's when I bought the gym pass

At least the Pomp rides damn nicely for a commuter :-)
  • 21 0
 Nothing but love for your program. I suffered from mental illness and i'm still in therapy at the moment. I'm a father of two and i could hardly care about my and wife. Bikes or biking were the one thing, which i was able to do and what saved me. Donated immediately and hope your program will go on for a long time.
  • 12 0
 Great project ... bike is special for mental stability!
  • 8 0
 Cheers to this program! This edit really hits home. Mountain biking has really improved my mental wellbeing and my ability to connect with my loved ones. I lived in SLC for a bunch of years, and primarily snowboarded. Living right along the Wasatch front and having the Uintas right in my backyard, there were so many outdoor activities to choose from I only dabbled in mountain biking. When I moved out of the rockies and to the flatlands of the midwest, I became depressed because my new homeland lacked the dramatic scenery and adrenaline shot that mountains so easily provided.
A good buddy of mine told me, "hey, you might need mountains to snowboard, but you don't need mountains to mountain bike." The more I got into mtb, the more I learned he was right. Riding mtb is rad because you get that adrenaline shot, and it connects you with nature. But it's more than just the act of mountain biking that provides happiness. It's wrenching on them in the long, cold winters, planning upgrades, planning trips, watching youtube tutorials for improving riding technique or maintenance skills, planning trips with friends, geeking out on tech articles. Something to look forward to and be stoked on. Something to take care of my body for, go to bed early for, and drink less beers for. It also connects me with a social network of buddies with the same interests as me... which I was surprised to learn making new friends isn't easy when you transplant yourself in your 30s.
Is my mountain biking habit a giant money pit? Yes! But the intangible value cannot be expressed in dollars and cents. I'm not going to be all dramatic and say that it saved my life, but who knows. Perhaps it helped save my marriage (along with my awesome therapist), and it definitely helped me through one of my toughest periods, and continues to do so. So again, cheers to this program and I hope it helps get people started toward being the best version of themselves.
  • 7 0
 I have fought a mental disease for most of my life. I have also found that mountain biking helps a lot alongside traditional treatment options. I love the idea of a program like this. Combining riding with DBT techniques and others is next level stuff. Keep it rolling!
  • 8 0
 Reminds me of the old joke: Psychotherapy, naw, I prefer Cycle therapy. Good cause, biking is a great for my mental well being.
  • 8 0
 Yes, ride on. Let‘s speak about mental illness and do something about it, cause we can!!!
  • 9 0
 Yep I agree, bike time = zen time
  • 4 0
 I know for a fact that cycling (I do both mtb & road) has saved my life on more than one occasion. I have Asperger's and as a result suffer from crippling anxiety and depression. My doctor has prescribed me many different types of antidepressants but non work in the same way as getting on one of my bikes and flying down a hill.
  • 4 0
 Love this! I always say I have two therapy sessions I rely on. One of them is an office and one is on the trail. I need both. Finally feel like talking about mental health is being normalized. Way to go!
  • 4 0
 After a super sketchy bonk in a very remote solo situation, I get anxiety now when I ride... even on easy trails I've done a million times. Sucks. What used to help calm my anxiety, now makes it worse.
  • 4 0
 yeah I feel you. I've gotten pretty badly injured 3 times in the last three years and now the entire concept of riding just stresses me out.
  • 9 0
 Confidence is a fragile thing. Confidence is basically having enough positive experiences to quiet the brains stress response system in potentially dangerous situations. Unfortunately it only takes one traumatic experience and the whole thing collapses. One thing that has worked for me after particularly bad crashes is to focus not on how you were able to ride a particular trail before the crash but on how you are going to start riding it again. You can retrain your brain by slowing down your pace, being precise and slowly building up that confidence. The trick is to find that middle ground in which biking is not anxiety provoking but still keeps you on your toes. In my experience my worst crashes have been when my confidence is low and I am not riding loosely or in seemingly mundane situation and I lose focus.
  • 3 0
 same feeling for me for a long time after shattering my pelvis while far out and alone. Just needed to restart the entire progression track with easy/bland/boring-by-most-standards trails until the confidence built up and the nerves went away. can take awhile, but worth it
  • 2 0
 @two-plank: yup. I broke 8 bones, collapsed a lung, and had brain hemorrhage. blacked out and was riding alone. luckily someone found me. lifeflight, surgery, etc. its been two years and I still can't bring myself to ride the big jumps anymore, but i'm back to riding the gnarly chunky stuff. then had a minor get off that somehow managed to give me a major concussion and now I'm on the verge of giving up riding because it's been f*cking up my job for like a month. at some point it's not worth it anymore. I love bikes but maybe it's time to start offroading or something.
  • 3 0
 @blackercanyons: You can still ride, but you'll have to tone it down a notch and more importantly, have fun with it. If it becomes a mission to get back to where you were then it's not really a healthy diversion (imo).
A similar thing happens with fighters of various backgrounds, getting old or injured (mileage ages you) means not sparring with the killers, or the dudes trying to take names.
Anyhow, hope it makes sense to you and all the best.
  • 2 0
 @sonuvagun: most likely i'm just going to switch to a short travel bike. It's the same amount of fun with less severe consequences, I've found. Plus I've been enjoying the long backcountry adventures more and more, and the DH less, so it works out.
  • 2 0
 @blackercanyons: I have been doing exactly that. Branching out into other outdoor pursuits while trying to become a more skilled rider but not focussing pushing progression by taking increasing risks. Getting too old for that. It is also probably a good idea to have more than one outdoor passion that keeps you mentally grounded.
  • 6 0
 Biiiig kudos Pinkbike, phenomenal article highlighting a really cool program!
  • 3 0
 Mountain biking is definitely therapy to me so I get it. It's the only time I can forget about all the craziness in this world, forget all problems temporarily, and just focus on the trail in front of me.
  • 4 0
 Xanax or bikes?

For my personal perspective riding alone a bike, also road bike is my safe zone.
  • 1 0
 This is great!

I should add biking (or whatever activity) is nearly always not an either/or way to address mental health. It’s a compliment and can help in ways other methods can’t.

Big picture: environmental changes are as critical as DNA, chemical, and social factors. Our brains can literally revise their wiring—esp once multidimensional factors are assessed and taken into account (genetic, cognitive, social, environmental…). This is what the NIH’s research domain criteria is about (as opposed to symptom based DSM-x model). Better understanding the mix of factors = better ways of tailoring what works for each person.

Lastly, if you need help now, you can text HOME to 741741 to connect with a Crisis Counselor.
  • 1 0
 Good to see this highlighting that riding is in combination with treatment. So many people fall in love with the initial benefits of an activity and get the chemical benefits and think that's enough, until it isn't. Sport is good for you, it's good to see yourself improving at something, knowing that you're capable and having short and long-term goals but those who need help to deal with the issues in their lives and the imbalances in their brain aren't going to be magically fixed by putting some rubber on dirt and sweating a bit. For those with more mild mental ill-health, a ride will show them that their struggles aren't everything and they can persevere, but that's not going to fix psychosis or CPTSD. You wouldn't prescribe antibiotics for cancer.







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