TY - JOUR T1 - Open water swimming as a treatment for major depressive disorder JF - BMJ Case Reports DO - 10.1136/bcr-2018-225007 VL - 2018 SP - bcr-2018-225007 AU - Christoffer van Tulleken AU - Michael Tipton AU - Heather Massey AU - C Mark Harper Y1 - 2018/08/01 UR - http://casereports.bmj.com/content/2018/bcr-2018-225007.abstract N2 - A 24-year-old woman with symptoms of major depressive disorder and anxiety had been treated for the condition since the age of 17. Symptoms were resistant to fluoxetine and then citalopram. Following the birth of her daughter, she wanted to be medication-free and symptom-free. A programme of weekly open (cold) water swimming was trialled. This led to an immediate improvement in mood following each swim and a sustained and gradual reduction in symptoms of depression, and consequently a reduction in, and then cessation of, medication. On follow-up a year later, she remains medication-free. ER -