How Mixed Martial Arts Can Help Sustain Recovery
The path to lasting recovery from addiction requires more than abstaining from substances—it demands building a new, fulfilling life. At Healthy Life Recovery, we understand that sustainable recovery involves nurturing your physical health, mental wellness, and social connections. Mixed Martial Arts (MMA) offers a unique opportunity to address all three simultaneously, creating a powerful foundation for long-term sobriety.
Understanding the Science: Why Physical Activity Matters in Recovery
When someone struggles with addiction, their brain’s reward system becomes dysregulated. Substances artificially flood the brain with dopamine and other neurotransmitters, creating intense but temporary pleasure. Once someone stops using, their brain needs time to relearn how to produce these chemicals naturally.
The Endorphin Connection
Physical exercise, particularly intense cardiovascular activity like MMA training, triggers the release of endorphins—your brain’s natural mood elevators. These neurotransmitters interact with receptors in your brain to reduce pain perception and trigger positive feelings similar to morphine, but without the destructive consequences.
According to the National Institute on Drug Abuse (NIDA), behavioral therapies combined with healthy lifestyle changes form the foundation of effective addiction treatment. Research published by Harvard Health demonstrates that regular physical activity can be as effective as medication for treating depression and anxiety in some individuals. For people in recovery, this natural mood boost serves multiple purposes:
- Craving reduction: Endorphin release can help minimize substance cravings by satisfying the brain's need for pleasure naturally
- Stress management: Exercise provides a healthy outlet for stress and frustration that might otherwise trigger relapse
- Neuroplasticity support: Physical activity promotes the growth of new neural pathways, helping the brain heal from addiction's damage
- Sleep improvement: Regular exercise improves sleep quality, which is often disrupted during early recovery
The Substance Abuse and Mental Health Services Administration (SAMHSA) recognizes that recovery involves creating a meaningful life beyond substance use, which includes developing healthy routines and engaging in fulfilling activities.
Beyond Endorphins: The Complete Neurochemical Picture
While endorphins get much of the attention, MMA training influences several other crucial brain chemicals:
- Dopamine: The "reward" neurotransmitter increases during and after exercise, helping restore the brain's natural reward system
- Serotonin: Physical activity boosts serotonin levels, improving mood, sleep, and emotional regulation
- GABA (gamma-aminobutyric acid): Exercise increases GABA production, which has calming, anti-anxiety effects
- Brain-Derived Neurotrophic Factor (BDNF): This protein supports brain health and has been called "Miracle-Gro for the brain," promoting neuroplasticity and cognitive function
Research from the National Institutes of Health (NIH) confirms that exercise induces neuroplastic changes in the brain, supporting cognitive function and emotional regulation—both crucial for maintaining long-term recovery.
Why MMA? The Unique Benefits of Mixed Martial Arts
While any exercise offers benefits, MMA provides distinctive advantages that make it particularly valuable for individuals in recovery.
Comprehensive Physical Engagement
MMA combines multiple martial arts disciplines—including boxing, kickboxing, Brazilian Jiu-Jitsu, wrestling, and Muay Thai—creating a full-body workout that engages both cardiovascular and strength training systems.
Cardiovascular conditioning: The intense nature of MMA training elevates heart rate consistently, providing the sustained cardiovascular activity that maximizes endorphin release. According to the Centers for Disease Control and Prevention (CDC), adults should aim for at least 150 minutes of moderate-intensity aerobic activity per week, and MMA training easily meets or exceeds these recommendations.
A typical MMA session might include:
- Warm-up and dynamic stretching (10-15 minutes)
- Technical drilling (striking combinations, grappling techniques)
- Pad work or bag work (high-intensity intervals)
- Sparring or rolling (controlled practice)
- Cool-down and static stretching
This varied approach keeps training interesting while ensuring comprehensive fitness development—important for maintaining long-term engagement.
Functional strength development: Unlike isolated weight training, MMA builds practical, functional strength through movements that engage multiple muscle groups simultaneously. The American College of Sports Medicine emphasizes the importance of varied exercise programs that include both aerobic and strength training components for optimal health.
Mental and Emotional Benefits
The psychological advantages of MMA training extend far beyond simple stress relief.
Mindfulness and present-moment focus: When you’re learning complex techniques or engaged in controlled sparring, your mind must remain completely present. This enforced mindfulness provides a welcome break from rumination, anxiety, and obsessive thinking patterns common in early recovery.
Research published in JAMA Psychiatry demonstrates that mindfulness-based interventions can significantly reduce relapse rates in substance use disorders. Many people in recovery struggle with racing thoughts or constant mental chatter. The intensity and focus required in MMA training create what some call a “moving meditation”—a state where you’re so engaged in the present moment that worries about the past or future temporarily fade away.
Emotional regulation skills: MMA training teaches emotional control in high-pressure situations. When sparring, you must manage:
- Frustration when techniques don't work as planned
- Fear or anxiety about getting hit
- Aggression and the appropriate channeling of competitive energy
- Disappointment when you lose or make mistakes
These are precisely the emotional regulation skills needed to maintain sobriety when facing life’s challenges outside the gym. The National Institute of Mental Health (NIMH) recognizes that developing emotional regulation skills is central to treating both substance use and co-occurring mental health disorders.
Building self-efficacy: Every new technique mastered, every round completed, and every personal limit pushed demonstrates your capability and strength. This growing sense of self-efficacy—the belief in your ability to accomplish goals—is crucial for recovery confidence.
A Healthy Outlet for Aggression
Many people in recovery struggle with anger and frustration, whether from:
- Past traumas that contributed to their addiction
- Resentment about consequences suffered during active addiction
- Frustration with the recovery process itself
- General life stressors that feel overwhelming without substances
According to SAMHSA’s Treatment Improvement Protocol, many individuals with substance use disorders have experienced trauma, which often manifests as anger and aggression. MMA provides a socially acceptable, controlled environment to express and channel aggressive feelings. Hitting bags, practicing striking combinations, and engaging in controlled sparring allow you to release pent-up emotions in a way that’s not only acceptable but encouraged—and that won’t lead to consequences that threaten your recovery.
The Recovery Community Component: Why Training Together Matters
While the physical and neurochemical benefits of MMA are significant, the community aspect may be even more crucial for long-term recovery success.
The Isolation Problem in Addiction and Recovery
Addiction is often called a “disease of isolation.” Whether through shame, necessity, or preference, many people with substance use disorders become increasingly isolated from healthy relationships. Even in early recovery, isolation remains a significant risk factor for relapse.
Research from NIDA consistently shows that social support is one of the strongest predictors of successful long-term recovery. The Surgeon General’s Report on Alcohol, Drugs, and Health emphasizes that recovery involves building social networks that support healthy behaviors and provide meaningful connections.
According to the National Alliance on Mental Illness (NAMI), community involvement provides:
- Emotional support during difficult times
- Accountability that helps maintain commitment to recovery goals
- Belonging that counters the loneliness that often triggers substance use
- Role modeling from others who demonstrate healthy coping strategies
The Unique Culture of MMA Gyms
MMA training facilities foster a particular type of community that’s especially beneficial for people in recovery:
Mutual respect and ego-checking: In MMA, everyone—from complete beginners to experienced fighters—gets submitted, swept, or caught by strikes. This regular “ego-checking” creates humility and keeps everyone grounded. For people in recovery, who may struggle with grandiosity or shame, this balance is healthy and normalizing.
Shared vulnerability: There’s something uniquely bonding about training together, especially during difficult conditioning sessions or when learning new techniques that make you feel awkward and incompetent. This shared vulnerability creates deep connections.
Achievement-based bonding: Unlike social situations centered around substances, MMA training creates bonds through shared accomplishment. Celebrating a teammate’s successful competition, learning a technique together, or surviving a brutal conditioning session creates meaningful memories and connections.
Clear social structure and expectations: MMA gyms have clear codes of conduct, hierarchies based on skill and experience, and explicit expectations for behavior. For individuals rebuilding their lives, this structure provides clarity and consistency often lacking during active addiction.
From Training Partners to Recovery Allies
The relationships formed in MMA training often extend beyond the gym, creating a sober social network—one of the most challenging things to develop in early recovery. Your training partners become people you can:
- Call when you're struggling with cravings
- Make plans with for sober social activities
- Turn to for advice and support
- Celebrate recovery milestones with
Research published by the NIH National Library of Medicine demonstrates that social networks centered around healthy activities significantly improve long-term recovery outcomes. At Healthy Life Recovery, we’ve witnessed countless friendships form through our Active Recovery programs, including MMA. These relationships often become central to maintaining long-term sobriety.
Structure and Routine: The Foundation of Recovery
Addiction thrives in chaos; recovery requires structure. MMA training provides both immediate structure (during training sessions) and helps establish broader routine in daily life.
The Importance of Routine in Recovery
Research on addiction recovery from SAMHSA consistently demonstrates that individuals who maintain structured daily routines have better outcomes. Structure helps by:
- Reducing decision fatigue: When your schedule is planned, you make fewer moment-by-moment decisions that could lead to poor choices
- Creating accountability: Regular commitments make it harder to disappear into isolation
- Filling time: Idle time is dangerous in early recovery; scheduled activities fill vulnerable hours
- Building momentum: Consistently showing up builds positive momentum and reinforces your identity as someone committed to health
The National Institute on Alcohol Abuse and Alcoholism (NIAAA) emphasizes that recovery involves developing new routines and activities that don’t involve alcohol or drugs.
How MMA Training Creates Structure
Regular MMA training sessions create natural structure in several ways:
Scheduled training times: Most people train at consistent times each week, creating appointments that anchor their schedule. Whether it’s Monday-Wednesday-Friday evenings or early morning sessions, these become non-negotiable commitments.
Progressive skill development: MMA isn’t something you master quickly. The long-term progression from white belt to colored belts (in Brazilian Jiu-Jitsu, for example) or from beginner to advanced striker creates ongoing goals that keep you engaged over months and years.
Preparation requirements: Training successfully requires proper preparation—adequate sleep, proper nutrition, hydration, and arriving mentally ready. These requirements naturally encourage healthier overall lifestyle habits.
Specific Aspects of MMA That Support Recovery
Striking Arts: Boxing, Kickboxing, and Muay Thai
The striking components of MMA offer particular benefits:
High-intensity cardiovascular work: Striking training, whether on bags, pads, or in controlled sparring, provides intense cardiovascular exercise that maximizes endorphin release. A three-minute round of heavy bag work can elevate your heart rate significantly, creating the sustained intensity needed for optimal neurochemical benefits.
According to the American Heart Association, vigorous-intensity aerobic activity like MMA training provides significant cardiovascular and mental health benefits.
Stress release: There’s something uniquely cathartic about striking a heavy bag. The physical impact, the sound, and the sensation create an immediate release of tension and stress. Research from the Mayo Clinic confirms that physical activity reduces stress hormones like cortisol and adrenaline while stimulating production of endorphins.
Coordination and timing: Learning striking combinations develops hand-eye coordination, timing, and rhythm—skills that engage the brain in novel ways and support cognitive recovery.
Grappling Arts: Brazilian Jiu-Jitsu, Wrestling, and Judo
The grappling components provide different but complementary benefits:
Problem-solving under pressure: Grappling is often called “physical chess” because it requires constant strategic thinking while physically engaged. This combination of mental and physical challenge is uniquely engaging and provides cognitive benefits that support brain recovery.
Research from the NIH shows that complex motor learning, like that required in grappling arts, promotes neuroplasticity and cognitive function—essential components of recovery from substance use disorders.
Close physical contact and trust: Unlike striking, grappling requires close physical contact with training partners. This builds trust and comfort with appropriate physical connection—something many people in recovery struggle with due to past trauma or boundary issues.
Submissions and ego management: Getting submitted (forced to tap out) in grappling is a regular occurrence for everyone. Learning to handle this gracefully—to recognize when you’re beaten, admit it, and start again—builds humility and resilience.
Conditioning and Strength Training
MMA-specific conditioning creates additional recovery benefits:
High-intensity interval training (HIIT): Many MMA conditioning sessions use HIIT protocols—short bursts of maximum effort followed by brief recovery periods. Research published by the American Council on Exercise shows HIIT is particularly effective for improving mood and cognitive function.
Functional movement patterns: Unlike traditional bodybuilding, MMA conditioning focuses on movements used in fighting—sprawls, level changes, ground-and-pound simulation. This functional approach keeps training interesting and relevant.
Addressing Common Concerns and Barriers
Despite the many benefits, some people in recovery have concerns about MMA training. Let’s address these thoughtfully.
"Isn't MMA Too Violent for Someone in Recovery?"
This is a legitimate concern, but it reflects a misunderstanding of how MMA training actually works:
Training vs. fighting: The vast majority of MMA training isn’t fighting—it’s technical drilling, conditioning, and controlled practice. Even sparring in reputable gyms is typically controlled and supervised, with safety as the primary concern.
Structured aggression: MMA doesn’t encourage uncontrolled violence; it teaches controlled application of technique within strict rules and ethical guidelines. This is very different from the uncontrolled aggression that might have characterized someone’s behavior during active addiction.
Personal pace: At quality MMA gyms, including those we work with at Healthy Life Recovery, students progress at their own pace. If you’re uncomfortable with certain aspects of training, that’s respected.
"I'm Not in Good Enough Shape to Start MMA"
This concern is understandable but unnecessary:
Start where you are: Reputable MMA gyms accommodate beginners at all fitness levels. You don’t need to get in shape before starting—the training itself gets you in shape. The CDC’s guidelines emphasize that any amount of physical activity is better than none, and people should start at levels appropriate to their current fitness.
Modifications available: Good coaches provide modifications for people with different fitness levels, past injuries, or physical limitations.
Gradual progression: No one expects a beginner to train at the same intensity as experienced fighters. You’ll progress gradually as your fitness improves.
"Won't I Get Injured?"
Injury is a valid concern in any physical activity, but MMA training—when done properly—is safer than many people assume:
Injury rates: Research shows recreational MMA training has similar or lower injury rates compared to sports like basketball, soccer, or skiing.
Safety protocols: Quality gyms prioritize safety through proper equipment (gloves, mouthguards, shin guards), supervised training, and an emphasis on controlled technique rather than wild aggression.
Communication: In training, you communicate with partners about intensity levels, and there’s a culture of mutual care—everyone understands that injuries help no one.
"I Have Past Trauma—Is Physical Contact Training Safe?"
This is an important consideration that deserves a thoughtful response:
Trauma-informed approach: At Healthy Life Recovery, we understand that many people in our treatment programs have trauma histories. SAMHSA’s trauma-informed care principles guide our approach to all activities, including physical training.
Building appropriate physical boundaries: For some trauma survivors, controlled physical contact in a safe environment can actually be therapeutic, helping rebuild a sense of safety and appropriate boundaries.
Options for progression: You can engage with striking arts before or instead of grappling arts, allowing you to build comfort gradually.
Integrating MMA Into Your Recovery Plan
If you’re interested in incorporating MMA into your recovery, here’s how to approach it thoughtfully:
Start With Your Treatment Team
Before beginning any new exercise program, especially one as intensive as MMA, discuss it with your treatment team. According to NIDA’s Principles of Drug Addiction Treatment, effective treatment should be tailored to each patient’s needs and adjusted based on their progress.
At Healthy Life Recovery, our clinicians can help determine whether MMA training is appropriate for your current stage of recovery and overall health status.
Considerations include:
- Physical health and any medical conditions
- Trauma history and potential triggers
- Current emotional stability
- Stage of recovery (early recovery may require different approaches than stable long-term recovery)
Find the Right Gym
Not all MMA gyms are created equal. Look for facilities that:
- Prioritize safety and proper technique
- Have experienced, certified instructors
- Welcome beginners and provide appropriate instruction for different skill levels
- Foster a supportive, respectful culture
- Understand and accommodate special needs (including recovery considerations if you choose to disclose)
At Healthy Life Recovery, we’ve developed relationships with quality MMA gyms in the San Diego area that understand our clients’ unique needs and provide appropriate support.
Set Realistic Goals and Expectations
Initial goals might include:
- Attending a certain number of classes per week
- Learning basic techniques in one discipline
- Improving cardiovascular fitness
- Meeting new people and building connections
Long-term goals might include:
- Earning rank advancement (belts in Brazilian Jiu-Jitsu, for example)
- Competing (if desired and appropriate)
- Maintaining consistent training as part of ongoing recovery
- Perhaps even instructing or mentoring others eventually
Balance With Other Recovery Activities
While MMA can be a valuable recovery tool, it shouldn’t replace other essential recovery activities:
- Therapy and counseling: Continue working with mental health professionals. SAMHSA's National Helpline (1-800-662-4357) provides 24/7 free, confidential treatment referrals
- Support groups: Maintain connection with recovery-specific support (12-step programs, SMART Recovery, etc.)
- Medication management: If you're taking prescribed medications for mental health conditions, continue as directed
- Other wellness activities: Balance MMA with other activities like meditation, yoga, or art therapy
Listen to Your Body and Mind
Physical considerations:
- Rest when needed—overtraining can be counterproductive
- Address injuries promptly and properly
- Maintain proper nutrition to support training (consult ChooseMyPlate.gov for nutrition guidelines)
- Stay hydrated
Mental/emotional considerations:
- If training becomes obsessive or compulsive, discuss this with your therapist
- If you find yourself using training to avoid dealing with emotional issues, that's worth exploring
- Pay attention to whether training is enhancing your recovery or creating additional stress
MMA and Co-Occurring Mental Health Conditions
Many people in recovery struggle with co-occurring mental health conditions. According to NIDA, approximately half of people who experience a substance use disorder also experience a co-occurring mental health condition. MMA training can complement treatment for several conditions when approached thoughtfully.
Depression
Research from the National Institute of Mental Health demonstrates that exercise can be as effective as antidepressant medication for some people with mild to moderate depression. MMA training’s combination of intense physical activity, skill development, and social connection makes it particularly beneficial.
How it helps:
- Endorphin and serotonin boost improve mood
- Accomplishment and skill development enhance self-esteem
- Social connection counters isolation
- Structure reduces decision fatigue common in depression
At Healthy Life Recovery, we provide comprehensive mental health treatment that can be enhanced by physical activities like MMA training.
Anxiety Disorders
The relationship between exercise and anxiety is well-established, with regular physical activity reducing anxiety symptoms for many people. The Anxiety and Depression Association of America reports that exercise helps with anxiety by relieving tension, boosting physical and mental energy, and enhancing well-being through endorphin release.
How MMA helps with anxiety:
- Physical exertion reduces physical anxiety symptoms (muscle tension, restlessness)
- Mindful focus during training provides relief from anxious rumination
- Building physical confidence can reduce social anxiety
- Learning to manage fear during training (sparring, for example) builds anxiety tolerance
Our connection between anxiety and addiction treatment addresses both conditions simultaneously.
PTSD and Trauma
This requires careful consideration, as intense physical training could potentially trigger trauma responses. However, when approached properly with professional guidance, MMA can be part of trauma recovery. The National Center for PTSD recognizes that trauma treatment may include various approaches alongside evidence-based therapies.
Potential benefits:
- Regaining sense of physical empowerment
- Building trust through controlled physical interaction
- Releasing trauma held in the body
- Developing emotional regulation skills
Important considerations:
- Work with trauma-informed therapists
- Communicate with instructors about triggers and boundaries
- Progress gradually and honor your comfort levels
- Combine with evidence-based trauma therapies like EMDR
Our dual diagnosis treatment for PTSD and addiction provides comprehensive care.
ADHD
MMA training can be particularly beneficial for individuals with ADHD. According to CDC data on ADHD, behavioral interventions and lifestyle modifications, including physical activity, are important components of ADHD management:
- Provides structured but varied activity that maintains interest
- Requires intense focus that can improve attention skills
- Offers immediate feedback that helps maintain engagement
- Provides healthy outlet for hyperactivity
Beyond Recovery: Lifelong Growth
Perhaps the most beautiful aspect of MMA is that it offers limitless opportunity for growth. There’s no “finishing” MMA—there’s always another technique to learn, another skill to refine, another challenge to overcome. This mirrors the recovery journey itself, which isn’t about reaching a destination but about continuous growth and development.
Whether you train for three months or thirty years, MMA can remain a source of:
- Physical health and fitness
- Mental clarity and emotional regulation
- Social connection and community
- Personal challenge and accomplishment
- Meaning and purpose
Additional Resources for Recovery Support
Beyond MMA and physical activities, numerous resources are available to support your recovery journey:
- SAMHSA’s National Helpline: 1-800-662-HELP (4357) – Free, confidential, 24/7 treatment referral and information
- NIDA’s Treatment Locator: Find evidence-based treatment programs
- Substance Abuse Treatment Facility Locator: Search for treatment facilities by location
- National Institute on Alcohol Abuse and Alcoholism: Information and resources on alcohol use disorders
- CDC Substance Abuse Resources: Treatment and recovery information
Mental Health America: Resources for dual diagnosis treatment
Fighting For Your Recovery
Recovery from addiction is perhaps the most important fight of your life. MMA training provides literal and metaphorical preparation for this fight:
- You learn to take hits and keep moving forward
- You discover strength you didn't know you had
- You build a team that supports and challenges you
- You develop discipline, resilience, and determination
- You create a life that's worth protecting
At Healthy Life Recovery, we believe that comprehensive treatment addresses every aspect of a person—physical, mental, emotional, and social. MMA training, when integrated thoughtfully into a comprehensive treatment plan, offers benefits in all these areas.
If you or someone you love is struggling with addiction, we invite you to explore whether our approach—including innovative Active Recovery options like MMA—might be right for you. Recovery is possible, and it can involve not just abstaining from substances but building a life that’s richer, stronger, and more connected than you imagined possible.
Your fight for recovery deserves every tool, every advantage, and every support available. Sometimes, those tools look different than traditional treatment approaches—and that’s exactly the point. MMA might seem unconventional, but for many people, it becomes the practice that makes all the difference.
Take the Next Step
Don’t face addiction alone. Our compassionate team at Healthy Life Recovery is ready to help you explore how MMA and other Active Recovery approaches can support your journey to lasting sobriety.
Contact us today at (844) 252-8347 to begin your journey toward a healthier, more fulfilling life. Whether you’re just beginning to consider treatment or you’re looking to strengthen existing recovery, we’re here to help you fight for the life you deserve.
FAQs About MMA and Addiction Recovery
Can exercise really help with addiction recovery?
Yes, exercise is a scientifically proven component of effective addiction recovery. According to research from the National Institute on Drug Abuse (NIDA) and Harvard Health, regular physical activity releases endorphins—your brain’s natural mood elevators—which help restore the brain’s reward system damaged by substance use. Exercise reduces cravings, manages stress, improves sleep, and supports neuroplasticity (the brain’s ability to heal and form new neural pathways). MMA training provides particularly intense cardiovascular activity that maximizes these neurochemical benefits while also building community connections essential for long-term sobriety.
Why MMA specifically? Couldn't I just go to a regular gym?
While any exercise is beneficial for recovery, MMA offers unique advantages that make it especially valuable. Traditional gym workouts can be isolating and lack the community component crucial for recovery. MMA training combines intense cardiovascular work, strength training, skill development, and mindfulness all in one activity. More importantly, it creates a sober social network through training partnerships, provides clear structure through scheduled classes and progressive skill development, teaches emotional regulation under pressure, and offers a healthy outlet for anger and frustration. The combination of physical, mental, and social benefits makes MMA particularly effective for sustaining long-term recovery.
Do I need any prior martial arts experience to start?
No prior experience is necessary. Quality MMA gyms—including those we work with at Healthy Life Recovery—welcome complete beginners and provide appropriate instruction for all skill levels. In fact, most people who train in MMA started with no martial arts background. Instructors are experienced in teaching fundamentals and will help you progress at your own pace. The MMA community generally embraces beginners and creates a supportive environment for learning.
I'm not in good shape. Can I still do MMA training?
Absolutely. You don’t need to get in shape before starting MMA—the training itself will get you in shape. Reputable gyms accommodate people at all fitness levels and provide modifications for different abilities. Your coaches will help you start at an appropriate intensity level and progress gradually as your fitness improves. Many people in early recovery are not in peak physical condition, and that’s completely normal and expected. The important thing is starting where you are and building from there.
How often should I train MMA for recovery benefits?
Most people find that training 2-4 times per week provides significant benefits without risking overtraining or burnout. The Centers for Disease Control and Prevention (CDC) recommends at least 150 minutes of moderate-intensity aerobic activity per week, and 2-3 MMA sessions typically meet or exceed this guideline. However, the right frequency depends on your individual circumstances, fitness level, and recovery stage. Work with your treatment team at Healthy Life Recovery to determine the appropriate training schedule for your situation. Consistency matters more than frequency—regular training twice a week is more beneficial than sporadic intense training.
Isn't MMA dangerous? Will I get hurt?
When practiced properly at a reputable gym, MMA training is safer than many people assume. Research shows that recreational MMA training has similar or lower injury rates compared to popular sports like basketball, soccer, or skiing. Quality gyms prioritize safety through proper equipment (gloves, mouthguards, shin guards), experienced supervision, controlled training environments, and an emphasis on technique rather than wild aggression. The vast majority of training involves technical drilling, pad work, and conditioning—not actual fighting. Even sparring is carefully controlled and supervised. Communication with training partners about intensity levels is encouraged, and the culture emphasizes mutual care and safety.
What if I have past injuries or physical limitations?
Good MMA coaches can work with various physical limitations and past injuries. Before starting, discuss any health concerns with both your medical provider and your MMA instructor. Many techniques can be modified, and training intensity can be adjusted to accommodate your needs. Some people focus primarily on striking (if they have joint issues that make grappling uncomfortable) or vice versa. The key is finding an instructor who listens to your concerns and adapts training appropriately. At Healthy Life Recovery, we help clients communicate their needs to our affiliated gyms.
I have PTSD or trauma history. Is physical contact training safe for me?
This requires careful consideration and should be discussed with your therapist or treatment team. For some trauma survivors, controlled physical contact in a safe, structured environment can actually be therapeutic, helping rebuild a sense of safety and appropriate boundaries. However, for others, it could be triggering. At Healthy Life Recovery, we follow SAMHSA’s trauma-informed care principles and work with you to determine if MMA is appropriate and how to approach it safely. You can start with striking arts (which involve less physical contact) before progressing to grappling arts if and when you feel ready. Communication with instructors about your boundaries is essential, and reputable gyms will respect these needs.
Medically Reviewed By:
Dr. Sanjai Thankachen
Dr. Sanjai Thankachen graduated from Adichunchanagiri Institute of Medicine in 2000. He completed his residency in psychiatry in 2008 at Creedmoor Psychiatric Center in New York. Dr. Thankachen is currently working with Pacific Neuropsychiatric Specialists in an outpatient practice, as well as working at multiple in-patient psychiatric and medical units bringing his patients the most advanced healthcare treatment in psychiatry. Dr. Thankachen sees patients with an array of disorders, including depression, bipolar illness, schizophrenia, anxiety, and dementia-related problems.
Edited for Clinical Accuracy By:
Sean Leonard, Psychiatric Nurse Practitioner
Sean Leonard is a board-certified psychiatric nurse practitioner. He received his master’s degree in adult geriatric primary care nurse practitioner from Walden University and a second postmaster specialty in psychiatry mental health nurse practitioner from Rocky Mountain University. Sean has experience working in various diverse settings, including an outpatient clinic, inpatient detox and rehab, psychiatric emergency, and dual diagnosis programs. His specialty areas include substance abuse, depression, anxiety, mood disorders, PTSD, ADHD, and OCD.
Rosenbaum, S. B. (2023, May 26). Ketamine. StatPearls – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK470357/
Voineskos, D., Daskalakis, Z. J., & Blumberger, D. M. (2020). <p>Management of Treatment-Resistant Depression: Challenges and Strategies</p> Neuropsychiatric Disease and Treatment, Volume 16, 221–234. https://doi.org/10.2147/ndt.s198774
Office of the Commissioner. (2019). FDA approves new nasal spray medication for treatment-resistant depression; available only at a certified doctor’s office or clinic. U.S. Food And Drug Administration. https://www.fda.gov/news-events/press-announcements/fda-approves-new-nasal-spray-medication-treatment-resistant-depression-available-only-certified
Mandal, S., Sinha, V. K., & Goyal, N. (2019). Efficacy of ketamine therapy in the treatment of depression. Indian Journal of Psychiatry, 61(5), 480. https://doi.org/10.4103/psychiatry.indianjpsychiatry_484_18
Popova, V., Daly, E., Trivedi, M. H., Cooper, K., Lane, R., Lim, P., Mazzucco, C., Hough, D., Thase, M. E., Shelton, R. C., Molero, P., Vieta, E., Bajbouj, M., Manji, H. K., Drevets, W. C., & Singh, J. (2019). Efficacy and safety of flexibly dosed Esketamine nasal Spray combined with a newly initiated oral antidepressant in Treatment-Resistant Depression: a randomized Double-Blind Active-Controlled study. American Journal of Psychiatry, 176(6), 428–438. https://doi.org/10.1176/appi.ajp.2019.19020172
Daly, E., Trivedi, M. H., Janik, A., Li, H., Zhang, Y., Li, X., Lane, R., Lim, P., Duca, A., Hough, D., Thase, M. E., Zajecka, J., Winokur, A., Divacka, I., Fagiolini, A., Cubała, W. J., Bitter, I., Blier, P., Shelton, R. C., . . . Singh, J. (2019). Efficacy of Esketamine nasal spray plus oral antidepressant treatment for relapse prevention in patients with Treatment-Resistant Depression. JAMA Psychiatry, 76(9), 893. https://doi.org/10.1001/jamapsychiatry.2019.1189
Abbar, M., Dematteï, C., El‐Hage, W., Llorca, P., Samalin, L., Demaricourt, P., Gaillard, R., Courtet, P., Vaïva, G., Gorwood, P., Fabbro, P., & Jollant, F. (2022). Ketamine for the acute treatment of severe suicidal ideation: double blind, randomised placebo controlled trial. BMJ, e067194. https://doi.org/10.1136/bmj-2021-067194
Website, N. (2023b, August 8). Overview – Selective serotonin reuptake inhibitors (SSRIs). nhs.uk. https://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/medicines-and-psychiatry/ssri-antidepressants/overview/
Ateş‐Alagöz, Z., & Adejare, A. (2013). NMDA receptor antagonists for treatment of depression. Pharmaceuticals, 6(4), 480–499. https://doi.org/10.3390/ph6040480
Elsevier, Inc. (n.d.). Ketamine injection. Cleveland Clinic. https://my.clevelandclinic.org/health/drugs/18102-ketamine-injection