This article explores the effects of integrating physical exercise in the form of trapeze work into a mental health individual placement and support (IPS) programme in England. The project offered between six and twelve trapeze lessons on a weekly basis to 8 individuals diagnosed with a range of mental health conditions. Participants reported a range of psychological benefits including enhanced self-esteem, greater motivation, and ability to overcome mental barriers such as fear. This was highlighted by improvements in clinical measures. Significant psychological progress was made towards work, including confidence to work and motivation for job seeking. The author concluded that IPS employment programmes could benefit from offering a portfolio of interventions which include physical exercise.