Mental Health in Sports: The Conversation Athletes Can’t Afford to Ignore

Sports are often associated with strength, toughness, and the ability to perform under pressure. For athletes, however, the pressure can extend far beyond the competition itself. 

Fear of failure, injuries, intense training schedules, pressure from coaches and teammates. Over time, these demands can contribute to anxiety, depression, stress, and burnout.

Despite these challenges, athletes are often expected to “push through” both physical and mental struggles. Mistakes, losses, injuries, and periods of poor performance can feel like personal failures, making it difficult for athletes to recognize when they need help. 

As awareness of mental health continues to grow, the sports world is beginning to recognize that psychological well-being is an essential part of athletic performance and overall health. Organizations such as the NCAA have developed Mental Health Best Practices for student-athletes to encourage schools and athletic programs to take these concerns seriously.

Supporting an athlete’s mind is not separate from supporting their body. It is an essential part of helping athletes perform, recover, and thrive.

Quick Highlights

  • 34% of current elite athletes reported symptoms of anxiety or depression in a systematic review and meta-analysis of nearly 2,900 athletes.
  • More than 23,000 NCAA student-athletes participated in the NCAA’s 2022–23 Student-Athlete Health and Wellness Study, which found that mental health concerns remained elevated despite improvements since the pandemic.
  • Fewer than half (47%) of NCAA student-athletes said they would feel comfortable seeking support from a mental health provider on campus, showing that stigma and barriers to care remain an issue.
  • 35% of women’s-sports student-athletes reported feeling mentally exhausted in the NCAA’s 2022–23 findings, compared with 16% of men’s-sports student-athletes.
  • 51% of Division I men’s basketball players reported receiving social-media abuse related to their athletic performance in the NCAA’s 2025 GOALS study, highlighting the growing pressure athletes can face online.
  • Mental health concerns among NCAA athletes can affect major decisions: among student-athletes considering transferring, 61% of women and 40% of men said their mental health was part of the decision.

When Being an Athlete Becomes Your Identity

For athletes whose identity is closely connected to their sport, an injury can feel like more than a physical setback. It can challenge how they see themselves and their future in the sport.

That connection between identity and performance also shows up off the field. It’s part of why 61% of women and 40% of men in the NCAA’s transfer data cited mental health as a factor in whether to stay in their sport at all.

Access to resources does not always mean athletes feel comfortable using them. Sport psychologists can play an important role in changing that culture. They can help athletes manage competition pressure, recover from injuries, improve focus, and develop mental strategies such as visualization, relaxation, and self-talk. These skills can help athletes manage challenges both during competition and in their everyday lives.

Seeking psychological support should not be viewed as a weakness or a sign that an athlete is struggling to perform. The U.S. Olympic & Paralympic Committee now has 18 dedicated psychologists serving nearly 6,000 athletes. The committee’s psychologists provide support for both mental health concerns and performance-related challenges. At the 2024 Paris Games alone, the committee conducted more than 1,200 individual sessions.

Mental health support should be viewed in the same way as physical training or rehabilitation. It’s essentially another tool that can help athletes become healthier, more resilient, and better prepared to handle the demands of their sport.

The Impact of Social Media

That same pressure to appear mentally unshakeable is amplified by a relatively new force: constant public visibility.

For years, there has been a perception that athletes need to be mentally tough enough to handle anything that comes their way. While mental toughness can be an important part of competition, it should not mean ignoring mental health struggles.

Social media has made it increasingly difficult for athletes to separate their performance from their personal lives. A single mistake can be recorded, shared, and discussed by thousands of people within minutes. Athletes may encounter criticism from fans, comparisons to other players, and expectations from people they have never met. The NCAA has recognized social media as a factor that schools should consider when addressing student-athlete mental health.

For professional athletes, this pressure can be even more intense. Their performances are followed by millions of people. Every missed shot, dropped pass, or bad game can quickly become a major topic of conversation online.

At the same time, the rise of short-form content has changed how quickly sports moments can spread and how fans consume sports coverage. Constant exposure to criticism and commentary can make it difficult for athletes to mentally move on from a poor performance, even after the game is over.

Social media has also given athletes more control over how they present themselves and communicate with fans. The growth of athlete-owned media allows players to share their perspectives directly rather than relying entirely on traditional sports coverage. While this can help athletes take control of their narratives, it also shows how closely an athlete’s public identity, performance, and online presence have become connected.

Athletes Are Speaking Up

Athletes speaking openly about mental health has become one of the defining shifts in modern sports.

Olympic gymnast Simone Biles brought significant attention to the subject when she withdrew from several events at the Tokyo Olympics, explaining that she needed to prioritize her mental well-being. Her decision challenged the idea that athletes must always compete regardless of what they are experiencing mentally.

Tennis star Naomi Osaka has also been open about experiencing anxiety and depression and has taken steps to protect her mental health, including stepping away from competition when she felt she needed to prioritize her well-being. Rather than hiding her difficulties, Osaka used her platform to start conversations about the emotional demands athletes face and the importance of seeking support. This shows that taking care of mental health can sometimes mean recognizing personal limits and making difficult decisions, even when millions of people are watching.

The willingness of athletes like Biles and Osaka to share their experiences is important because it can make other athletes feel less alone.

When high-profile athletes acknowledge that they struggle with anxiety, depression, or overwhelming pressure, they show younger and less experienced athletes that mental health challenges are not signs of weakness or a lack of commitment. It encourages athletes to seek help before their struggles become more serious.

The impact extends beyond sports. Athletes have large public platforms, and their openness can help reduce the stigma surrounding mental health and encourage broader conversations about the importance of asking for help.

Building a Healthier Sports Culture

Addressing mental health in sports cannot fall entirely on the athlete. Coaches, teammates, athletic departments, parents, schools, and professional organizations all play a role in creating an environment where athletes feel comfortable asking for help.

Coaches can make a particularly significant difference. An athlete may be more willing to speak up about struggling when they know their coach will listen instead of immediately judging them or questioning their commitment. This is part of why the NCAA’s Mental Health Best Practices specifically call on athletic departments, not just athletes, to build response plans and educate staff on recognizing warning signs.

Creating a culture where mental health is treated similarly to physical health can make athletes more likely to seek assistance before a problem becomes a crisis.

mental health in sports

Changing the Conversation

Sports can have a positive impact on mental health, and the future of athletics depends on recognizing that physical performance and mental well-being must go hand in hand.

At the same time, sports organizations are increasingly recognizing the need to address the unique pressures that come with competition. Moving forward, mental health support should become a normal part of an athlete’s journey, not something addressed only when a crisis occurs.

Creating that culture can have an impact far beyond sports. When athletes openly discuss mental health and seek support without shame, they help younger athletes, teammates, fans, and communities see mental health care as a normal part of taking care of themselves. The NCAA’s Mental Health Best Practices reflect this broader shift toward making mental health an ongoing part of athlete well-being.

The future of sports should not require athletes to choose between success and their mental health. By continuing to reduce stigma and make psychological support accessible, sports can help create a culture where asking for help is viewed as a form of strength, and where that message extends well beyond the playing field.

FAQ:

  1. Why is mental health important in sports? Mental health can directly affect an athlete’s confidence, focus, motivation, relationships, and overall quality of life. Taking care of mental health can help athletes handle the pressures that come with competition while maintaining their overall well-being.
  2. What mental health challenges do athletes face? Athletes can experience many of the same mental health challenges as anyone else, including anxiety, depression, stress, burnout, and problems related to self-esteem. The pressures of competition, injuries, performance expectations, academics, and social media can add additional challenges.
  3. Is asking for mental health help a sign of weakness? No. Asking for help is not a sign of weakness. Speaking with a counselor, psychologist, or other qualified professional can be an important part of maintaining an athlete’s mental and physical health.
  4. How can coaches support athletes’ mental health? Coaches can create an environment where athletes feel comfortable discussing mental health without fear of judgment. They can also educate themselves about warning signs, encourage athletes to use available resources, and connect them with qualified professionals when necessary.
  5. Can sports actually improve mental health? Yes. Regular physical activity can provide mental health benefits, including improvements in mood and overall well-being. However, the competitive environment can also create stress, so athletes need a healthy balance between competition, training, recovery, and their personal lives. 
  6. What can athletes do if they are struggling? Athletes should consider talking with someone they trust, such as a teammate, coach, family member, counselor, athletic trainer, or mental health professional. Reaching out early can make it easier to receive support and develop healthy ways to manage challenges.

Mental Performance Coaching: The Next Competitive Advantage

Historically, training in sports has centered around physical capabilities like speed, strength, endurance, and mechanics. As sports and competition continue to evolve, athletes, teams, and brands are embracing mental performance coaching. 

From the highest stage of competition in the Olympics, all the way down to youth sports, the mental side of the game is becoming one of the most powerful competitive advantages in sports. Now the focus isn’t just on external results but on strengthening athletes from the inside out.

Quick Highlights:

  • Studies have found that over 35% of athletes have concerns surrounding their mental health.
  • Roughly 73–75% of youth athletes experience performance anxiety, yet less than 15% have access to sports psychology support.
  • An NCAA survey found 30% of female and 25% of male college athletes report constant mental exhaustion during the season.
  • The US Olympic Committee formed a team of 15 full-time mental performance coaches for their athletes, leading a trend among major sporting organizations.
  • Major brands are shifting campaigns to normalize these conversations, with Nike’s “Winning isn’t for everyone” campaign leading the way.
athlete working on mental performance

What is Mental Performance Coaching

Many professionals refer to mental training in sports as essential to the success of an athlete. Mental performance coaching can be seen through an athlete’s composure, confidence, and ability to perform under pressure. 

Most mental performance coaches have sports psychology or counseling backgrounds and use strategies such as breathwork, positive self-talk, and mindfulness training. Athletes like Serena Williams, Usain Bolt, Michael Phelps, and Simone Biles credit part of their success to mental performance coaching.

One of Biles’ coaches, Robert Andrews, has played a major role in helping her stay balanced under pressure. Biles has described the value of having a mental performance coach: “It’s honestly petrifying trying to do a skill but not having your mind & body in sync. 10/10 do not recommend.” 

Many teams are now recognizing mental training as a key focus, especially as the importance of the subject grows for newer generations of sports fans.

The Numbers Don’t Lie

A Harvard study found that MLB players who worked with a mental skills coach during their career extended their playing years by an average of 2.3 years. Those players also performed at statistically higher levels of baseball, reaching the equivalent of 1.25 levels above athletes without access to mental coaching.

In youth sports, the benefits are even more pronounced. Research shows that when young athletes use mental performance tools, enjoyment levels increase by 67%.

Access to these resources also reduces burnout rates by 41% and boosts long-term participation in sports by more than 50%. This suggests that mental coaching can sustain both performance and passion over time.

athlete swimming in pool

Sport Organizations Take Notice

Sport organizations are making athlete mental health a core focus. The United States Olympic and Paralympic Committee now has a full-time psychological services staff of 15 professionals offering support from personal crises to performance guidance.

The NWSL requires every team to have mental health professionals on staff and has adopted general mental health leave policies. These measures aim to protect athlete well-being while boosting on-field performance.

Youth athletes are also seeing stronger support networks. Morgan’s Message, a mental health nonprofit, is active on over 1,600 college and high school campuses, creating resources for younger players.

Teams are also turning to former athletes for support roles. The Seattle Mariners hired Adam Bernero, a former MLB pitcher, to work with players on stress, anger management, and in-game mentality.

Private specialists are contributing too. Hannah Huesman’s company, Mental Sweat, works with brands like Adidas and the MLB, offering one-on-one coaching and team consultations to help athletes “master their mental game.”

Growth of Mental Performance Technology

The rise of new digital platforms and AI programs has contributed to the growth of mental health coaching. In fact, mental training programs are some of the fastest growing categories of sports tech with a 47% projected growth rate through 2026. 

Through this popularity, platforms that integrate wellness features, not just performance stats, have experienced over 3x higher daily user rates.

Looking into the future, youth sports programs are creating a massive $2.3B market opportunity by 2027, highlighting how necessary mental wellness is to all businesses in the sports industry.

athlete in mental performance coaching session

Brands Shifting Their Marketing Strategies

Mental wellness is influencing all aspects of the sports industry, including marketing. Major brands are building campaigns that align with themes of mental strength and vulnerability.

Nike’s 2024 Olympic campaign carried the tagline “Winning Isn’t for Everyone,” highlighting the pressure of elite competition. The ad sparked conversations about mental well-being in a culture long-focused on winning at all costs.

Brands are also weighing how authentically athletes advocate for mental health. Marketability now goes beyond follower counts to include those genuinely invested in the message.

Brisa Hennessy, an AG athlete, exemplifies positioning mental health as a core part of her platform. She has shared her struggles and her path to becoming a stronger, more confident competitor on surfing’s world stage.

Our Outlook

At Athelo Group, we recognize mental performance coaching as a necessity for athletic success. Supporting our athletes’ mental health is a priority, not something we brush over. 

Whether it’s with surfers, CrossFitters, or influencers, we want to work with people who are committed to being their best versions of themselves, both on and off the field.

As the sports world continues to evolve, we see mental health as inseparable from performance, and that belief shapes every athlete’s path forward.

The Mentality of a Boxer

Boxing is a sport that takes more than physical ability; it is a mental game. The psychology of boxing takes a toll on the body and mind. In the ring, one of the most important tools a boxer can wield is having a strong mind. Similar to preparing for the ring, mental preparation can make just as much of an impact during a fight.

The Mind-Game Behind Boxing

Mental training is an important part of any athlete’s journey and can provide the tools to break through mental and physical barriers. This aids in the ability to bounce back quicker in difficult situations or during setbacks. The mind is an integral part of boxing and training your mental health as well as your physical, can take your boxing to the next level. 

Training your mind through visualization, self-talk, dealing with pressure, goal setting, and confidence building are all things that give boxers an advantage in the ring. Boxers that have these skills and training can help their performance and recovery time for the next practice or fight.

Both the physical and mental side of boxing can also be beneficial to those suffering from depression. Training or fighting, boxing raises endorphins, also known as “happy hormones”, that have a positive effect on the mind. In addition, having a training routine and a group of people to train with can give someone suffering from mental health a sense of belonging and a community of people who will support them in their journey.

Boxing psychology gives athletes a great advantage when it comes to boxing and in their everyday lives. This psychology is known as the fight mentality. 

Building Confidence, Resilience & Growth Mindset

Developing this mentality is one that is beneficial in ways of building confidence, resiliency, and having a growth mindset. Resilient fighters have immense motivation and refuse to let negative outcomes or situations hold them back. It is an important skill for a boxer to develop in the face of adversity and to build on it when moving from fight to fight. Getting too caught up in a singular mishap, whether in training or a fight, can have negative effects moving forward in your journey. 

Being confident holds a lot of weight in the ring, but don’t let confidence be confused with hubris. It is anyone’s game when you get into the ring and those with tenacity and a belief in themselves can have the upper hand in a fight.  However, the outcome of a fight does not determine who a fighter is as a human being. Taking all of your learnings from training and using them in your everyday life can determine what kind of boxer you are. Fighters know their capabilities and as long as confidence doesn’t turn to hubris, these capabilities do not let fear or others keep them from reaching their goals.

Lastly, boxers need to have a growth mindset; arguably one of the most important characteristics. This goes beyond resilience and confidence. Having a growth mindset is about viewing your training and life through the lens of a student. No matter your physical or mental abilities or even how many awards you have, there are always more things to learn.

Learning from every experience, good or bad, can make all the difference when another fight comes. Great athletes do not stop at success but strive to reach past that. Athelo Group Athlete and professional boxer, Evan Holyfield, has this growth mindset mentality.

In a recent interview, he commented, “As long as you’re working your hardest and you don’t quit, there’s no such thing as losing.”

Considering failure as a win is an important aspect of having a growth mindset as lessons learned, like strengths and weaknesses, give a boxer the ability to propel them forward in their career and life.

We Can All Use the Boxer’s Mindset in Everyday Life

All in all, the mentality of a boxer goes beyond what happens during a fight and in training. Confidence, resilience, and a growth mindset all play a significant role in the psychology of boxing. It is a mental game and whether a boxer is facing their opponent or living their day-to-day life, mental training and a fight mentality are important to making an athlete successful, but also striving for more.

Sources:

  1. https://www.gloveworx.com/blog/reason-to-fight-finding-mentality/
  2. https://sweetscienceoffighting.com/boxing-psychology/#:~:text=Mental%20training%20can%20take%20your,physical%20aspect%20of%20your%20sport
  3. https://boxingscience.co.uk/boxing-psychology-train-brain/
  4. https://www.instagram.com/p/Cclo2mGFGZM/

Athlete Mental Health: Breaking the Stigma in Professional Sports

Competing at the highest level of sport is every athletes’ dream. They train their entire lives to live up to not only their own standards but those of fans, coaches, teammates, and more. Game time has its obvious pressures, but many viewers often forget the struggles athletes endure on the journey to get there. Simone Biles, Naomi Osaka, Kevin Love, Michael Phelps, and so many other top athletes have spoken out about mental health throughout the years. After millions supported the physical and mental wellbeing of Biles in Tokyo, athlete mental health has never been a more frequent topic of conversation.

Why Elite Athletes Are Facing a Mental Health Crisis

Many athletes succumb to outside pressures allowing themselves to believe stereotypical ideals of what it takes to succeed. One of the most celebrated athletes, Muhammad Ali, once said: “Suffer now and live the rest of your life as a champion”. This narrative of sacrificing the physical, emotional, and mental well-being of athletes has now shifted as more athletes continue to speak out. Icons like Biles and Phelps have proven that athletic excellence is more than the sport and that it should not come at the expense of one’s wellbeing. Medals, rings, and trophies are not sustainable, and finding a balance is key to protecting athletes mental health.

So, what mental health risks are athletes prone to, what are the signs, and how can they seek treatment?

The pressures of competing and training cause athletes to endure high levels of stress which are attributed to large changes in self-esteem and sensation-seeking measures. Athletes who compete at high degrees of competition tend to have greater self-esteem and sensation-seeking levels, but these levels are fragile due to the ever-changing environment of sports. Stress and anxiety are thought to be normative in the competition, therefore, causing mental health disorders to often go undiagnosed and untreated.

The Hidden Risks: Anxiety, Depression & Eating Disorders

Unique studies have been conducted to help differentiate mental health disorders from simple competitive nature. Athletes have historically been prone to mental health disorders including eating disorders (ED), depression, and anxiety.

Depression and anxiety in athletes are understudied fields. Injury, external and internal performance expectations, extreme time demand, and identity linkage to athletics are all risk factors specifically for depression in athletes. Lack of focus, commonly mistaken for lack of interest, anger, insomnia, and fatigue are all signs of depression in athletes. Fear of failure and social judgment are the most common athlete-specific causes of anxiety. Aside from cognitive behavioral therapy, there are specific pharmaceutical treatments for both anxiety and depression that won’t affect performance.

Along with normal causes, performance measures, weigh-ins, and injuries have all been triggers for eating disorders in athletes. Perfectionism is also a common characteristic in those with ED which can be problematic as this trait is usually praised in athletics. ED screening metrics and tools have been created specifically for athletes and can be used to help diagnose athletes. While working to maintain a healthy weight, athletes can work with physicians, nutritionists, and mental health professionals to continue their sport as they are treated.

From “Mental Toughness” to Mental Health

There is a stigma about mental health in athletics and as more athletes speak out about their experience with mental health issues, more information, studies, and treatments will arise specifically related to athletics. Over a quarter of professional athletes have been reported to suffer a mental health crisis and coaches, fans, and sports organizations are starting to take the initiative the help. The psychological aspect of training elite athletes is beginning to shift from ‘mental toughness’ to how ‘mental health’ can improve overall performance. Some may say this change is showing weakness, but the truth is that mental health is another tool in achieving and sustaining athletic excellence.

Sources

  1. https://journals.lww.com/cjsportsmed/fulltext/2020/03000/mental_health_issues_and_psychological_factors_in.8.aspx
  2. https://www.usatoday.com/story/sports/olympics/2021/07/29/photos-13-athletes-who-have-talked-mental-health-wellbeing/5399219001/
  3. https://crossroadshealth.org/the-importance-of-addressing-the-mental-health-of-athletes/
  4. https://www.athletecareertransition.com/post/exploring-athlete-retirement-the-identity-crisis
  5. https://www.athletesforhope.org/2019/05/mental-health-and-athletes/

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