Mental Health of Athletes

Demystifying Medicine McMaster
29 Jan 202108:39

Summary

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Q & A

  • What percentage of elite athletes are affected by mental illness?

    -Mental illness affects 35% of elite athletes.

  • What are some common mental health issues that manifest in athletes?

    -Common mental health issues in athletes include stress, eating disorders, burnout, depression, and anxiety.

  • What are some risk factors for mental health issues in athletes?

    -Risk factors include heavy training demands, pressure to perform well, inadequate sleep from intensive training, and stigma related to mental illness in sports.

  • Are there any gender differences in the likelihood of elite athletes being diagnosed with psychological problems?

    -Yes, elite female athletes are more likely to be diagnosed with a psychological problem than men and appear more susceptible to difficulties encountered in their environment.

  • What is the prevalence rate of anxiety disorders among female athletes compared to males?

    -Female athletes are 56 percent more likely than males to have suffered from an anxiety disorder over their lifetime.

  • Why is stigma a significant issue in the athletic world?

    -Stigma is predominant due to the emphasis on appearing physically and mentally fit, and the belief that mental illness is a sign of weakness.

  • What are the two conditions identified as uniquely impacting athletes?

    -The two conditions uniquely impacting athletes are performance anxiety and identity loss.

  • How can high levels of anxiety affect an athlete's performance?

    -High levels of anxiety can be detrimental to the body and can lead to poor performance.

  • What are the two subcomponents of performance anxiety?

    -The two subcomponents of performance anxiety are cognitive anxiety, which is the mental component, and somatic anxiety, which is the physical component.

  • How does the average career length differ across different sports?

    -The average career length varies by sport; for example, NFL football athletes play an average of 3.5 years, NBA basketball players play about 4.8 years, baseball players about 5.6 years, and NHL hockey league players play an average of 5.5 years.

  • What is the unique aspect of athletes' mental health related to identity?

    -Athletes are susceptible to struggling with identity loss or identity crises, particularly due to unidimensional identity where they exclusively identify as an athlete.

  • What are some resources available to help athletes struggling with mental illness in Canada?

    -In Canada, resources such as the Canadian Center for Mental Health and Sport and Synergy Sport and Mental Health provide support and services to athletes struggling with mental illness.

  • What are the three main preventative components to address the mental well-being of athletes?

    -The three main preventative components are mental health literacy programs, individually focused development programs, and mental health screenings.

Outlines

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Mindmap

Keywords

💡Elite Athletes

Elite athletes refer to individuals who are at the top of their sport, often competing at a professional or international level. In the context of the video, they are highlighted as representatives of human potential and are also shown to be susceptible to mental health issues, which is a central theme of the video.

💡Mental Illness

Mental illness encompasses a wide range of mental health conditions that affect mood, thinking, and behavior, impairing an individual's ability to function. The video discusses that 35% of elite athletes are affected by mental illness, emphasizing its prevalence even among those who are considered the peak of human potential.

💡Stress

Stress is a common response to demanding or threatening situations and can manifest physically and emotionally. In the video, stress is identified as one of the mental health issues that elite athletes face, often due to the heavy training demands and pressure to perform well.

💡Eating Disorders

Eating disorders are serious mental health conditions characterized by abnormal eating habits that negatively affect a person's physical or mental health. The script mentions eating disorders as one of the mental health issues that may affect elite athletes, reflecting the pressures they face regarding body image and performance.

💡Burnout

Burnout is a state of emotional, physical, and mental exhaustion caused by excessive and prolonged stress. It is identified in the video as a mental health issue that can affect athletes, particularly due to the intense training and competition schedules they follow.

💡Depression

Depression is a mood disorder that causes a persistent feeling of sadness and loss of interest. The video script notes that depression is a mental health concern for elite athletes, which can be exacerbated by the high-pressure environment they operate in.

💡Anxiety

Anxiety is a feeling of worry, nervousness, or unease, typically about an imminent event or something with an uncertain outcome. The script discusses anxiety as a prevalent issue among athletes, with elite female athletes being more susceptible to anxiety disorders than their male counterparts.

💡Performance Anxiety

Performance anxiety is the fear or anxiety related to the performance of a task under pressure. The video explains that performance anxiety is a common mental health disorder among athletes, where high levels can lead to poor performance and detrimental effects on the body.

💡Identity Loss

Identity loss refers to the struggle of losing a significant part of one's self-concept or identity. The video script discusses how athletes, particularly those with a unidimensional identity as an athlete, can experience identity crises, especially when they face retirement, injury, or other factors that threaten their athletic role.

💡Mental Health Literacy

Mental health literacy involves understanding mental health issues and knowing how to recognize, manage, and seek help for them. The video emphasizes the importance of mental health literacy programs for athletes, coaches, and support staff to create a culture that values mental health and well-being.

💡Mental Health Screening

Mental health screening is the process of identifying potential mental health issues through assessments. The video suggests that mental health screenings should be a part of routine health checks for athletes to promote self-awareness and early intervention.

Highlights

Mental illness affects 35% of elite athletes, manifesting as stress, eating disorders, burnout, depression, and anxiety.

Heavy training demands, pressure to perform, inadequate sleep, and stigma are risk factors heightened in elite athletes.

Elite female athletes are more likely to be diagnosed with a psychological problem and are more susceptible to environmental difficulties.

Female athletes are 56% more likely than males to have suffered from an anxiety disorder over their lifetime.

Stigma is predominant in sports due to the emphasis on appearing physically and mentally fit and the belief that mental illness is a sign of weakness.

Athletes fear that disclosing mental health issues could reduce their chances of maintaining or signing professional contracts or advertising campaigns.

Performance anxiety and identity loss are two conditions uniquely impacting athletes.

Moderate levels of anxiety can improve performance, but high levels can lead to poor performance and detrimental effects on the body.

Performance anxiety consists of cognitive and somatic components, affecting mental and physical well-being.

Anxiety can lead to gastrointestinal, cardiovascular, muscular, and behavioral effects.

Different sports have varying career lengths, affecting athletes' levels of performance anxiety and fear of injury.

Athletes are susceptible to unidimensional identity, identifying exclusively as an athlete due to intense demands of their sport.

Unidimensional identity can become problematic when athletes face instability in their role, such as retirement, injury, or inability to improve.

The strength of an athlete's association with their athletic identity influences their emotional reactions to successes and failures.

Athletes who solely identify as an athlete struggle more with identity crises when they stop playing sports compared to those with other identities.

Athletes coming forward to open up about mental illness helps decrease stigma and empower people to talk about mental health.

Three main preventative components to address athletes' mental well-being are mental health literacy, individually focused development programs, and mental health screenings.

Mental health literacy programs should be provided to athletes, coaches, support staff, and family to create a culture that values mental health.

Individually focused development programs help athletes develop a non-athletic identity and manage life-sport balance.

Mental health screenings should be included alongside routine physical health checks to promote self-awareness.

The Canadian Center for Mental Health and Sport provides mental health services and participates in research and community engagement initiatives.

Synergy Sport and Mental Health is a clinic focusing on assessment and treatment of mental health in competitive athletes.

It is important to normalize athletes showing emotion and caring about their health and well-being.

The sports community has made strides in shifting the conversation towards mental health and reducing stigma.

Transcripts

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athletes represent the peak of human

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potential they can reflect our hopes and

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dreams but they can also reflect our

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failures and shortcomings

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mental illness affects 35 of elite

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athletes which may manifest as stress

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eating disorders burnout or depression

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and anxiety

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some risk factors that are heightened in

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this population are heavy training

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demands

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pressure to perform well inadequate

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sleep from intensive training

play00:23

and stigma related to mental illness in

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sports

play00:26

statistics show that elite female

play00:28

athletes are more likely to be diagnosed

play00:30

with a psychological problem than men

play00:32

and appear more susceptible to

play00:34

difficulties encountered in their

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environment

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than their male counterparts female

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athletes were also 56 percent more

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likely than males to have suffered from

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an anxiety disorder over their lifetime

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the stigma attached to mental illness is

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predominant in the athletic world due to

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emphasis on appearing physically and

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mentally fit

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and the belief that mental illness is a

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sign of weakness

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stigma is the main reason why many

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athletes with mental health conditions

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don't seek the help they need

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many athletes fear that disclosing

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mental health symptoms

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or disorders could reduce chances of

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maintaining or signing professional team

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contracts or major advertising campaigns

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two conditions identified as uniquely

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impacting athletes

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are performance anxiety and identity

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loss performance anxiety is one of the

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most common mental health disorders

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athletes experience moderate levels of

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anxiety can be beneficial and can

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improve performance

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however high levels of anxiety can be

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detrimental to the body and can lead to

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poor performance

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performance anxiety is an unpleasant

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psychological state

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in reaction to perceived stress

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concerning the performance of a task

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under pressure

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there are two subcomponents of

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performance anxiety cognitive

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and somatic cognitive anxiety is the

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mental component of anxiety which

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consists of negative expectations of

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one's self and success

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such as images of failure and negative

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self-talk

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on the other hand somatic anxiety is the

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physical component which consists of

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negative symptoms such as dry throat and

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high blood pressure

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the physiological perspective of anxiety

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consists of physical symptoms that

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affect different parts of the body

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the gastrointestinal effects lead to

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frequent urination diarrhea and upset

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stomach

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the cardiovascular effects lead to

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increased heart rate and blood pressure

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muscular effects leading to twitching of

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muscles and tremors which are

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uncontrolled shaking

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and lastly behavioral effects such as

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uncontrollable anger

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problems communicating and unkind

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behavior

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the psychological perspective of anxiety

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includes psychological symptoms

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such as difficulty concentrating due to

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racing negative thoughts

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difficulties in decision making

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confusion

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and trouble learning new information

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each sport has a different length of

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average career that athletes play

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swimmers start training and competing

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earlier on in their age and continue to

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compete until their early to mid 30s

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whereas other sports athletes have an

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average number of years they play

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for instance in the nfl football

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athletes play an average of

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3.5 years in the nba basketball players

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play about 4.8 years and in baseball

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baseball players tend to play about 5.6

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years and in the nhl

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hockey league players play an average of

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5.5 years

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thus each sport has a different length

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of career due to the shorter number of

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years

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athletes perform they experience high

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levels of performance anxiety due to the

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fear of getting injured and failure

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many sports have higher risk of injury

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than others for example

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basketball is one of the sports that

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causes the most number of injuries

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overall all of these factors can

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increase an athlete's anxiety and lead

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to detrimental effects

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the other unique aspect that factors

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into athletes mental health is their

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susceptibility to struggling with

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identity loss or identity crises

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an individual's identity consists of

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multiple groups

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such as student friend or family member

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each identity has its own rules and

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behaviors that we

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as individuals adhere to and performing

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these rules and behaviors

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further solidify our association with

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that identity

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athletes are particularly susceptible to

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unidimensional identity

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meaning they exclusively identify as an

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athlete

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this occurs due to intense physical and

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mental demands

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and the necessity for elite athletes to

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spend majority of their time being

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solely dedicated to their sport

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this effect is increased in individual

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sports and sports which the age of

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specialization is younger

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in team sports athletes face a unique

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struggle of separating their perception

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of themselves as an individual

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since their identity is so entwined with

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their team

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when this unidimensional identity

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becomes a problem is when an individual

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faces instability of their role as an

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athlete

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either due to pending retirement injury

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inability to improve or other factors

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that may remove an athlete from their

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sport

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additionally the demanding nature of

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high performance sports

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increases the risk for emotional

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exhaustion and poor mental health

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how much an athlete is influenced in

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their behavior and emotional reactions

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to their athletic identity is

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proportional to their strength of

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association with their athletic identity

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so the stronger an individual identifies

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as an athlete

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the more satisfaction they get from

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their successes but also the more they

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are devastated by their failures

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this also translates to how much they're

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affected by identity crises

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so someone who solely identifies as an

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athlete

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will struggle more with an identity

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crisis when they stop playing sport than

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an individual who has other identities

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such as being a family member or a

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friend

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you know but you know i have an anxiety

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when i had my panic attack and had my

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episode

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i was out there on the floor many

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athletes have come forward recently

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opening up about mental illness and

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struggles and utilize their platforms as

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a role model to spread awareness

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decrease stigma and empower people

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around the world to talk about mental

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health

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current research demonstrates that the

play06:03

three main preventative components to

play06:05

address the mental well-being of

play06:06

athletes include

play06:07

mental health literacy individually

play06:10

focused development programs

play06:12

and mental health screenings mental

play06:14

health literacy programs should be

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provided to athletes

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coaches support staff and family to

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create a culture that values enhancing

play06:21

mental health and well-being

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the educational training can be

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customized to address specific aspects

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of a sport

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such as team versus individual sport

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athlete specific risk factors

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how to seek help and coping strategies

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to self-manage psychological distress

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individually focused development

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programs can assist athletes to identify

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personal goals and acquire the skills

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necessary to achieve them

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this helps develop a parallel

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non-athletic identity

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skills to manage life sport balance and

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to prepare them for the life outside of

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competitive sport

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mental health screening should be

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included alongside routine physical

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health checks by medical staff

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screening should provide feedback to

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athletes to help promote self-awareness

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such as their mental state and triggers

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for symptoms

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critical times to screen would include

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following severe injury

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and during the transition into and out

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of sport so what resources are there

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available to help athletes struggling

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with mental illness

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in canada there are various support

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lines and resources available

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the canadian center for mental health

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and sport is a registered charity

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supporting the mental health and

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performance of competitive athletes

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coaches and performing artists this

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organization provides mental health

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services in person and through

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telehealth as well as participates in

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various research and community

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engagement initiatives

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to sustain positive change another great

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resource is synergy sport and mental

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health

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a clinic focusing on assessment and

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treatment of mental health and wellness

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in competitive and elite athletes

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services include psychiatric

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consultations treatment plans and

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medical management

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it gets amazing courage from players to

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come out

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and talk about these issues they're

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dealing with as you can get help

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remember mentally ill does not mean

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mentally weak

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it is important that we normalize

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athletes showing emotion and caring

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about their health and well-being we

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have a long way to go

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but there is hope looking at the strides

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that the sports community has made

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recently

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the conversation is beginning to shift

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and mental health is starting to prevail

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thanks for listening and don't forget to

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tune into the demystifying medicine

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youtube page for more interesting

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Mental HealthAthletesAwarenessStigmaAnxietyPerformanceIdentitySport PsychologySupport ServicesWell-being