The Pressure Of Success: Olympic Athletes And Their Mental Health

Medically reviewed by Melissa Guarnaccia, LCSW
Updated July 18, 2024by BetterHelp Editorial Team

Mental health has become a growing topic, especially among Olympic athletes and athletes in general. From demanding training schedules to public expectations, their journey to the top can be fraught with intense physical and mental challenges that can take a toll on their overall well-being. Understanding the unique mental health barriers often faced by Olympic athletes can be a step toward compassion, improved structures in athletic environments, and support options for individuals impacted. 

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The importance of mental health in Olympic athletes

Studies show that around 34% of current elite athletes may experience mental health struggles due to the intense environment of high-level competition. Simone Biles brought global attention to this issue during the 2020 Tokyo Olympics, where she prioritized her mental health over competition. The conversation around mental health has since grown, leading to increased support and resources for these athletes. 

Mental health is as important as physical health when training for the Olympic Games. Athletes might experience excessive stress that can lead to anxiety and depression or other mental health conditions, which can be debilitating, like physical injuries. These mental health challenges can negatively affect athletic performance, potentially leading to a cycle of harmful mental and physical health effects. 

Supportive systems may help athletes maintain their mental well-being and perform at their best. Managing mental health doesn’t only involve improving performance. This skill can also mean ensuring athletes lead healthy, balanced lives.

Common mental health problems faced by athletes

Athletes competing at such a high level often struggle with mental health challenges, ranging from mild stress to eating disorders or substance misuse. Below are a few challenges and how they might arise or impact an individual. 

Stress and pressure of competition

High-level athletes face immense stress from the pressure to perform well. This stress often arises from various sources, such as expectations from coaches and fans. In some cases, they may hold themselves to high expectations, which may reduce self-esteem if they do not perform as expected. The constant desire to succeed can make athletes overwhelmed and may lead to sleep disturbances, difficulty concentrating, and irritability.

Often, the stress of competition is not related to winning or losing. Instead, individuals may focus on or be pressured to maintain consistently high performance. The fear of injury or making mistakes can also add to this stress. 

Depression and anxiety

Depression and anxiety are common among professional athletes. The intense pressure to perform may lead to hopelessness and sadness, and stress or setbacks can worsen these feelings. In addition, high levels of anxiety may affect an athlete’s performance, making it difficult to focus and perform under pressure. Anxiety often presents constant worry, nervousness, and physical symptoms like a racing heart.

Burnout and overtraining

Burnout can be a serious issue for athletes who train excessively without enough rest. This symptom often leads to prolonged physical and mental strain without proper recovery. Symptoms of burnout include chronic fatigue, lack of motivation, and decreased performance.

Overtraining can lead to physical injuries and mental exhaustion. Athletes may push through pain and fatigue to meet expectations, which can worsen burnout. Recognizing the signs of burnout early may prevent long-term damage to an athlete’s career and health.

Eating disorders

Athletes may participate in sports with weight categories or aesthetic criteria. The pressure to maintain a certain weight or body image can lead to unhealthy eating habits and severe health complications. 

Athletes are often at a high risk of developing eating disorders like anorexia, bulimia, and binge eating. Eating disorders can affect an athlete’s physical health and performance. These conditions can potentially cause malnutrition, heart problems, and other serious symptoms or illnesses.  

Substance misuse

Substance misuse may also impact Olympic athletes. The use of performance-enhancing medications, recreational substances, or alcohol can be a way to cope with pressure and pain. However, substance misuse can lead to addiction and other severe health problems. The use of substances can also lead to legal issues and damage an athlete’s reputation. 

Athletes at the peak of their careers can experience numerous mental health challenges. Understanding the risks of these challenges may be crucial for their well-being and long-term success in sports.

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What can cause mental health challenges in athletes?

The pressure that athletes can face may come from various situations. Public expectations, personal sacrifices, and physical strain are a few of the potential causes of mental health problems.

Public expectations and media scrutiny

Athletes often manage high public expectations, as fans and media closely follow their every move. This intense scrutiny can add extra stress to their already demanding sports careers. The constant pressure to perform “perfectly” can lead to a sense of inadequacy and self-doubt, affecting mental health.

Social media may also amplify these pressures. Negative comments and harsh criticism can profoundly affect athletes. This public microscope may give them the sense that they’re being watched, leading to increased stress levels.

Personal sacrifices and lifestyle

Athletes may make personal sacrifices to compete at an elite level. Rigorous training schedules often leave little time for social activities or personal relaxation. They might miss family events, holidays, and typical life experiences. These sacrifices may cause a sense of isolation and loneliness.

Strict eating, sleep routines, and training regimens often dominate the lives of athletes. Such a demanding lifestyle may cause mental fatigue. In addition, the sense of missing out on a normal life can cause emotional strain and resentment.

Injury recovery and physical strain

Injuries are often a standard part of an athlete’s career. Recovering from an injury may involve not only physical recovery but mental resilience. The process can be long and painful, causing anxiety and frustration. Athletes may fear they will never return to their previous performance levels.

After intense training, an athlete may be physically and mentally exhausted. The constant push to improve can lead to burnout. Balancing recovery and the need to compete may become a struggle that weighs heavily on athletes.

The Olympic environment and village life

While designed to be a supportive environment, the Olympic Village can also be a source of stress. In this village, athletes live in close quarters with their competitors, which can add to the pressure. The pressure to perform well in such an atmosphere can be overwhelming. 

Living away from home in an unfamiliar place may also lead to anxiety and displacement. The packed schedule and constant presence of the media may further add to the stress. Recognizing these challenges can be helpful for knowing when to seek support and resources.

Ways athletes can find mental health support

Athletes can try to manage the pressure and expectations placed upon them in various ways. What works for one individual may not work for another. A few ways to find support include family and social support networks, resilience training, and professional help.

Family and social support

A supportive family and social circle can help athletes grow and cope with challenges. These groups can provide emotional support during stressful times. For instance, family members can help athletes decompress by partaking in non-sport activities together.

Friends and teammates can also play a significant role. Teammates may know how taxing competitions can be and can offer empathy or encouragement. Social support from loved ones can also reduce isolation and boost an athlete's overall well-being. Communication can be a significant factor in these relationships. Athletes may benefit from being able to talk about their own struggles with family and friends without fear of judgment. 

Coping strategies and resilience training

Coping strategies and resilience training may help athletes manage stress and bounce back from setbacks. Techniques like mindfulness meditation and deep-breathing exercises can lower anxiety levels. Mindfulness, in particular, may help athletes stay focused and present during competitions.

Resilience training involves building mental toughness. This technique might include setting realistic goals and learning from failures. Cognitive-behavioral approaches can also help athletes reframe negative thoughts into positive ones.

Developing a pre-competition routine may provide structure and calmness. Visualization techniques, which athletes might use to imagine successful outcomes, can improve confidence and reduce performance anxiety. Athletes might also use physical activities like yoga or stretching to complement their mental practices. Combining mental and physical exercises can be a holistic approach to mental health.

Mental health initiatives and resources

Several organizations offer various programs and resources to support mental health in Olympic athletes, including but not limited to the following: 

  • International Olympic Committees: The IOC provides mental health support through its Athlete365 platform. The platform offers peer support groups, mentorship programs, and areas where athletes can share their experiences and support each other. Such networks may reduce the stigma around mental illness and provide a sense of community.
  • USOPC: The US Olympic and Paralympic Committee (USOPC) has introduced numerous mental health initiatives tailored to athletes' unique challenges. These options include access to mental health professionals, support lines, and wellness programs. The USOPC also offers a Mental Health Registry to help athletes find the right mental health provider.
  • ISSP: Institutions like the International Society of Sport Psychology (ISSP) conduct research and provide educational resources to coaches, athletes, and sports organizations to promote mental health awareness and best practices. 

Universities and research centers are increasingly focusing on sports psychology, offering specialized programs and conducting studies to better understand the mental health challenges experienced by athletes.

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Professional help

Professional help includes therapy and counseling services. Sports psychologists specialize in helping athletes manage performance-related stress and improve their mental game. These professionals might offer strategies for managing pressure and maintaining focus. However, athletes may face barriers to receiving professional support due to challenges like time constraints. In these cases, online therapy through a platform like BetterHelp can be an accessible option. 

Through an online platform, athletes can match with licensed therapists to discuss sports-related stress. Online therapists can provide flexibility, allowing athletes to fit sessions into their busy schedules, including outside standard business hours. In addition, online platforms offer unique support options, like support groups, to provide multiple forms of support. Studies have also found online therapy more effective than in-person options in reducing anxiety and depression symptoms and increasing the quality of life of clients. 

In some cases, medication prescribed by a psychiatrist may also be recommended to manage conditions like anxiety or depression. However, therapy and personal coping strategies are often the first line of treatment. Athletes may be encouraged to seek these services proactively rather than waiting until a crisis occurs. Note that the BetterHelp platform does not provide medication prescriptions, management, or medical advice.

Takeaway

While Olympic athletes may be exceptional at physical feats, they are not immune to potential mental health challenges. Athletes may face intense pressure to perform, which can lead to stress and other mental health conditions, such as anxiety and depression. 

Some athletes may experience mental health challenges even after the games, as the transition back to normal life can be tough. Coping strategies and various resources, including professional mental health support and specialized programs, may help athletes better manage mental health challenges. If you’re seeking support as an athlete, consider contacting a therapist online or in your area for a personalized coping plan.

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