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A Neuroscientific Approach to the Examination of Concussions in Student-Athletes

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Managing psychiatric issues in elite athletes.

Ira D Glick¹, Mark A Stillman, Claudia L Reardon

¹Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California, USA. iraglick@stanford.edu

The Journal of Clinical Psychiatry

|June 16, 2012

Summary

Treating elite athletes requires addressing unique challenges in sports psychiatry, including flexibility and privacy concerns. Successful psychiatric care is achievable with tailored approaches for these complex patient needs.

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Area of Science:

Sports Psychiatry
Elite Athlete Mental Health
Psychiatric Care

Background:

Elite athletes present complex medical, psychological, and performance issues.
Psychiatric consultation for athletes involves unique professional and ethical considerations.
Existing literature lacks controlled data specific to elite athlete treatment.

Purpose of the Study:

To report on professional and ethical quandaries in treating elite athletes.
To provide strategies for addressing challenges in sport psychiatry.
To illustrate diagnostic and treatment issues through case examples.

Main Methods:

MEDLINE search for studies on psychiatry and athletes.
Inclusion of terms related to mental health conditions and psychiatric medications.
Review of retrieved articles and their references for relevance to elite athletes.

Main Results:

Key treatment pitfalls include expectations of special treatment, scheduling inflexibility, and privacy issues.
Recommendations include flexible scheduling, involving family when appropriate, and maintaining treatment integrity.
Patient and family characteristics significantly impact treatment context.

Conclusions:

Treating elite athletes presents significant challenges.
Successful psychiatric interventions are possible with appropriate strategies.
Addressing the multifaceted needs of elite athletes is crucial for successful outcomes.