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Mental Health
& Athletes

A Guide for Performance Anxiety

Introduction

  • Who am I? 

    • Brynne Goldberg, LPC

    • I’m a licensed therapist specializing in working with competitive athletes and treating anxiety. 

  • Who do I work with? 

    • Ages 12+

    • All sports

    • All levels (From high school to Olympic)

  • What do I do?

    • I help athletes do more than just cope with life and performance anxiety by uncovering the root causes of their stress and identifying unhelpful patterns of thinking and behaving developed early in life that cause, contribute to, or exacerbate their stress. Together, we replace these with healthier patterns and strategies, empowering them to take control of their lives instead of letting the anxiety control them. 

  • Current Client Example: 2025 Freeride World Tour Athlete

    • Mental Health Challenges:

      • Navigating family and friendship struggles

      • Managing the impact of personal challenges on sport performance and focus

      • Coping with anxiety stemming from past injuries and imposter syndrome

 Explaining Anxiety

  • Anxiety is a natural emotional and physiological response to perceived threats or stress, characterized by feelings of worry, fear, or unease. While it can be a helpful signal of danger or a motivator to prepare for challenges, anxiety becomes problematic when it is excessive, persistent, or disproportionate to the actual situation.

  • Symptoms of anxiety may include:

    • Emotional: feelings of dread, nervousness, guilt, or irritability.

    • Physical: increased heart rate, rapid breathing, sweating, or tension.

    • Cognitive: difficulty concentrating & being in the moment, racing thoughts, or anticipating worst-case scenarios.

  • Anxiety can manifest in various forms, such as:

    • Generalized Anxiety Disorder (GAD): Persistent, excessive worry about everyday life events.

    • Social Anxiety: Intense fear of social interactions or judgment.

    • Performance Anxiety: Worry about the ability to succeed in a task, often seen in athletes or professionals.

    • Panic Attacks: Sudden, intense bursts of fear accompanied by severe physical symptoms.

Before you  learn how to deal with anxiety, it's important to gain a  good understanding of anxiety first.

Emotional/Cognitive Anxiety

  • A Deeper Understanding of Emotional/Cognitive Anxiety:

    • Neural Pathways – These are like the brain’s superhighways, allowing thought and behavior patterns to flow quickly and efficiently. The brain is an optimization machine—it saves energy by making repetitive thoughts and behaviors automatic. While this can be helpful, it can also reinforce maladaptive patterns.

    • For example, worrying about the future may feel like a way to control anxiety, but it often creates a cycle of "future-tripping" or fixating on worst-case scenarios. This self-sabotaging pattern can lead to chronic worry about things outside your control.

    • These are the “ineffective patterns” I mentioned earlier. Changing them requires effort—like taking your brain to the gym—to build healthier, more effective patterns.

    • PRO TIP: Strategies are designed to reduce the intensity of anxiety in the moment, not to cure it. However, by consistently using these strategies, you can decrease the frequency and overall intensity of anxiety over time, eventually gaining more control and reducing its impact.

General Emotional/Cognitive Strategies

  • “Clear it Out” – Venting and processing your feelings can help preserve the mental and emotional energy needed for focus and performance. When you avoid addressing your emotions, they linger, taking up valuable brain space and energy. Emotions are a form of energy—if you don’t acknowledge and work through them, they’ll find another way to surface. It’s better to face them head-on, so you can free up your mind and stay in control.

  • Mind Map – A tool to help you organize your thoughts and feelings, giving you a clear picture of why you’re feeling the way you do. 

  • Journaling – A helpful exercise to express and process your feelings, especially when you don’t feel comfortable talking about them or don’t have someone to confide in.

  • Mindfulness & Meditation – Mindfulness is the practice of being aware of your thoughts and feelings without judgment. Meditation is the exercise that strengthens the mental "muscle" needed to cultivate mindfulness.

    • Because our thoughts and feelings often become automatic—causing us to react without thinking—it can be challenging to stay mindful. To break this cycle, we need to create space between our thoughts, feelings, and actions. This space allows us to pause, reflect, and engage in an internal conversation about what we’re experiencing.

    • Meditation provides a structured way to practice this. It involves letting your thoughts drift, noticing when they do, and gently bringing your focus back to the present moment or a meditation anchor, like a soundtrack or your breath. Each time you refocus is like a “rep” in the mental gym, helping you build the strength to stay present and intentional in everyday life.

  • PRO TIP: Start your meditation practice with just 3 to 5 minutes a day and gradually increase the duration as you get more comfortable.

Generally, athletes spend about 50 minutes going over one or two of these
exercises per session.

Sport-Specific Emotional/Cognitive Anxiety Strategies

Whats Your Why & Creating Mantras

  • Internal (the pressure you put on yourself) and external (the pressure put on you by others, like parents, coaches, friends, and family) pressures around your sport can easily and quickly detract from your enjoyment of the sport and cause you to lose sight of why you love it and why you do it. Finding your why can help quiet the mental internal chatter that causes anxiety which can help you remain calm and focused.

    • A tool to help you remember your why is creating a mantra. A mantra is a short saying you repeat to yourself. For example:

      • It’s not that deep

      • This is for me

      • My accomplishments do not determine my worth

    • Mantras should be positive and encourage self-compassion, mindfulness, and intrinsic motivation.

    • Examples of toxic mantras are:

      • Pressure is a privilege

      • Never show weakness 

      • Go big or go home

  • PRO TIP: Write your mantra on your hand, draw a symbol, or wear a piece of jewelry as a personal reminder of it throughout the day.

These strategies are designed to "turn the dial down" on the severity & intensity of your anxiety, not to eliminate it entirely.

Fear Assessment 

  • This strategy helps you confront your fears, reducing their intensity and impact over time. You can practice this on your own by following these steps:

    • Embrace Acceptance: Acknowledge what is beyond your control.

    • Ask yourself: Are these fears worth not trying?

    • Consider: Injuries are an inherent part of my sport. Is the risk worth holding back?

    • Weigh the Pros and Cons: Evaluate the potential outcomes of facing your fears versus avoiding them.

The following strategie are great for:
- Pre Race Nerves
_ Dealing with pressure

Reframing & Challenging Fears

  • Negative or fearful thoughts can become automatic if left unchecked. Prevent a negative thought spiral by:

    • Reframing: Replace the negative thought with a more positive or realistic perspective.

    • Putting the Thought on Trial: Challenge the thought’s validity by presenting evidence against

Goal Expansion

  • Defining achievement and success too narrowly—such as focusing only on winning—limits what counts as a goal accomplished. This mindset increases the likelihood of disappointment and can make it harder to feel good about your efforts. By broadening your definition of success, you create more opportunities to celebrate accomplishments. This positive shift fosters a healthier mindset, boosts self-esteem and confidence, and reduces anxiety and its physical effects on the body. In turn, this allows you to enjoy your sport more and enhances your overall performance.

This strategy is great for
coping with
post-competition
disapointment

Long Format Visualization (LFV)
& Short Format Visualization (SFV)

  • Long Format Visualization exercises come in many forms, tailored to individual needs and goals. My approach, LFV, is designed specifically to help athletes process fears and anxieties related to performance and competition.

  • Key Components of LFV:

    • Visualize the 24-36 hours surrounding the competition—starting the day before and ending the evening after.

    • Include as much detail as possible, from your routine to the environment and interactions.

    • Create a positive story: Imagine yourself calm, confident, and handling challenges successfully. Incorporate your expanded goals so a range of outcomes feels positive.

  • LFV functions as a mental dress rehearsal, allowing you to walk through each step, action, and potential obstacle ahead of time. This preparation reduces stress on competition day because, mentally, you’ve already been there.

  •  Short Format Visualization (SFV)  is similar to LFV however it’s designed to focus on one component at a time. For example, the moments right before your competition, race, meet, performance, etc. 

  • PRO TIP: Write out your visualization before replaying it in your mind to strengthen the imagery.

Self-Care

  • Self-care looks different for everyone, as each person finds their own ways to meet their needs. For me, self-care means doing the things that are ultimately good for us, even when we don’t always feel like it, because they benefit our mental well-being in the long run.

    • Examples of self-care include:

      • Setting and maintaining boundaries.

      • Saying no to plans, even when they sound appealing, to prioritize your well-being.

      • Communicating with family, friends, partners, or coaches about how their words or actions affect you—and how you’d prefer to be treated—even when it feels uncomfortable.

      • Asking for what you need.

      • Silencing your phone at certain times or leaving it out of your bedroom.

      • Stretching, working out, practicing, eating well, and resting.

      • Practicing the mental exercises discussed.

      • Balancing sports with fun hobbies and other activities that bring you joy.

  • Self-care is about creating habits that nurture your mental, emotional, and physical health, allowing you to perform and feel your best.

These strategies
are greate for:
- sport/life balance
- Pushing through difficulties

Physical Anxiety
A Deeper Understanding

  • Fear triggers the body's "fight or flight" response, releasing adrenaline and cortisol, which can boost short-term performance but may cause fatigue, muscle tension, and impaired focus over time. It increases heart rate, shallow breathing, and muscle tightness, affecting movement efficiency and endurance. While fear can enhance quick reactions, chronic stress can lead to performance anxiety, reduced coordination, and a weakened immune system, making it important to manage fear for optimal performance.

  • The Vagus Nerve and Its Role in Anxiety

    • The vagus nerve is a key part of the parasympathetic nervous system, often called the "rest and digest" system. It connects your brain to various parts of your body, including the heart, lungs, and digestive system, helping regulate involuntary bodily functions like heart rate, breathing, and digestion.

    • When you're anxious, your body often enters a "fight or flight" state, triggered by the sympathetic nervous system. This can lead to symptoms like rapid heart rate, shallow breathing, and muscle tension. The vagus nerve acts as a counterbalance, helping to calm your body and bring it back to a state of relaxation.

  • How Breathing Exercises Help

    • Breathing exercises stimulate the vagus nerve, activating the parasympathetic nervous system and promoting a sense of calm. Here's how:

      • Slows Heart Rate: Deep, slow breaths send signals to the vagus nerve, which then communicates with the heart to slow its rate, reducing feelings of panic.

      • Regulates Breathing: Controlled breathing helps counteract the shallow, rapid breathing often caused by anxiety. This supports the vagus nerve's role in regulating respiratory patterns.

      • Reduces Stress Hormones: Vagus nerve activation lowers the production of stress hormones like cortisol, easing the physical symptoms of anxiety.

      • Enhances Relaxation: Activating the vagus nerve shifts your body from "fight or flight" to "rest and digest," allowing you to relax more effectively.

Physical Anxiety Strategies

  • Example Breathing Exercises

    • Diaphragmatic Breathing: Breathe deeply into your belly for 4 seconds, hold for 4 seconds, and exhale slowly for 6 seconds.

    • Box Breathing: Inhale for 4 seconds, hold for 4 seconds, exhale for 4 seconds, and hold for 4 seconds again. 

    • Both exercises stimulate the vagus nerve and help manage anxiety by calming the body and mind.

These strategies
are greate for:
- Pre-race nerves
- Pushing through difficulties

Videos On Physical Anxiety Exercises 

These strategies
are great to practice with
visualizations, particularly
short-format

PRO TIP:
Figure out what exercise works best for you & practice the technique regularly so it works when it counts the most!

REMEMBER:
These exercises are designed to help you regulate your emotions to a tolerable level, not cure them!

Regulating exercises such as these may feel kitschy or ineffective at first, but the more you lean into it & practice the more they make sense & work.

More on How Stress & Anxiety
Impacts the Body & Sport Performance

Fear triggers a cascade of physiological responses in the body, primarily through the activation of the *sympathetic nervous system*, often referred to as the "fight or flight" system. These responses can significantly impact sport performance, especially in high-pressure situations. Here’s how fear affects the body on a biophysical level:

 

1. Adrenaline and Cortisol Release:

  • When fear is perceived, the brain (specifically the amygdala) sends signals to the hypothalamus, which activates the adrenal glands. This leads to the release of adrenaline (epinephrine) and cortisol, two key hormones that prepare the body to respond to a threat.

  • Adrenaline increases heart rate, boosts energy levels, and heightens alertness. This can improve short-term physical performance, like sprinting or lifting, by enabling the muscles to work harder.

  • Cortisol, however, is more associated with stress and, in chronic or excessive amounts, can impair cognitive function and lead to muscle breakdown, fatigue, and reduced immune function.

 

2. Increased Heart Rate and Blood Pressure:

Fear causes a rise in heart rate and blood pressure, ensuring that more oxygenated blood is pumped to muscles. This can improve physical performance in short bursts (e.g., during a sprint), but when sustained, it can lead to fatigue and reduced performance due to the body not being able to recover properly.

 

3. Respiratory Changes:

Fear often leads to rapid, shallow breathing (tachypnea). While this can increase oxygen intake in the short term, it can also cause hyperventilation. For athletes, shallow breathing can lead to poor oxygenation of muscles, impairing endurance and focus. Chronic hyperventilation can reduce CO2 tolerance, making the athlete feel short of breath and limiting performance.

 

4. Muscle Tension:

 Fear increases muscle tension as part of the body’s preparation to either fight or flee. This tension can impair an athlete's fluidity and range of motion, making movements stiff and less efficient. For example, in sports that require precise, controlled movements (e.g., gymnastics, swimming, or basketball), this can disrupt technique and performance.

 

5. Blood Flow Redistribution:

Fear causes the body to prioritize sending blood to muscles that are essential for quick, explosive movement (e.g., legs and arms), while reducing blood flow to less critical areas (like the digestive system). While this is beneficial in immediate danger scenarios, it can lead to digestive upset, nausea, or cramping in a sport environment if the athlete has eaten recently.

 

6. Cognitive and Emotional Impact:

Fear also impacts the brain’s cognitive function. It can impair concentration, increase anxiety, and reduce decision-making abilities. Athletes may find themselves "choking" under pressure, overthinking movements, or being unable to focus on their technique or strategy due to fear-driven distractions.

 

7. Immune System Suppression:

Chronic fear and stress (resulting from ongoing anxiety about performance or external pressures) lead to prolonged elevations in cortisol. This long-term stress response suppresses the immune system, making athletes more susceptible to illness, injury, or slower recovery times between performances or training.

 

Impact on Sport Performance:

 

  • Positive Impact: Fear-induced arousal can enhance performance in certain sports requiring quick reactions, bursts of power, or aggression (e.g., sprinting, contact sports).

  • Negative Impact: On the flip side, chronic or overwhelming fear can lead to performance anxiety, muscle tightness, reduced focus, and poor coordination, ultimately hindering an athlete’s ability to perform at their best.

 

Understanding these biophysical changes is essential for athletes and coaches, as they can use strategies like mindfulness, relaxation techniques, or controlled exposure to stress to manage fear, turning it into a tool for performance rather than a hindrance.

Navigating Anxiety with Brynne Goldberg, MA, LPCC
Whole Body Healing Nutrition Co. Georgia Grey

Navigating Anxiety with Brynne Goldberg, MA, LPCC

Image by Jacob Rice

considerations
for athletes
in counseling

"...With athletes being channeled into specific sports at younger ages and with the associated changes in sport and life demands, mental health symptoms for athletes may begin even earlier. This is especially concerning because young athletes possess even fewer psychological coping skills...Student-athletes, in particular, have to endure the constant demands of intense practices, competition schedules, and the need to maintain or improve upon their strength and physical skills, all while maintaining passing grades to remain eligible for athletic competition. Additionally, student-athletes often have difficulty making time for leisure activities and may be less satisfied with such activities..."

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