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Understanding the Traumatic Nature of ACL Injuries

March 11, 2023 by Robert Andrews Leave a Comment

Robert B. Andrews MA, LMFT

For many athletes coming back from a serious sports related injury is a terrifying ordeal. They have been cleared to play physically, but their fear of suffering another injury can be debilitating. These fears can cause complications with their return to play. Many suffer from confusion, anxiety, anger, shame and guilt. If they have been “cleared to play”, then why do they feel so bad? Many feel that something is wrong with them if they can’t come back confident and in a good frame of mind.Sports Injury

I was talking with a soccer player about a teammate who suffered a strained ACL. The injured athlete took time off for the injury to heal. When they returned to play they were terrified. They were afraid of injuring their knee again and played with anxiety, fear, and apprehension. They did not play all out and their hesitancy was apparent. It grew worse with each game. As their anxiety and fear grew they became more emotional during the games. It was apparent to everyone watching that something was wrong.

I began to get excited at the thought of helping this athlete overcome their sports injury trauma. As I reached for a business card for the parent of the struggling athlete I was told that during their last game the athlete had torn their ACL completely. The field was in really bad condition and their fear of re-injury was amplified. They were crying while trying to play soccer. They ended up in a fight for the ball and injured their knee. I felt my heart sink when they told me this part of the story.

Too Many Sad Stories

I was on the sidelines of a football game watching a running back who had torn his ACL the year before. He was hesitating as he ran and favoring the injured knee. After the game I told his coach that he was going to suffer an ACL injury to the other knee if he didn’t get some help with the trauma from the first injury. The next week he tore his other ACL.

I was watching a game on television and I observed hesitation and apprehension in an offensive lineman who had injured his left knee the year before. I turned the game off at half time. A few days later I called his athletic trainer and mentioned to him that I believed that this lineman was heading towards an injury on his other knee. He asked me why I felt this way. I told him what I observed watching the game. He said that was interesting and that the lineman had torn his other ACL in the fourth quarter of that game.Overcoming Sports Injuries

Is the Wrong Message Being Sent?

An athlete I helped overcome a horrific injury was interviewed about his “miracle comeback”. When they asked this athlete what they did to make such a profound come back they said they just had a “really strong attitude and mind set”. They didn’t mention all the hard work they did mentally and emotionally to overcome the trauma they suffered while injured and unable to compete. I believe this athlete did a disservice to other athletes who are trying to overcome the trauma and the mental and emotional blocks that stand in the way of a full “100%” recovery. They sent a message to other injured athletes that all you have to do is have a strong mindset and everything will be o.k.

This message can have a profoundly negative impact on the athlete who is struggling to get back mentally and emotionally. It can create doubt and confusion, and erode self confidence. Many athletes never find their way back from injury because they can’t overcome this cauldron of powerful emotions.

The New Way Back From Injury

I was watching a game on TV recently. An athlete I helped overcome a serious injury was having a great game. It was apparent that they were confident, in command, and had no fear of re-injury. The commentator said it was apparent that this athlete was back physically, but that they were back mentally too. My wife asked me to replay his comment. We listened to it again and she said “someone gets it”. This commentator could see from the way this athlete was playing that they have experienced a complete psychological recovery from their injury too.

I wish I could have helped the young soccer player before they suffered a completely torn ACL. I wish I could help every injured athlete. Treating the traumatic nature of sports related injuries puts the athlete back in charge and rids them of fear, anxiety, apprehension, depression and self doubt. They return to play mentally stronger and tougher. Not only does their attitude and outlook get better, they come back wiser and more mature. This wisdom and maturity permeates all areas of their lives. They learn a lot in the process of coming back.  Download a pdf version of this post

Filed Under: ACL Injury Recovery, Athletes mental health, Mental Aspects of Sports Injuries, Mental Health in Sports, Sports Injuries and Trauma, Sports Injury Recovery Tagged With: ACL Injuries, Athletes Mental Health, Mental impact of injuries

The Transfer Portal: The New Gauntlet for Athletes

November 17, 2022 by admin Leave a Comment

By Michael Heck MS, LPC

Recently, I’ve had a handful of intriguing, yet challenging, conversations about the transfer portal with the collegiate student-athletes I work with. These talks have sparked my interest because we are in a new era of how scholarship and business is being done to better serve the student-athlete who would like to explore alternative opportunities to play at a different school. We are experiencing the evolution of collegiate sports happen in real-time. The student-athlete now has an increased amount of leverage, other than the initial signature of commitment. Another influence being added to the transfer portal is the impact of NIL however, NIL currently impacts a small population of athletes and will be discussed at a different time.

As an associate with the Institute of Sports Performance, I work with collegiate athletes regarding their mental/emotional approach to their performance and/or injury recovery. Often the issues are related to self-talk or emotional regulation within the athlete; feeling stressed for a variety of reasons: injuries, team culture, relationships, and academics. However, the added dynamic of the transfer portal is reshaping collegiate athletics daily.

First, this is not an op-ed piece on the transfer portal. However, I am curious about how it will evolve college athletics and shape programs. I am curious to see if this process enables the “survival of the fittest” mentality like I believe it is. I believe that Division I, II, & III athletics are important parts of shaping leaders who will serve in other careers or start families once their playing days have concluded. Student-athletes, more often than not, are preparing to launch into a career while playing a sport; I’m interested in how the transfer portal will impact global collegiate athletics and the formation of student-athletes. I’m also interested in supporting athletes to make well-informed decisions when they are contemplating transferring.

Second, I’m curious about the mental and emotional impact it’s having and will continue to have on student-athletes. I believe there is a healthy dynamic within the portal that allows athletes a similar level of freedom that coaches have, to exit a program because a better opportunity potentially exists elsewhere. However, I’ve encountered several athletes who are quite worried about the level of responsibility that comes with entering the transfer portal:

  1. The experience of directly communicating an athlete’s intent to their college coaches
  2. Will it work out? And, if the athlete doesn’t receive interest from other colleges, then what?
  3. The fear of the future and the potential loss of scholarships

According to the NCAA website, it is recommended that athletes directly communicate with their coaches regarding their intention to enter the portal. If they don’t, and once coaches discover the intent to transfer, the coach has the freedom to contact the athlete to find out why. The

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school also has the ability to eliminate scholarships. If an athlete withdraws from the portal, the school chooses whether or not they will restore the scholarship. So, even if the athlete has more options, such choices have significant risks!

I’ve worked with several athletes who have, or are facing the stress and impact of making such decisions. This is an added stressor to the athlete, it is different because it impacts four important relationships: with the current university/college, the coaching staff, the athlete’s support system (family, friends, etc.), and an athlete’s relationship within themselves.

I’ve found my work within this context to be clearly defined: helping to increase clarity of their choices, understand the risks, stress management, and develop an authentic response to what they desire (because it is often that coaches and support systems will have a variety of different thoughts and feelings over entering the portal, influencing the athlete to move in a specific direction). One dynamic that has been present as I’ve walked with athletes through this process is how it allows a young adult to make an adult decision. What I mean is that, entering the portal comes with short and long term risks mostly because there isn’t certainty when the athlete enters the portal. The athlete is truly banking on their ability to start over somewhere, where it might be a better fit. This is a highly emotional decision and, if an athlete struggles to manage their internal experience, making wise judgements can be difficult.

Prior to entering the portal, here are some areas to be exploring:

  1. Are you being realistic? I’ve met athletes at DI, DII, and DIII schools who truly believethey’re a DI, full scholarship athlete worthy of starting and they want to explore that opportunity. I’m always supportive of reaching for dreams. However, there is a balance between making the very best of your current opportunity and believing that the grass is greener elsewhere. Every situation has been different but, nevertheless, are you being realistic? When an athlete is being realistic, I’ve noticed their decisions about the portal to be more effective.
  2. Are you listening? Are you listening to your instincts while taking charge of your emotions? Are you listening to your trusted support system? If you’re struggling with your coach’s decisions about your playing time, what kind of feedback are you getting from them? Look, I understand that politics are alive and well in college sports and it may be a legitimate reason you enter the portal. However, are you also willing to listen to feedback and grow from it? Which leads me to my next thought. and grow from it? Which leads me to the next thought…

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3. Be responsible for what happens next. During my experience playing college football,

guys would transfer in and recreate their issues. For example, if they received negative feedback about technique or work ethic from a coach at an NAIA level, the athlete would respond by becoming dismissive or defensive. I played at an NAIA school and we had several DI transfers. Instead of taking responsibility for their past and present, several of those athletes felt entitled because…well, they came from a Division I school. If you get another opportunity to compete, wherever that may be, then be responsible for your work ethic, attitude, and buy-in. If entering into the portal changes your direction in a way you didn’t plan, then taking ownership of your situation is the healthiest, most effective plan of action.

The stressors that an athlete experiences when making such decisions is one reason why my practice exists. I help athletes to be realistic and, as a listener in your trusted circle, my goal is to help you make the most effective decision for yourself. Plainly speaking, I would be objective and honest, while helping you manage the challenges of making important decisions. I look forward to being in your corner!

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Filed Under: Athletes mental health, Mental Health in Sports, Transfer Portal Tagged With: Athletes Mental Health, Transfer Portal

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