ISSP Sports Psychiatry Newsletter – September 2025 </div> </div><div class="et_pb_module et_pb_code et_pb_code_1"> <div class="et_pb_code_inner"><html xmlns="http://www.w3.org/1999/xhtml" xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office"><head> <!--[if gte mso 15]> <xml> <o:OfficeDocumentSettings> <o:AllowPNG/> <o:PixelsPerInch>96</o:PixelsPerInch> </o:OfficeDocumentSettings> </xml> <![endif]--> <meta charset="UTF-8"> <meta http-equiv="X-UA-Compatible" content="IE=edge"> <meta name="viewport" content="width=device-width, initial-scale=1"> <title>*|MC:SUBJECT|*</title> <link rel="preconnect" href="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2ffonts.googleapis.com&c=E,1,m-zZGekcj1kR9lHvCUr5CPOjRs2FkIiiCyNs4juCHlxBYqW7XSUDxIM2aws5cGTAccXLtP5c30EJaN_miQYafkagx7-vq6tCI2R3TE114CGyek7CRnBxwnKk&typo=1"> <link rel="preconnect" href="https://fonts.gstatic.com" crossorigin=""> <style>img{-ms-interpolation-mode:bicubic;} table, 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class="mceSectionBody"><!--[if (gte mso 9)|(IE)]><table align="center" border="0" cellspacing="0" cellpadding="0" width="660" style="width:660px;"><tr><td><![endif]--><table border="0" cellpadding="0" cellspacing="0" width="100%" style="max-width:660px" role="presentation"><tbody><tr><td style="background-color:#ffffff" valign="top" class="mceWrapperInner"><table align="center" border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation" data-block-id="49"><tbody><tr class="mceRow"><td style="background-position:center;background-repeat:no-repeat;background-size:cover" valign="top"><table border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0" valign="top" class="mceColumn" id="mceColumnId--16" data-block-id="-16" colspan="12" width="100%"><table border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-7"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b7"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="7" class="mceText" id="d7" style="width:100%"><h1><span style="color:#011d57;">Letter from the Editor</span></h1><p class="p1" style="margin-right: 0in; margin-left: 0in; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Welcome to the relaunch of the </span></span></span><em><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">ISSP Sports Psychiatry Newsletter</span></span></span></em><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">. This is a reboot of our former newsletter, last released in January 2023, now refreshed with a new look, updated content, and a clear mission: to connect our global community of clinicians, researchers, and professionals dedicated to athlete mental health.</span></span></span></p> <p class="p1" style="margin-right: 0in; margin-left: 0in; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><br /></p> <p class="p1" style="margin-right: 0in; margin-left: 0in; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Beginning with this issue, the newsletter will be released</span></span></span><strong><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> three times a year</span></span></span></strong><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">, aligning with major milestones in sports psychiatry and ISSP activities. Each edition will highlight new research, clinical insights, global events, and resources to support best practices in caring for athletes and promoting mental wellness in sport.</span></span></span></p> <p class="p1" style="margin-right: 0in; margin-left: 0in; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><br /></p> <p class="p1" style="margin-right: 0in; margin-left: 0in; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Our September issue arrives at an exciting time, as we look ahead to the </span></span></span><strong><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">PROMISE Conference in Edinburgh</span></span></span></strong><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">, where ISSP members and international leaders will gather to advance the field. We’re also proud to spotlight new initiatives such as the </span></span></span><strong><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Youth Committee Coaches Tip Sheets</span></span></span></strong><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">, designed to provide practical, evidence-based guidance for coaches supporting young athletes.</span></span></span></p> <p class="p1" style="margin-right: 0in; margin-left: 0in; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><br /></p> <p class="p1" style="margin-right: 0in; margin-left: 0in; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">The goal of this newsletter is simple: to serve as a reliable, accessible hub for the latest developments in sports psychiatry and to strengthen the connections across our international community. We hope you’ll find inspiration in these pages and encourage you to share feedback, contribute content, and stay engaged with the work of ISSP.</span></span></span></p> <p class="p1" style="caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);">—</span></p> <p class="p2" style="caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px">Andrew Del Colle, MD, MS</span></span></strong></p> <p class="p1 last-child" style="caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><em><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px">Editor, ISSP Sports Psychiatry Newsletter</span></span></em></p> </div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="background-color:transparent;padding-top:12px;padding-bottom:1px;padding-right:24px;padding-left:24px;border:0;border-radius:0" valign="top" class="mceDividerBlockContainer" id="b108"><table align="center" border="0" cellpadding="0" cellspacing="0" width="100%" style="background-color:transparent;width:100%" role="presentation" class="mceDividerContainer" data-block-id="108"><tbody><tr><td style="min-width:100%;border-top-width:1px;border-top-style:solid;border-top-color:#2b2b2b;line-height:0;font-size:0" valign="top" class="mceDividerBlock"> </td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-113"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b113"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:12px;padding-bottom:12px" class="mceTextBlockContainer"><div data-block-id="113" class="mceText" id="d113" style="width:100%"><p><strong><span style="color:#011d57;"><span style="font-size: 31px">In This Issue </span></span></strong></p> <p><br /></p> <p class="mcePastedContent" style="margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica;"><a href="#News" style="color: #0061fe;"><strong><span style="font-size: 17px"><span style="font-family: Helvetica">Sports Psychiatry in the News</span></span><span style="font-size: 12px"><span style="font-family: Helvetica"><span style="font-weight:normal;"> </span></span></span></strong></a></p> <p class="mcePastedContent" style="margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"><span style="font-weight:normal;">Highlights from the APA Annual Meeting, MLB's youth mental health partnership, Temple's TUWell program, and Canadian soccer's expanded mental health coverage.</span></span></span></p> <p class="mcePastedContent" style="margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica;"><br /></p> <p class="mcePastedContent" style="margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica;"><a href="#Research" style="color: #0061fe;"><strong><span style="font-size: 17px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Emerging Research</span></span></strong></a></p> <p class="mcePastedContent" style="margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"><span style="font-weight:normal;">New findings on perfectionism and injury risk, para-athlete distress, RED-S care models, and psychiatrists' updated treatment preferences for athletes.</span></span></span></p> <p class="mcePastedContent" style="margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica;"><br /></p> <p class="mcePastedContent" style="margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica;"><a href="#id_3" style="color: #0061fe;"><strong><span style="font-size: 17px"><span style="font-family: Helvetica">Events & Education</span></span></strong></a></p> <p class="mcePastedContent" style="margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"><span style="font-weight:normal;">Recap of May's top conferences and upcoming global events including ISSP's PROMISE</span></span></span></p> <p class="mcePastedContent" style="margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica;"><span style="font-size: 15px"><span style="font-family: Helvetica"><span style="font-weight:normal;">Conference and the World Congress of Psychiatry.</span></span></span></p> <p class="mcePastedContent" style="margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica;"><br /></p> <p class="mcePastedContent" style="margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica;"><a href="#Issue-Feature"><strong><span style="font-size: 17px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Issue Feature: Lifestyle Psychiatry in Sports</span></span></strong></a></p> <p class="mcePastedContent" style="margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"><span style="font-weight:normal;">A deep dive into integrating the Six Pillars: exercise, nutrition, sleep, stress, substance use, and social connection into athlete mental health care.</span></span></span></p> <p><br /></p> <p class="mcePastedContent" style="margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica;"><a href="#id_5"><strong><span style="font-size: 17px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Resources & Quick Links</span></span></strong></a></p> <p class="mcePastedContent last-child" style="margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica;"><span style="color:rgb(14, 14, 14);"><span style="font-size: 15px"><span style="font-family: Helvetica"><span style="font-weight:normal;">Toolkits, mentorship programs, open access journals, and submission invites for future issues.</span></span></span></span></p> </div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="background-color:transparent;padding-top:12px;padding-bottom:1px;padding-right:24px;padding-left:24px;border:0;border-radius:0" valign="top" class="mceDividerBlockContainer" id="b114"><table align="center" border="0" cellpadding="0" cellspacing="0" width="100%" style="background-color:transparent;width:100%" role="presentation" class="mceDividerContainer" data-block-id="114"><tbody><tr><td style="min-width:100%;border-top-width:1px;border-top-style:solid;border-top-color:#2b2b2b;line-height:0;font-size:0" valign="top" class="mceDividerBlock"> </td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-58"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b58"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:12px;padding-bottom:12px" class="mceTextBlockContainer"><div data-block-id="58" class="mceText" id="d58" style="width:100%"><h1 class="last-child"><a href="" style="color: #011d57;" id="News" name="News" data-anchor-name="News"><span style="text-decoration:underline;">Sports Psychiatry in the News</span></a></h1></div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="background-color:transparent;padding-top:12px;padding-bottom:12px;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" class="mceImageBlockContainer" align="center" id="b110"><div><!--[if !mso]><!--></div><table align="center" border="0" cellpadding="0" cellspacing="0" width="85%" style="border-collapse:separate;margin:0;vertical-align:top;max-width:85%;width:85%;height:auto" role="presentation" data-testid="image-110"><tbody><tr><td style="border:0;border-radius:0;margin:0" valign="top"><img decoding="async" alt="" src="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fmcusercontent.com%2f1af5072a1919d108b30cd2c1b%2fimages%2f850e16bd-bb4c-a9eb-b5b4-eb8c5bed6d76.png&c=E,1,9gYT1iPADaS-sfwI3k7bihZ4iNVDids3z6PRaXmNGewKB9MT4y3JqXLT1xRC-x7iNnhEHy2fRXKw4DyHUqOlyEP_NT_OyjBDSN_L_qPv2j1ez6sy05ZMU9E,&typo=1" width="561" height="auto" style="display:block;max-width:100%;height:auto;border-radius:0" class="imageDropZone mceImage" data-block-id="110"></td></tr></tbody></table><div><!--<![endif]--></div><div> <!--[if mso]> <span class="mceImageBorder" style="border:0;border-width:2px;vertical-align:top;margin:0"><img decoding="async" role="presentation" class="imageDropZone mceImage" src="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fmcusercontent.com%2f1af5072a1919d108b30cd2c1b%2fimages%2f850e16bd-bb4c-a9eb-b5b4-eb8c5bed6d76.png&c=E,1,yKMgbLMr3DxWCENz45hDOQ7xW3GdwNDRJN5HG0yd9gEKmj_wrWs9yUIxpfwgXjfY40TGLxusAYtdBJRcv1Uh9BLiYjaiqtqD5ISMSjdi-qvDlhBKyiNp&typo=1" alt="" width="561" height="auto" style="display:block;max-width:561px;width:561px;height:auto"/></span> <![endif]--> </div></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-60"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b60"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="60" class="mceText" id="d60" style="width:100%"><p><br /></p> <h4 class="mcePastedContent" style="line-height: 1; mso-line-height-alt: 100%; text-align: left; letter-spacing: 0px;"><a href="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fpsychiatryonline.org%2fdoi%2f10.1176%2fappi.pn.2025.04.4.42&c=E,1,0IAu9SwWRilRWqGswGgx559607Kuoouh9VrNPYPs1Z8B_1LkmICBzGQ_2WNLlcp_YhFZlkAGZkHnhwpwylLnJxM24zj6BsfJqfkEynRhElI,&typo=1" target="_blank" style="color: #0061fe;">APA Spotlights Sports Mental Health at 2025 Annual Meeting Psychiatry in the News</a></h4><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">The APA Foundation's "Where We Play" initiative brought unprecedented attention to sports psychiatry at the 2025 Annual Meeting (May 18). Two CME sessions, co-moderated by Dr. Mark Allen and Dr. Brook Choulet, united professional athletes and clinicians to address mental wellness in athletics. The program featured an NBA wellness counselor and Olympic sports psychiatrists discussing strategies for integrating mental health services in sports organizations and reducing stigma across youth and elite athletics.</span></span></span></p> <p class="MsoNormal last-child" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Practice Impact:</span></span></span></strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> This high-profile platform signals growing institutional support for sports psychiatry as a legitimate subspecialty within organized psychiatry.</span></span></span></p> </div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-115"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b115"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="115" class="mceText" id="d115" style="width:100%"><h4 class="mcePastedContent" style="line-height: 1; mso-line-height-alt: 100%; text-align: left; letter-spacing: 0px;"><a href="https://med.stanford.edu/psychiatry/education/sports.html" target="_blank" style="color: #0061fe;"><span style="text-decoration:underline;">Stanford Launches First Sports Psychiatry Fellowship in the U.S</span></a><a href="https://med.stanford.edu/psychiatry/education/sports.html" target="_blank" style="color: #011d57;"><span style="text-decoration:underline;">. </span></a></h4><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px">Stanford University has announced the creation of the </span></span><em><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px">Sports and Performance Psychiatry Fellowship</span></span></em><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px">, the first program in the United States exclusively dedicated to training psychiatrists in athlete and performance-based mental health care. Fellows will train within Stanford Medicine and Stanford Athletics, with opportunities in psychotherapy, pharmacotherapy, consultative roles, and multidisciplinary collaboration. The program also includes didactics, outreach, and a required research project, with an optional second year available through the Wu Tsai Human Performance Clinician-Scientist Fellowship.</span></span></p> <p class="MsoNormal last-child" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Educational Impact:</span></span></span></strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> </span></span></span><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px">This marks a major milestone for the field. The program sets a precedent for advanced training pathways, expanding research opportunities, and integrating athlete-focused psychiatry into academic medicine.</span></span></p> </div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-109"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b109"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="109" class="mceText" id="d109" style="width:100%"><h4 class="mcePastedContent" style="line-height: 1; mso-line-height-alt: 100%; text-align: left; letter-spacing: 0px;"><a href="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fwww.littleleague.org%2fnews%2fsix-innings-mental-well-being-spotlight-with-major-league-baseball-and-crisis-text-line%2f&c=E,1,YABtNDdvpvpMcLILc8OCw7kXER5Tt8EclQerc666Y5fVCMX4WAcc9JwiM-NV741TrzRqzmTCvM3GYzCBceQetVDmxEpHlN5UxwwHxzIToVhQrR5O3moC3BQb&typo=1" target="_blank" style="color: #0061fe;">MLB’s Crisis Text Line Partnership Shows Strong Youth Engagement</a></h4><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">In a May 2025 interview marking Mental Health Awareness Month, MLB and Crisis Text Line leaders provided an update on their 2023 partnership. Dr. Shairi Turner, psychiatrist and Chief Health Officer of Crisis Text Line, reported that the free 24/7 text counseling service has seen significant uptake among young baseball players and families. The interview revealed that MLB's ongoing involvement continues to normalize mental health discussions, with youth athletes now seeking help for mental health concerns as readily as they would for physical injuries.</span></span></span></p> <p class="MsoNormal last-child" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Clinical Update:</span></span></span></strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> Two years of data demonstrate sustained engagement and reduced stigma when sports organizations maintain long-term mental health partnerships.</span></span></span></p> </div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-61"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b61"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="61" class="mceText" id="d61" style="width:100%"><h4 class="mcePastedContent" style="line-height: 1; mso-line-height-alt: 100%; text-align: left; letter-spacing: 0px;"><a href="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2ftemple-news.com%2ftuwell-providing-mental-health-services-for-student-athletes%2f&c=E,1,r7PhNzl_dZ2yRW3BYO0s2oYxMtdLoBQXfV056cH46oae3NptMgdKLndZGULk_XrsH8JatjqbQYl853RD9WLv6jIGfSLpZ3hBqq053lOxNRrrCuA4Gek,&typo=1" target="_blank" style="color: #0061fe;">Temple’s TUWell Program Shares Best Practices After Successful Launch</a></h4><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">In a 2025 case study, Dr. Stephany Coakley detailed lessons learned from Temple University's "TUWell" mental wellness program for student-athletes, sharing implementation strategies and outcomes data. The article outlines specific best practices that emerged from the program's operation, including effective stigma reduction through education, streamlined referral processes, and metrics showing improved access to psychiatric care among athletes.</span></span></span></p> <p class="MsoNormal last-child" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Implementation Insights:</span></span></span></strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> Temple's experience provides tested strategies for institutions currently developing or refining their athlete mental health programs.</span></span></span></p> </div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-62"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b62"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="62" class="mceText" id="d62" style="width:100%"><h4 class="mcePastedContent" style="line-height: 1; mso-line-height-alt: 100%; text-align: left; letter-spacing: 0px;"><a href="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2ffifpro.org%2fen%2fsupporting-players%2fhealth-and-performance%2fmental-health%2fpfa-canada-delivering-mental-health-support-via-leading-athlete-led-service-provider&c=E,1,_weQnDCIf2eHVCN_Shxf-6JLwRG3wX4HLF3kZB_GUjea13IHgzlJzX9kWMbfLO--euteu2omMXRSmsMhnkkJAs0oX0ZtelRg5J9n2m8DJD25lPzN_qjD&typo=1" target="_blank" style="color: #0061fe;">Canadian Professional Soccer Expands Mental Health Coverage</a></h4><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">The Professional Footballers Association of Canada announced an expansion of mental health services through a new partnership with Onrise (May 12, 2025). Building on growing recognition of athlete mental health needs, this initiative provides all professional soccer players in Canada with free, confidential access to counseling and psychiatric services. The athlete-led program represents the latest in a global trend of players' associations taking active roles in mental health provision.</span></span></span></p> <p class="MsoNormal last-child" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Global Trend:</span></span></span></strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> Players' associations worldwide are increasingly taking leadership in establishing comprehensive mental health services for their members.</span></span></span></p> </div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="background-color:transparent;padding-top:12px;padding-bottom:0;padding-right:24px;padding-left:24px;border:0;border-radius:0" valign="top" class="mceDividerBlockContainer" id="b59"><table align="center" border="0" cellpadding="0" cellspacing="0" width="100%" style="background-color:transparent;width:100%" role="presentation" class="mceDividerContainer" data-block-id="59"><tbody><tr><td style="min-width:100%;border-top-width:1px;border-top-style:solid;border-top-color:#2b2b2b;line-height:0;font-size:0" valign="top" class="mceDividerBlock"> </td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-63"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b63"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:12px" class="mceTextBlockContainer"><div data-block-id="63" class="mceText" id="d63" style="width:100%"><h1 class="last-child"><a href="" style="color: #011d57;" id="Research" name="Research" data-anchor-name="Research"><span style="text-decoration:underline;">Emerging Research</span></a></h1></div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td valign="top" class="mceGutterContainer" id="gutterContainerId-67"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:8px;padding-bottom:8px;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" class="mceLayoutContainer" id="b67"><table align="center" border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation" data-block-id="67" id="section_05ee83504707b6c1c45fdf083716f01d" class="mceLayout"><tbody><tr class="mceRow"><td style="background-position:center;background-repeat:no-repeat;background-size:cover" valign="top"><table border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation"><tbody><tr><td valign="top" class="mceColumn" id="mceColumnId--18" data-block-id="-18" colspan="12" width="100%"><table border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation"><tbody><tr><td style="border:0;border-radius:0" valign="top" align="center" id="b-9"><table align="center" border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation" data-block-id="-9"><tbody><tr class="mceRow"><td style="background-position:center;background-repeat:no-repeat;background-size:cover" valign="top"><table border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation"><tbody><tr><td valign="top" class="mceColumn" id="mceColumnId--21" data-block-id="-21" colspan="12" width="100%"><table border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation"><tbody><tr><td style="border:0;border-radius:0" valign="top" id="b66"><table align="center" border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation" data-block-id="66"><tbody><tr class="mceRow"><td style="background-position:center;background-repeat:no-repeat;background-size:cover" valign="top"><table border="0" cellpadding="0" cellspacing="24" width="100%" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0" valign="top" class="mceColumn" id="mceColumnId-65" data-block-id="65" colspan="12" width="100%"><table border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation"><tbody><tr><td style="background-color:transparent;padding-top:0;padding-bottom:12px;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" class="mceImageBlockContainer" align="center" id="b68"><div><!--[if !mso]><!--></div><table align="center" border="0" cellpadding="0" cellspacing="0" width="85%" style="border-collapse:separate;margin:0;vertical-align:top;max-width:85%;width:85%;height:auto" role="presentation" data-testid="image-68"><tbody><tr><td style="border:0;border-radius:0;margin:0" valign="top"><img decoding="async" alt="" src="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fmcusercontent.com%2f1af5072a1919d108b30cd2c1b%2fimages%2f41eee4c8-7fa1-4085-d551-f3ed35fccff4.png&c=E,1,b557sExjlfH5peaaOBXerAdruk_DBV-Amlitl2-A0J8rNtDXiX0DrxHGAeR0EqpfA3m5nrl1GniRVot-uh71nNF3xYXaR_eZMg6sRqB7SMnxfw,,&typo=1" width="561" height="auto" style="display:block;max-width:100%;height:auto;border-radius:0" class="imageDropZone mceImage" data-block-id="68"></td></tr></tbody></table><div><!--<![endif]--></div><div> <!--[if mso]> <span class="mceImageBorder" style="border:0;border-width:2px;vertical-align:top;margin:0"><img decoding="async" role="presentation" class="imageDropZone mceImage" src="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fmcusercontent.com%2f1af5072a1919d108b30cd2c1b%2fimages%2f41eee4c8-7fa1-4085-d551-f3ed35fccff4.png&c=E,1,EgUq2TTNseZw44mG-Zwl5PvBtI9MYc5FyDLNuPpixC0x4wcQlZJez6IZZxfJgZcyjY7MpB2DkNEZPjkE4cOrDvGyvDGmUuPv42AWMT74qywbS8Gs0bVvqEv6fw,,&typo=1" alt="" width="561" height="auto" style="display:block;max-width:561px;width:561px;height:auto"/></span> <![endif]--> </div></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-64"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b64"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="64" class="mceText" id="d64" style="width:100%"><h4 class="mcePastedContent" style="line-height: 1; mso-line-height-alt: 100%; text-align: left; letter-spacing: 0px;"><a href="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fbmjopensem.bmj.com%2fcontent%2f11%2f1%2fe002267&c=E,1,zGOVF66WW3aSowWPBC79AwIDYSJacoR_5_y7nFym5_zNdCGLYGw4CD6EFdVRvudvja8I6JH8fn5MY_ixL3EMQYtuIRcSq_fRiyYBXnzTsivfAOkFDbk,&typo=1" target="_blank" style="color: #0061fe;">Mental Health and Injury Risk in Elite Para Athletes</a><span style="color:#011d57;"> </span></h4><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Citation:</span></span></span></strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> Bentzen M, et al. (2025). "Mental distress is associated with injury and illness in elite Para athletes: a 44-week prospective study." </span></span></span><em><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">BMJ Open Sport & Exercise Medicine</span></span></span></em><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">, 11(1): e002267.</span></span></span></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Methodology:</span></span></span></strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> 44-week prospective study tracking 59 elite Para athletes' mental health symptoms, injuries, and illnesses.</span></span></span></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Results: </span></span></span></strong></p> <ul style="margin-bottom: 0in; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><li style="line-height: 1; mso-line-height-alt: 100%;"><p class="mcePastedContent" style="line-height: 1; mso-line-height-alt: 100%;"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Weekly prevalence: 15% for anxiety, 21% for depression symptoms</span></span></span></p> </li><li style="line-height: 1; mso-line-height-alt: 100%;"><p class="mcePastedContent" style="line-height: 1; mso-line-height-alt: 100%;"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Cumulative prevalence over study: 58% anxiety, 42% depression</span></span></span></p> </li><li style="line-height: 1; mso-line-height-alt: 100%;"><p class="mcePastedContent" style="line-height: 1; mso-line-height-alt: 100%;"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Mental distress significantly associated with concurrent injuries/illnesses</span></span></span></p> </li><li style="line-height: 1; mso-line-height-alt: 100%;"><p class="mcePastedContent" style="line-height: 1; mso-line-height-alt: 100%;"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Shorter sleep duration correlated with increased symptoms</span></span></span></p> </li><li style="line-height: 1; mso-line-height-alt: 100%;"><p class="mcePastedContent" style="line-height: 1; mso-line-height-alt: 100%;"><br /></p> </li></ul><p class="MsoNormal last-child" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Practice Implication:</span></span></span></strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> Routine mental health monitoring should be integrated into Para athlete care, with particular attention during injury/illness periods when vulnerability increases.</span></span></span></p> </div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-69"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b69"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="69" class="mceText" id="d69" style="width:100%"><h4 class="mcePastedContent" style="line-height: 1; mso-line-height-alt: 100%; text-align: left; letter-spacing: 0px;"><a href="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fwww.frontiersin.org%2fjournals%2fpsychology%2farticles%2f10.3389%2ffpsyg.2025.1561432%2ffull&c=E,1,5QaJj4lHH2_Tw_62IMjR4p4QkqG4qQotPvu2z8JZ5-o8cDMfrewug-n3cUo8gmEz0ZTGg6XGjimp3jz1gaGdperu70xt7eeDsig9fJL2QIgn0UCGvIQ2Ylzn&typo=1" target="_blank" style="color: #0061fe;">Perfectionism and Injury Vulnerability in Triathletes</a><span style="color:#0061fe;"> </span><span style="color:#011d57;"> </span></h4><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Citation:</span></span></span></strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> Gil-Caselles L, et al. (2025). "Perfectionism, mental health and vulnerability to injury in triathletes." </span></span></span><em><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Frontiers in Psychology</span></span></span></em><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">, 16:1561432.</span></span></span></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Study Population:</span></span></span></strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> 172 triathletes across youth, amateur, and elite levels.</span></span></span></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Key Discoveries:</span></span></span></strong></p> <ul style="margin-bottom: 0in; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><li><p class="mcePastedContent"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Maladaptive perfectionism linked to greater injury risk</span></span></span></p> </li><li><p class="mcePastedContent"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Depression and stress associated with longer recovery times</span></span></span></p> </li><li><p class="mcePastedContent"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Athletes with higher "vigor" experienced fewer injuries</span></span></span></p> </li><li><p class="mcePastedContent"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Psychological distress both contributes to and prolongs injury</span></span></span></p> </li></ul><p class="MsoNormal last-child" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Clinical Relevance:</span></span></span></strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> Screening for perfectionism and mental health issues should be integrated into injury prevention and rehabilitation protocols, requiring collaboration between sports psychiatrists and medical staff.</span></span></span></p> </div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-70"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b70"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="70" class="mceText" id="d70" style="width:100%"><h4><a href="https://link.springer.com/article/10.1007/s40279-024-02173-3" target="_blank" style="color: #0061fe;">Mental Health Interventions For Elite Athlete Well-Being</a></h4><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Citation:</span></span></span></strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> Wang W, et al. (2025). "Psychological interventions to improve elite athlete mental wellbeing: a systematic review and meta-analysis." </span></span></span><em><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Sports Medicine</span></span></span></em><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">, 55(4): 877-897.</span></span></span></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Review Scope:</span></span></span></strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> 27 studies examining interventions for promoting mental well-being (not just treating illness) in elite athletes.</span></span></span></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Intervention Categories and Effects:</span></span></span></strong></p> <ul style="margin-bottom: 0in; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><li><p class="mcePastedContent"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Psychological skills training: moderate improvements (SMD ~0.8)</span></span></span></p> </li><li><p class="mcePastedContent"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Third-wave interventions (mindfulness, ACT): improved resilience and mood</span></span></span></p> </li><li><p class="mcePastedContent"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Positive psychology approaches: enhanced overall well-being</span></span></span></p> </li><li><p class="mcePastedContent"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">All categories showed significant beneficial effects</span></span></span></p> </li></ul><p class="MsoNormal last-child" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Implementation Guidance:</span></span></span></strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> Sport organizations should facilitate proactive mental health programs focusing on skill-building rather than waiting for crisis intervention. Prevention-focused approaches can help athletes flourish while potentially guarding against future mental illness.</span></span></span></p> </div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-71"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b71"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="71" class="mceText" id="d71" style="width:100%"><h4 class="mcePastedContent" style="line-height: 1; mso-line-height-alt: 100%; text-align: left; letter-spacing: 0px;"><a href="https://www.tandfonline.com/doi/full/10.1080/00913847.2025.2495545?src=exp-la" target="_blank" style="color: #0061fe;">Treatment Preferences Among Sports Psychiatrists: 2024 Update</a><span style="color:#011d57;"> </span> </h4><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Citation:</span></span></span></strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> Reardon CL, et al. (2025). "Psychiatric treatment preferences of sports psychiatrists for athlete-patients across competitive levels: a 2024 update." </span></span></span><em><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">The Physician and Sportsmedicine</span></span></span></em><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">, published online April 29, 2025.</span></span></span></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Study Design:</span></span></span></strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> International survey of 75 sports psychiatrists examining medication preferences and clinical practices when treating athletes.</span></span></span></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Key Findings:</span></span></span></strong></p> <ul style="margin-bottom: 0in; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><li><p class="mcePastedContent"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Bupropion was the top choice for depression without anxiety</span></span></span></p> </li><li><p class="mcePastedContent"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Escitalopram preferred for depression with anxiety and anxiety disorders</span></span></span></p> </li><li><p class="mcePastedContent"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Extended-release methylphenidate (OROS) favored for ADHD</span></span></span></p> </li><li><p class="mcePastedContent"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Heightened concern about sedation, weight gain, and performance impacts</span></span></span></p> </li><li><p class="mcePastedContent"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Most psychiatrists order more comprehensive medical workups for athletes</span></span></span></p> </li></ul><p class="MsoNormal last-child" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Clinical Application:</span></span></span></strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> This study provides evidence-based guidance for medication selection in athletes, emphasizing the need to minimize performance-impairing side effects while effectively treating psychiatric conditions.</span></span></span></p> </div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-72"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b72"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="72" class="mceText" id="d72" style="width:100%"><h4 class="mcePastedContent" style="line-height: 1; mso-line-height-alt: 100%; text-align: left; letter-spacing: 0px;"><a href="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fecontent.hogrefe.com%2fdoi%2f10.1024%2f2674-0052%2fa000111&c=E,1,DpUVizTjmLNWikPVl8tFDByQXed8-jx09yYTm5Ha1aI95338zXC1UdUMfKDzUJaqLYnxSEH0AOU6zD03gZWmTR108hCyiUXqYVmmMjdsdx-jUkk,&typo=1" target="_blank" style="color: #0061fe;">RED-S Management: A Multidisciplinary Care Pathway</a></h4><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Citation:</span></span></span></strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> Edwards CD, et al. (2025). "Responding to Relative Energy Deficiency in Sport (RED-S): a multidisciplinary care pathway for safe return to sport." </span></span></span><em><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Sports Psychiatry</span></span></span></em><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">, 4(2).</span></span></span></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Framework Components:</span></span></span></strong></p> <ul style="margin-bottom: 0in; caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><li><p class="mcePastedContent"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Medical evaluation (bone density, menstrual function)</span></span></span></p> </li><li><p class="mcePastedContent"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Nutritional rehabilitation protocols</span></span></span></p> </li><li><p class="mcePastedContent"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Psychological support integration</span></span></span></p> </li><li><p class="mcePastedContent"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Clear return-to-play criteria</span></span></span></p> </li></ul><p class="MsoNormal last-child" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Clinical Significance:</span></span></span></strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> This pathway exemplifies the essential collaboration between psychiatry, sports nutrition, and sports medicine in treating complex conditions like RED-S. The integrated approach ensures both physical safety and mental well-being during recovery, providing a model for multidisciplinary athlete care.</span></span></span></p> </div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="background-color:transparent;padding-top:12px;padding-bottom:0;padding-right:24px;padding-left:24px;border:0;border-radius:0" valign="top" class="mceDividerBlockContainer" id="b73"><table align="center" border="0" cellpadding="0" cellspacing="0" width="100%" style="background-color:transparent;width:100%" role="presentation" class="mceDividerContainer" data-block-id="73"><tbody><tr><td style="min-width:100%;border-top-width:1px;border-top-style:solid;border-top-color:#2b2b2b;line-height:0;font-size:0" valign="top" class="mceDividerBlock"> </td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-74"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b74"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="74" class="mceText" id="d74" style="width:100%"><h1 class="last-child"><a href="" style="color: #011d57;" id="id_3" name="id_3" data-anchor-name="3"><span style="text-decoration:underline;">Events & Education</span></a></h1></div></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-79"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b79"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="79" class="mceText" id="d79" style="width:100%"><h3 class="last-child"><span style="color:#011d57;">Recent Highlights (Summer 2025)</span></h3></div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="background-color:transparent;padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" class="mceImageBlockContainer" align="center" id="b80"><div><!--[if !mso]><!--></div><table align="center" border="0" cellpadding="0" cellspacing="0" width="47%" style="border-collapse:separate;margin:0;vertical-align:top;max-width:47%;width:47%;height:auto" role="presentation" data-testid="image-80"><tbody><tr><td style="border:0;border-radius:0;margin:0" valign="top"><img decoding="async" alt="" src="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fmcusercontent.com%2f1af5072a1919d108b30cd2c1b%2fimages%2fcaa7a12e-34d3-aa44-8c65-7ad0794b6667.png&c=E,1,o00a0aJRSkrxo9kLTHhpVDY0Lo1Fcn8pWjVGZ2HwE_oQeG3SvvUFLIzN-EMXqPorrC1sKn9j3fg3SpwtDHJsbneSFM_6WTslRiN_vN32gg,,&typo=1" width="310.2" height="auto" style="display:block;max-width:100%;height:auto;border-radius:0" class="imageDropZone mceImage" data-block-id="80"></td></tr></tbody></table><div><!--<![endif]--></div><div> <!--[if mso]> <span class="mceImageBorder" style="border:0;border-width:2px;vertical-align:top;margin:0"><img decoding="async" role="presentation" class="imageDropZone mceImage" src="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fmcusercontent.com%2f1af5072a1919d108b30cd2c1b%2fimages%2fcaa7a12e-34d3-aa44-8c65-7ad0794b6667.png&c=E,1,pKY8ql1Nk2lzKsf7xaO2f2G-IIsKnwaRrkn0ahfhU-wayY6iqtDJaz6nPC-EQtSDzNAraC8R8PfXSPfhWbNkiLIyIm5_jfgkwRYvWEPCjEWBdQCuv8VWhvDa1w,,&typo=1" alt="" width="310.2" height="auto" style="display:block;max-width:310.2px;width:310.2px;height:auto"/></span> <![endif]--> </div></td></tr><tr><td valign="top" class="mceGutterContainer" id="gutterContainerId-78"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" class="mceLayoutContainer" id="b78"><table align="center" border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation" data-block-id="78" id="section_5812d097968047189e80db99327904fb" class="mceLayout"><tbody><tr class="mceRow"><td style="background-position:center;background-repeat:no-repeat;background-size:cover" valign="top"><table border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation"><tbody><tr><td valign="top" class="mceColumn" id="mceColumnId--19" data-block-id="-19" colspan="12" width="100%"><table border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation"><tbody><tr><td style="border:0;border-radius:0" valign="top" align="center" id="b-11"><table align="center" border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation" data-block-id="-11"><tbody><tr class="mceRow"><td style="background-position:center;background-repeat:no-repeat;background-size:cover" valign="top"><table border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation"><tbody><tr><td valign="top" class="mceColumn" id="mceColumnId--22" data-block-id="-22" colspan="12" width="100%"><table border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation"><tbody><tr><td style="border:0;border-radius:0" valign="top" id="b77"><table align="center" border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation" data-block-id="77"><tbody><tr class="mceRow"><td style="background-position:center;background-repeat:no-repeat;background-size:cover" valign="top"><table border="0" cellpadding="0" cellspacing="24" width="100%" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0" valign="top" class="mceColumn" id="mceColumnId-76" data-block-id="76" colspan="12" width="100%"><table border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-75"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b75"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="75" class="mceText" id="d75" style="width:100%"><h4 class="mcePastedContent" style="line-height: 1; mso-line-height-alt: 100%; text-align: left; letter-spacing: 0px;"><span style="color:#011d57;">APA 2025 - Dr. David Baron Honored with the Presidential Award </span></h4><p class="MsoNormal last-child" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><em><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">May 2025, Los Angeles, CA - </span></span></span></strong></em><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">At APA’s 2025 Annual Meeting, Dr. David Baron was honored with the APA Presidential Award. This honor, the organization’s highest recognition, highlights Dr. Baron’s contributions to sports psychiatry and underscores the field’s growing presence within general psychiatry.</span></span></span></p> </div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-81"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b81"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="81" class="mceText" id="d81" style="width:100%"><h4 class="mcePastedContent" style="line-height: 1; mso-line-height-alt: 100%; text-align: left; letter-spacing: 0px;"><span style="color:#011d57;">International Society for Sports Psychiatry (ISSP) Annual Conference </span></h4><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><em><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">May 2025, Held Virtually - </span></span></span></strong></em><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">The International Society for Sports Psychiatry held its annual meeting virtually. Sports psychiatrists worldwide convened online to share new research findings and clinical pearls in athlete mental health, maintaining global collaboration in the field.</span></span></span></p> <p class="MsoNormal last-child" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-family: 'Times New Roman', serif"> </span></span></p> </div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-82"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b82"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="82" class="mceText" id="d82" style="width:100%"><h4 class="mcePastedContent" style="line-height: 1; mso-line-height-alt: 100%; text-align: left; letter-spacing: 0px;"><span style="color:#011d57;">Sports Psychiatry Track at APA Annual Meeting </span> </h4><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><em><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">May 2025, Los Angeles, CA - </span></span></span></strong></em><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">The APA meeting featured a dedicated sports psychiatry “highlight track,” including sessions like </span></span></span><em><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">“Expanding the Field: An Introduction to Sports Psychiatry and Interdisciplinary Mental Health Care in Athletics”</span></span></span></em><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> and </span></span></span><em><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">“From the Arena to Everyday Life: A Comprehensive Exploration of Mental Health in Elite Sports”</span></span></span></em><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">. These sessions brought athlete mental health to the forefront, giving psychiatrists and trainees insight into emerging best practices for caring for athletes and teams.</span></span></span></p> <p class="MsoNormal last-child" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-family: 'Times New Roman', serif"> </span></span></p> </div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-116"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b116"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="116" class="mceText" id="d116" style="width:100%"><h4 class="mcePastedContent" style="line-height: 1; mso-line-height-alt: 100%; text-align: left; letter-spacing: 0px;"><a href="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fsportspsychiatry.org%2fyouth-tip-sheets%2f&c=E,1,ZUBL9-obSB9tOx7WARrAWXlS1ukD0JOMMSiUGPvpBarfdgOZWZ-2NNDuNjtF50B1JNpRr9rfKKacC2rwjVuzmoWoKfb4AZ_cUyEM0umvFOsNH8RY&typo=1" target="_blank"><strong>New ISSP Youth Committee Resource – Coaches Tip Sheets</strong></a><span style="color:#011d57;"> </span></h4><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><em><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">August 2025 - </span></span></span></strong></em><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px">The ISSP Youth Committee has launched a new series of </span></span><em><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px">Coaches Tip Sheets</span></span></em><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"> designed to equip coaches with practical, evidence-based tools to support athlete well-being. The </span></span><span style="font-size: 15px">first release</span><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"> is a comprehensive guide on sport-related concussions, offering recognition, management, and prevention strategies tailored for athletic settings. Each tip sheet is created to enhance mental health literacy, promote safer sport environments, and give coaches clear, actionable steps for protecting athletes. Additional topics will follow in the coming months. </span></span></p> <p class="MsoNormal last-child" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-family: 'Times New Roman', serif"> </span></span></p> </div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-83"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b83"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="83" class="mceText" id="d83" style="width:100%"><h1 class="last-child"><span style="color:#011d57;"><span style="font-size: 25px">Upcoming Events in 2025</span></span></h1></div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="background-color:transparent;padding-top:12px;padding-bottom:12px;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" class="mceImageBlockContainer" align="center" id="b86"><div><!--[if !mso]><!--></div><table align="center" border="0" cellpadding="0" cellspacing="0" width="39%" style="border-collapse:separate;margin:0;vertical-align:top;max-width:39%;width:39%;height:auto" role="presentation" data-testid="image-86"><tbody><tr><td style="border:0;border-radius:0;margin:0" valign="top"><img decoding="async" alt="" src="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fmcusercontent.com%2f1af5072a1919d108b30cd2c1b%2fimages%2fc2a195b6-c177-db32-fc07-3f0709a0c86d.png&c=E,1,d2FMFr8Lcwxb8yPs7LkkMCuSUmEA-ktq1UChhhlcQitaIuAfaZEFDAszBIDqfPnIwJ_HxDtpNNCYxSs4Tku-1VhWZCbhxI4ynGlZTYPcigE,&typo=1" width="257.40000000000003" height="auto" style="display:block;max-width:100%;height:auto;border-radius:0" class="imageDropZone mceImage" data-block-id="86"></td></tr></tbody></table><div><!--<![endif]--></div><div> <!--[if mso]> <span class="mceImageBorder" style="border:0;border-width:2px;vertical-align:top;margin:0"><img decoding="async" role="presentation" class="imageDropZone mceImage" src="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fmcusercontent.com%2f1af5072a1919d108b30cd2c1b%2fimages%2fc2a195b6-c177-db32-fc07-3f0709a0c86d.png&c=E,1,MfSO_EWfex4qBRrxeRaPUhOngfr1kJVGpK-7oTxYf6qFmN9ateBJAhp8QdyJUmDiQugO4nVpTUtbf8ZL0F6u_Ng9PNFPkJHlZZsgSRLZDswqUyp8vEI,&typo=1" alt="" width="257.40000000000003" height="auto" style="display:block;max-width:257.40000000000003px;width:257.40000000000003px;height:auto"/></span> <![endif]--> </div></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-84"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b84"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="84" class="mceText" id="d84" style="width:100%"><h4 class="mcePastedContent" style="line-height: 1; mso-line-height-alt: 100%; text-align: left; letter-spacing: 0px;"><a href="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fpromiseconference.co.uk%2fview-programme%2f&c=E,1,L1j1b9bGXuX7QQ6z8OuzdQ634_Wv0Yjc2ZGv_0A-LH42nxBHRwi0YHW2OTRTkwVsA2ev-I_kltQnMYTmQMvf8KL3WRSpOqlo29fLMTfZi_rTZrkvPzhwLjs,&typo=1" target="_blank">ISSP“PROMISE” Conference 2025</a><span style="color:#0061fe;"> </span><span style="color:#011d57;"> </span> </h4><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><em><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">September 20-21 2025, Edinburgh, Scotland - </span></span></span></strong></em><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px">The International Olympic Committee (IOC) Mental Health Leadership Group will host the in-person Protecting Mental Health in Sport + Exercise (PROMISE) Conference, bringing together global leaders to focus exclusively on athlete mental health. Supported by the ISSP, this flagship event will feature an international lineup of experts in athlete mental health. Among the highlighted speakers at the event are Dr. Carla Edwards, ISSP President, and Dr. Claudia Reardon. The full program can be viewed at the link above.</span></span></p> <p class="MsoNormal last-child" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-family: 'Times New Roman', serif"> </span></span></p> </div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-85"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b85"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="85" class="mceText" id="d85" style="width:100%"><h4 class="mcePastedContent" style="line-height: 1; mso-line-height-alt: 100%; text-align: left; letter-spacing: 0px;"><a href="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fwcp-congress.com%2f%3futm_source%3dgoogle%26utm_medium%3dsearch%26utm_campaign%3dregistration0507%26gad_source%3d1%26gad_campaignid%3d22734439577%26gbraid%3d0AAAAA9-8rmIHOgF8TF9y-v23r1i3A4OaA%26gclid%3dCj0KCQjw-4XFBhCBARIsAAdNOkuRc0iLQVydOJW4BNpXuPP9Bh3kJ5v23MJ2HHG7FRN90Bt-VyCW7EUaAicqEALw_wcB&c=E,1,6JVjCVj7JT_UgMywB2eQKC8t7rLuVNjAz32P3w4a_qlSNQIjtM45lwrAgP20WgHfvmtBaOuMS9ljhY8Rngb8nElbr_LBiz9IbGSMuSF1QNt-S_33NXWvng,,&typo=1" target="_blank" style="color: #0061fe;">World Congress of Psychiatry 2025</a><a href="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fwcp-congress.com%2f%3futm_source%3dgoogle%26utm_medium%3dsearch%26utm_campaign%3dregistration0507%26gad_source%3d1%26gad_campaignid%3d22734439577%26gbraid%3d0AAAAA9-8rmIHOgF8TF9y-v23r1i3A4OaA%26gclid%3dCj0KCQjw-4XFBhCBARIsAAdNOkuRc0iLQVydOJW4BNpXuPP9Bh3kJ5v23MJ2HHG7FRN90Bt-VyCW7EUaAicqEALw_wcB&c=E,1,CecRXyYYuidvKbuX1KVG4wQJpwZ0_lISUhZFdfxp72wqeboIRkZLFffFDoZDIuD76jCHZsa2Km_CFihT_Ltqu6vAB-XMBLTmCLETtOuzerkJeG0COI8,&typo=1" target="_blank" style="color: #011d57;"> </a></h4><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><em><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">October 5-8, 2025, Prague, Czech Republic - </span></span></span></strong></em><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">The WPA’s flagship meeting will feature an </span></span></span><em><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">“Exercise & Sports Psychiatry”</span></span></span></em><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> track as part of its theme of psychiatry’s evolving roles. This global conference offers sports psychiatrists and trainees a chance to learn the latest research on athlete mental health and share insights with an international audience.</span><span style="font-family: 'Times New Roman', serif"> </span></span></span></p> <p class="MsoNormal last-child" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-family: 'Times New Roman', serif"> </span></span></p> </div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="background-color:transparent;padding-top:12px;padding-bottom:0;padding-right:24px;padding-left:24px;border:0;border-radius:0" valign="top" class="mceDividerBlockContainer" id="b97"><table align="center" border="0" cellpadding="0" cellspacing="0" width="100%" style="background-color:transparent;width:100%" role="presentation" class="mceDividerContainer" data-block-id="97"><tbody><tr><td style="min-width:100%;border-top-width:1px;border-top-style:solid;border-top-color:#2b2b2b;line-height:0;font-size:0" valign="top" class="mceDividerBlock"> </td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-88"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b88"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="88" class="mceText" id="d88" style="width:100%"><h1 class="last-child"><a href="" id="Issue-Feature" name="Issue-Feature" data-anchor-name="Issue Feature"><span style="color:#011d57;"><span style="text-decoration:underline;">Issue Feature</span></span></a></h1></div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-90"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b90"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="90" class="mceText" id="d90" style="width:100%"><h4 style="text-align: center; letter-spacing: 0px;" class="last-child"><span style="color:#011d57;">Implementing Lifestyle Psychiatry in Sports: Evidence-Based Integration of the Six Pillars Framework</span></h4></div></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td valign="top" class="mceGutterContainer" id="gutterContainerId-93"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:8px;padding-bottom:8px;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" class="mceLayoutContainer" id="b93"><table align="center" border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation" data-block-id="93" id="section_3d6f87d9f28e960e66e5982d5fa70ef5" class="mceLayout"><tbody><tr class="mceRow"><td style="background-position:center;background-repeat:no-repeat;background-size:cover" valign="top"><table border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation"><tbody><tr><td valign="top" class="mceColumn" id="mceColumnId--20" data-block-id="-20" colspan="12" width="100%"><table border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation"><tbody><tr><td style="border:0;border-radius:0" valign="top" align="center" id="b-13"><table align="center" border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation" data-block-id="-13"><tbody><tr class="mceRow"><td style="background-position:center;background-repeat:no-repeat;background-size:cover" valign="top"><table border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation"><tbody><tr><td valign="top" class="mceColumn" id="mceColumnId--23" data-block-id="-23" colspan="12" width="100%"><table border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation"><tbody><tr><td style="border:0;border-radius:0" valign="top" id="b92"><table align="center" border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation" data-block-id="92"><tbody><tr class="mceRow"><td style="background-position:center;background-repeat:no-repeat;background-size:cover" valign="top"><table border="0" cellpadding="0" cellspacing="24" width="100%" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0" valign="top" class="mceColumn" id="mceColumnId-91" data-block-id="91" colspan="12" width="100%"><table border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation"><tbody><tr><td style="background-color:transparent;padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" class="mceImageBlockContainer" align="center" id="b94"><div><!--[if !mso]><!--></div><table align="center" border="0" cellpadding="0" cellspacing="0" width="49%" style="border-collapse:separate;margin:0;vertical-align:top;max-width:49%;width:49%;height:auto" role="presentation" data-testid="image-94"><tbody><tr><td style="border:0;border-radius:0;margin:0" valign="top"><img decoding="async" alt="Infographic illustrating the Six Pillars of Lifestyle Psychiatry: physical activity, nutrition, sleep, stress management, substance avoidance, and social connection." src="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fmcusercontent.com%2f1af5072a1919d108b30cd2c1b%2fimages%2fe62a67ad-f6f1-8c06-928c-033c50d3ed29.png&c=E,1,A3fwu4exonz02Vq4xGZjcJ-SEDq0gKYP6GyntsHJbLY-segNz5_yc_HO6XmZEncZuTtrnREiglsKtMSdXeMT7GqQOgqyuo9HlS7FEIq7cV96cw,,&typo=1" width="323.4" height="auto" style="display:block;max-width:100%;height:auto;border-radius:0" class="mceImage" data-block-id="94"></td></tr></tbody></table><div><!--<![endif]--></div><div> <!--[if mso]> <span class="mceImageBorder" style="border:0;border-width:2px;vertical-align:top;margin:0"><img decoding="async" role="presentation" class="mceImage" src="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fmcusercontent.com%2f1af5072a1919d108b30cd2c1b%2fimages%2fe62a67ad-f6f1-8c06-928c-033c50d3ed29.png&c=E,1,UDtRcaGCgLAp52wfttSfu7syVT7rgA0FQTST5Dit6baqMlHNPMqpGzLyx_g6njRcuYrmlBJZa2ufl7rxKbKt6SDebMUfVgrD53KZRlXIlwIOtbUiZ_eg2w,,&typo=1" alt="Infographic illustrating the Six Pillars of Lifestyle Psychiatry: physical activity, nutrition, sleep, stress management, substance avoidance, and social connection." width="323.4" height="auto" style="display:block;max-width:323.4px;width:323.4px;height:auto"/></span> <![endif]--> </div></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-89"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b89"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="89" class="mceText" id="d89" style="width:100%"><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Lifestyle psychiatry represents a paradigm shift in mental health care, especially for athletes. This approach integrates the six pillars of lifestyle medicine: physical activity, nutrition, sleep, stress management, substance avoidance, and social connection into sports psychiatric practice, moving beyond symptom management to optimize well-being and performance. Here, we review the evidence base, practical applications, and implementation strategies, with explicit references to recent guidelines and research.</span></span></span></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Introduction</span></span></span></strong></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: Helvetica">The field of lifestyle psychiatry has gained momentum, highlighted by the 2023 international clinical guidelines from the World Federation of Societies for Biological Psychiatry (WFSBP) and Australasian Society of Lifestyle Medicine. For sports psychiatrists, this framework offers unique opportunities and challenges: athletes may excel in some lifestyle domains but neglect others critical for mental health.</span></span></span></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">The Six Pillars Framework: Evidence and Application</span></span></span></strong></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">1. Physical Activity: Beyond Training</span></span></span></strong></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: Helvetica">While athletes engage in high physical activity, the mental health benefits depend on how activity is structured. Meta-analyses show that structured exercise interventions reduce depressive symptoms with effect sizes comparable to antidepressants (standardized mean difference SMD 0.43–0.66)</span></span></span><sup style="caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 9px"><span style="font-family: Helvetica">1,2</span></span></span></sup><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: Helvetica">.</span></span></span><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> For athletes, the challenge involves optimizing existing activity for mental health benefits rather than prescribing additional exercise.</span></span></span></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Clinical Application:</span></span></span></strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> </span></span></span><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: Helvetica">Integrate periodized mental health goals into training cycles, including mindful movement during recovery phases.</span></span></span></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">2. Nutritional Psychiatry in Athletes</span></span></span></strong></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: Helvetica">Randomized controlled trials, including the SMILES trial, demonstrate that dietary interventions can achieve remission in 32% of moderate-to-severe depression cases</span></span></span><sup style="caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 9px"><span style="font-family: Helvetica">3</span></span></span></sup><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: Helvetica">. Mediterranean-style diets are consistently associated with lower depression risk (relative risk 0.67–0.91)</span></span></span><sup style="caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 9px"><span style="font-family: Helvetica">4</span></span></span></sup><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: Helvetica">.</span></span></span></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Contrast with Standard Practice:</span></span></span></strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> </span></span></span><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: Helvetica">Traditional sports nutrition emphasizes performance (macronutrient timing), whereas lifestyle psychiatry prioritizes anti-inflammatory foods, omega-3 fatty acids, and micronutrient density for mood regulation</span></span></span><sup style="caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 9px"><span style="font-family: Helvetica">3,4</span></span></span></sup><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: Helvetica">.</span></span></span></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">3. Sleep as Primary Intervention</span></span></span></strong></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: Helvetica">Sleep disturbances affect 80–90% of those with major depressive disorder</span></span></span><sup style="caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 9px"><span style="font-family: Helvetica">5</span></span></span></sup><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: Helvetica">. In athletes, even minor sleep deficits (<7 hours) increase injury risk 2.3-fold and delay recovery</span></span></span><sup style="caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 9px"><span style="font-family: Helvetica">6</span></span></span></sup><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: Helvetica">.</span></span></span><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> The bidirectional relationship between sleep and mental health makes this pillar particularly critical.</span></span></span></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Evidence-Based Protocols: </span></span></span></strong></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Sleep extension protocols (≥ 9 hours) show 12%7</span></span></span><sup style="caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 9px"><span style="font-family: Helvetica"> </span></span></span></sup><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">improvement in athletic performance metrics. Cognitive Behavioral Therapy for Insomnia (CBT-I) demonstrates superiority to sleep medications in athletes</span></span></span><sup style="caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 9px"><span style="font-family: Helvetica">8</span></span></span></sup><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">. </span></span></span></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">4. Stress Management: Performance vs. Pathology</span></span></span></strong></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: Helvetica">Athletes face unique stressors, including public scrutiny and career uncertainty. Mindfulness and acceptance-based interventions show moderate-to-large effects (Cohen’s d 0.55–0.82) for reducing anxiety and improving well-being</span></span></span><sup style="caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 9px"><span style="font-family: Helvetica">9</span></span></span></sup><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: Helvetica">.</span></span></span></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Implementation Strategy: </span></span></span></strong><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Embed stress management within existing mental skills training, not as a separate intervention</span></span></span><sup style="caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 9px"><span style="font-family: Helvetica">9</span></span></span></sup><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">.</span></span></span></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">5. Substance Use: Beyond Anti-Doping</span></span></span></strong></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: Helvetica">Lifestyle psychiatry addresses the full spectrum of substance use, including self-medication. Athletes have higher rates of alcohol use disorders (14–19%) than the general population</span></span></span><sup style="caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 9px"><span style="font-family: Helvetica">10</span></span></span></sup><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: Helvetica">.</span></span></span></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Clinical Consideration:</span></span></span></strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> </span></span></span><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Screen for compensatory substance use during injury recovery and career transitions</span></span></span><sup style="caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 9px"><span style="font-family: Helvetica">10</span></span></span></sup><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">.</span></span></span></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">6. Social Connections: Team vs. Authentic Relationships</span></span></span></strong></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Despite team settings, athletes report loneliness rates of 33–45%, especially in individual sports. Social isolation doubles depression risk (odds ratio 2.03)</span></span></span><sup style="caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 9px"><span style="font-family: Helvetica">12</span></span></span></sup><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">.</span></span></span></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Intervention Focus:</span></span></span></strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> </span></span></span><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Foster relationships beyond sport-specific roles to support identity and ease retirement transitions</span></span></span><sup style="caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 9px"><span style="font-family: Helvetica">11,12</span></span></span></sup><span style="color:rgb(0, 0, 0);"><span style="font-size: 15pt"><span style="font-family: Helvetica">.</span></span></span></p> <p class="MsoNormal last-child" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Contrasts with Standard Psychiatric Practice </span></span></span></strong></p> </div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="background-color:transparent;padding-top:12px;padding-bottom:12px;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" class="mceImageBlockContainer" align="center" id="b95"><div><!--[if !mso]><!--></div><table align="center" border="0" cellpadding="0" cellspacing="0" width="70%" style="border-collapse:separate;margin:0;vertical-align:top;max-width:70%;width:70%;height:auto" role="presentation" data-testid="image-95"><tbody><tr><td style="border:0;border-radius:0;margin:0" valign="top"><img decoding="async" alt="" src="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fmcusercontent.com%2f1af5072a1919d108b30cd2c1b%2fimages%2ff5eee359-19ef-76b9-d3fc-90d49e3b8081.png&c=E,1,4fiBsnifRE7MCNEe8Zsim9EH53AR_3VE9hBOYzQqruO0Zfq0gP5WGePTfJkLXntb_lYG2fA7FI0R621rvd49fHG8TESHdV5c6oyOHSniUBBXv94sA6G61Ow,&typo=1" width="461.99999999999994" height="auto" style="display:block;max-width:100%;height:auto;border-radius:0" class="imageDropZone mceImage" data-block-id="95"></td></tr></tbody></table><div><!--<![endif]--></div><div> <!--[if mso]> <span class="mceImageBorder" style="border:0;border-width:2px;vertical-align:top;margin:0"><img decoding="async" role="presentation" class="imageDropZone mceImage" src="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fmcusercontent.com%2f1af5072a1919d108b30cd2c1b%2fimages%2ff5eee359-19ef-76b9-d3fc-90d49e3b8081.png&c=E,1,Ipq-2Nxt2dA7TdvtV6AkCLrp0z0qMHm44cFZ0UP1-tM1ANNpEQ8dfG3Vos18YaM0gIMWD9oJQRamFNyHikJMKwHqRAPBcxmI4RIgzdLgXd86pzk,&typo=1" alt="" width="461.99999999999994" height="auto" style="display:block;max-width:461.99999999999994px;width:461.99999999999994px;height:auto"/></span> <![endif]--> </div></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-96"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b96"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:12px;padding-bottom:12px" class="mceTextBlockContainer"><div data-block-id="96" class="mceText" id="d96" style="width:100%"><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Example</span></span></span></strong><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">: At Stanford, comprehensive assessments include validated lifestyle tools (e.g., SIMPAQ for activity, PSQI for sleep)</span></span></span><sup style="caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 9px"><span style="font-family: Helvetica">13</span></span></span></sup><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">. Care is collaborative, involving performance staff and stepped care:</span></span></span><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">:</span></span></span></p> <ul><li><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Level 1: Lifestyle optimization for all athletes</span></span></span></p> </li><li><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Level 2: Targeted interventions for at-risk individuals</span></span></span></p> </li><li><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Level 3: Integrated lifestyle + traditional treatment for diagnosed conditions'</span></span></span></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><br /></p> </li></ul><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Outcomes Evidence</span></span></span></strong></p> <ul><li><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Effectiveness: Mendelian randomization studies show each one-point increase in lifestyle score reduces depression risk by 35% (odds ratio 0.65)</span></span></span><sup style="caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 9px"><span style="font-family: Helvetica">14</span></span></span></sup><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">.</span></span></span></p> </li><li><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Implementation data: </span></span></span><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: Helvetica">Early programs report up to 40% reduction in new mental health diagnoses when lifestyle screening is routine</span></span></span><sup style="caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 9px"><span style="font-family: Helvetica">15</span></span></span></sup><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: Helvetica">.</span></span></span></p> </li><li><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: Helvetica">Athlete Preferences: </span><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">65% of athletes prefer lifestyle interventions as first-line treatment</span></span></span><sup style="caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 9px"><span style="font-family: Helvetica">16</span></span></span></sup><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">.</span></span></span></p> </li><li><p class="mcePastedContent"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Cost-effectiveness: </span></span></span><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: Helvetica">Multidisciplinary lifestyle interventions can be cost-neutral or cost-saving, with a ratio of up to 3:1 compared to traditional treatment alone</span></span></span><sup style="caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 9px"><span style="font-family: Helvetica">17</span></span></span></sup><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: Helvetica">.</span></span></span></p> </li></ul><p class="mcePastedContent"><br /></p> <p class="mcePastedContent"><strong><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Future Directions and Gaps</span></span></span></strong></p> <ul><li><p class="mcePastedContent"><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Research Gaps: More high-quality trials are needed on emerging domains (e.g., green space, social support interventions), and on long-term outcomes in athlete populations</span></span></span><sup style="caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 9px"><span style="font-family: Helvetica">15</span></span></span></sup><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">.</span></span></span></p> </li><li><p class="mcePastedContent"><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Implementation: Success depends on multidisciplinary collaboration and ongoing education for clinicians and coaches</span></span></span><sup style="caret-color: rgb(0, 0, 0); color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 9px"><span style="font-family: Helvetica">15</span></span></span></sup><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">.</span></span></span></p> </li></ul><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Conclusion</span></span></span></strong></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><span style="color:rgb(0, 0, 0);"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Lifestyle psychiatry in sports is an evidence-based evolution that addresses root causes and aligns with athletes’ performance mindsets. By integrating the six pillars into routine care, sports psychiatrists can promote sustainable mental health and resilience, complementing traditional treatments and supporting peak performance.</span></span></span></p> <p class="MsoNormal last-child" style="margin: 0in 0in 8pt; line-height: normal; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"><a href="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fsportspsychiatrydigest.com%2fnewsletter-references&c=E,1,nQY0xotY2c0qO1OJYtabCIpqeLXFA_CDkiPYFS77_Xdl3j2Hwq70ywwM4vHueXy6xvqLk5ipd1ewVcOHtgekJc1pL6FCftjwEsumPmc7934j-OKXOA,,&typo=1" target="_blank" style="color: #0061fe;"><strong><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">References</span></span></strong></a></p> </div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="background-color:transparent;padding-top:0;padding-bottom:0;padding-right:24px;padding-left:24px;border:0;border-radius:0" valign="top" class="mceDividerBlockContainer" id="b87"><table align="center" border="0" cellpadding="0" cellspacing="0" width="100%" style="background-color:transparent;width:100%" role="presentation" class="mceDividerContainer" data-block-id="87"><tbody><tr><td style="min-width:100%;border-top-width:1px;border-top-style:solid;border-top-color:#2b2b2b;line-height:0;font-size:0" valign="top" class="mceDividerBlock"> </td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-98"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b98"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="98" class="mceText" id="d98" style="width:100%"><h1 class="last-child"><a href="" style="color: #011d57;" id="id_5" name="id_5" data-anchor-name="5"><span style="text-decoration:underline;">Resources & Quick Links</span></a></h1></div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-99"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b99"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="99" class="mceText" id="d99" style="width:100%"><h4 class="last-child"><span style="color:#011d57;">Professional Organization</span></h4></div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-103"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b103"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="103" class="mceText" id="d103" style="width:100%"><ul class="last-child"><li style="color: #0061fe;"><p class="mcePastedContent"><a href="https://linkprotect.cudasvc.com/url?a=http%3a%2f%2fwww.sportspsychiatry.org&c=E,1,qGdZmrB2cvhhu4wKX2gMy5wGIDCzlhMxLEt8UACDsY6AJEqZbMtkCCVeh1IinZ3VuTUl1fZfeYWTKHQXGMHbzWosuD2NsT1hSqhGLEBU9g,,&typo=1" target="_blank" style="color: #0061fe;"><strong><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">International Society for Sports Psychiatry (ISSP)</span></span></strong></a></p> <p class="mcePastedContent"><br /></p> </li></ul></div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-100"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b100"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="100" class="mceText" id="d100" style="width:100%"><h4 class="last-child"><span style="color:#011d57;">Journal Access</span></h4></div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-104"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b104"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="104" class="mceText" id="d104" style="width:100%"><ul class="last-child"><li style="color: #0061fe;"><p class="mcePastedContent"><a href="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fwww.hogrefe.com%2fch%2fzeitschrift%2fsports-psychiatry&c=E,1,hPSyXu0X0YNZelNpAFTxmCi0sRRh7sKaOFuJ800_q_UTG3fnj60pyGR1o6_cCbPFSZmFiN3NHd6wLNF1SbSyWGC0URHTUGvcPTXS-hkIiIYExQ,,&typo=1" target="_blank" style="color: #0061fe;"><strong><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Sports Psychiatry</span></span></strong><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> (Open Access)</span></span></a></p> <p class="p1 mcePastedContent"><br /></p> </li></ul></div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-101"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b101"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="101" class="mceText" id="d101" style="width:100%"><h4 class="last-child"><span style="color:#011d57;">Educational Opportunities</span></h4></div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-105"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b105"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="105" class="mceText" id="d105" style="width:100%"><ul class="last-child"><li><p class="mcePastedContent"><strong><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">ISSP Mentorship Program</span></span></span></strong></p> <ul><li><p class="mcePastedContent"><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Contact: </span></span></span><a href="mailto:mentorship@sportspsychiatry.org?subject=undefined&body=undefined" target="_blank" style="color: #011d57;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">mentorship@sportspsychiatry.org</span></span></a></p> </li></ul></li><li style="color: #0061fe;"><p class="mcePastedContent"><a href="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fsportspsychiatry.org%2fwp-content%2fuploads%2f2024%2f09%2f2022-ISSP-Sports-Psychiatry-Curriculum-FINAL.pdf&c=E,1,t44hrHFG9s5ELebP9DEamjvewXGy50Fi--oQrE2uNFAIi9opoUPWH9vVPGRS_Xv_lppE5w2l317DaH6YtTZWOQ3B5H9rb83cKzd-2Cq4i4Ez&typo=1" target="_blank" style="color: #0061fe;"><strong><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">ISSP Portable Didactic Curriculum</span></span></strong></a></p> </li></ul></div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-102"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b102"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="102" class="mceText" id="d102" style="width:100%"><h4 class="last-child"><span style="color:#011d57;">Clinical Tools </span></h4></div></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-106"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b106"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:0;padding-bottom:0" class="mceTextBlockContainer"><div data-block-id="106" class="mceText" id="d106" style="width:100%"><ul class="last-child"><li style="color: #0061fe;"><p class="mcePastedContent"><a href="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fstillmed.olympics.com%2fmedia%2fDocument%2520Library%2fIOC%2fAthletes%2fSafe-Sport-Initiatives%2fIOC-Mental-Health-In-Elite-Athletes-Toolkit-2021.pdf&c=E,1,ZT9AR5llrOw7S2D_wtGC7TCGr8v0U7RByptpb1dk86QSxB-KhjK6wi4NZlHBxC9SYDc5XT8qpcsSbD01lKiGfG2k4yvX2Ga6HME-qFACKlzq2pvLrrrLGYES6XM,&typo=1" target="_blank" style="color: #0061fe;"><strong><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">IOC Mental Health in Elite Athletes Toolkit</span></span></strong></a></p> </li><li><p class="mcePastedContent"><a href="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fwww.wada-ama.org%2fen%2fresources%2fworld-anti-doping-code-and-international-standards%2fprohibited-list&c=E,1,jVBMSuYZrJAS9XQXFecLOWTVNrZKx1-0L5jtQYG0RTjABxrVL0b1S2v_2k7wVr7iCvpOquStXr9hVm4YUBk9Lm0IdwmxWALdHwp6ss8C&typo=1" target="_blank" style="color: #0061fe;"><strong><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">WADA TUE Guidelines 2025</span></span></strong></a><a href="https://linkprotect.cudasvc.com/url?a=https%3a%2f%2fwww.wada-ama.org%2fen%2fresources%2fworld-anti-doping-code-and-international-standards%2fprohibited-list&c=E,1,xUKooR-xv4lo7wNPEKlUmz6Y8Xuw7bJYHvUyIYbSGPO8IKfKz4OgZYyExdSzci_4uvbcZdqgbBPgs12z_dxNyw9LEuWNqIjvqVji0ixw0nf_mM9x8sYMzTM,&typo=1" target="_blank" style="color: #011d57;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">:</span></span></a><span style="color:black;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> For prescribing in competitive athletes</span></span></span></p> </li></ul></div></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="background-color:transparent;border:0;border-radius:0" valign="top" id="b43"><table border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation" data-block-id="43"><tbody><tr><td valign="top" class="mceSpacerBlock" height="20"></td></tr></tbody></table></td></tr><tr><td valign="top" class="mceGutterContainer" id="gutterContainerId-47"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="background-color:#011d57;padding-top:8px;padding-bottom:8px;padding-right:8px;padding-left:8px;border:0;border-radius:0" valign="top" class="mceLayoutContainer" id="b47"><table align="center" border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation" data-block-id="47" id="section_e90a561b4a2b603643cb10cbf43ed79f" class="mceLayout"><tbody><tr class="mceRow"><td style="background-position:center;background-repeat:no-repeat;background-size:cover" valign="top"><table border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation"><tbody><tr><td valign="top" class="mceColumn" id="mceColumnId--15" data-block-id="-15" colspan="12" width="100%"><table border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation"><tbody><tr><td style="border:0;border-radius:0" valign="top" align="center" id="b-7"><table align="center" border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation" data-block-id="-7"><tbody><tr class="mceRow"><td style="background-position:center;background-repeat:no-repeat;background-size:cover;padding-top:0px;padding-bottom:0px" valign="top"><table border="0" cellpadding="0" cellspacing="24" width="100%" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0" valign="top" class="mceColumn" id="mceColumnId--2" data-block-id="-2" colspan="12" width="100%"><table border="0" cellpadding="0" cellspacing="0" width="100%" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:16px;padding-left:16px;border:0;border-radius:0" valign="top" class="mceBlockContainer" id="b45"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:24px;padding-right:24px;padding-top:12px;padding-bottom:12px" class="mceTextBlockContainer"><div data-block-id="44" class="mceText" id="d44" style="width:100%"><h3 class="last-child"><span style="color:#ffffff;"><span style="text-decoration:underline;">Contribute to Future Issues</span></span></h3></div></td></tr></tbody></table></td></tr><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0" valign="top" class="mceGutterContainer" id="gutterContainerId-46"><table border="0" cellpadding="0" cellspacing="0" width="100%" style="border-collapse:separate" role="presentation"><tbody><tr><td style="padding-top:0;padding-bottom:0;padding-right:0;padding-left:0;border:0;border-radius:0" valign="top" id="b46"><table width="100%" style="border:0;background-color:transparent;border-radius:0;border-collapse:separate"><tbody><tr><td style="padding-left:16px;padding-right:16px;padding-top:12px;padding-bottom:12px" class="mceTextBlockContainer"><div data-block-id="46" class="mceText" id="d46" style="width:100%"><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: 1; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; mso-line-height-alt: 100%;"><strong><span style="color:#ffffff;"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">Interested in Contributing?</span><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif"> </span></span></span></strong></p> <p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: 1; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; mso-line-height-alt: 100%;"><strong><span style="color:#ffffff;"><span style="font-size: 15px"><span style="font-family: 'Helvetica Neue', Helvetica, Arial, Verdana, sans-serif">We’re currently welcoming submission including to: </span></span></span></strong></p> <ul><li style="margin: 0in 0in 8pt; line-height: 1; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; mso-line-height-alt: 100%; color: #ffffff;"><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: 1; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; mso-line-height-alt: 100%;"><span style="color:#ffffff;"><span style="font-size: 15px">Case Studies </span></span></p> </li><li style="margin: 0in 0in 8pt; line-height: 1; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; mso-line-height-alt: 100%; color: #ffffff;"><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: 1; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; mso-line-height-alt: 100%;"><span style="color:#ffffff;"><span style="font-size: 15px">Interviews </span></span></p> </li><li style="margin: 0in 0in 8pt; line-height: 1; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; mso-line-height-alt: 100%; color: #ffffff;"><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: 1; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; mso-line-height-alt: 100%;"><span style="color:#ffffff;"><span style="font-size: 15px">Research summaries </span></span></p> </li><li style="margin: 0in 0in 8pt; line-height: 1; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; mso-line-height-alt: 100%; color: #ffffff;"><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: 1; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; mso-line-height-alt: 100%;"><span style="color:#ffffff;"><span style="font-size: 15px">Clinical insights </span></span></p> </li><li style="margin: 0in 0in 8pt; line-height: 1; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; mso-line-height-alt: 100%; color: #ffffff;"><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: 1; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; mso-line-height-alt: 100%;"><span style="color:#ffffff;"><span style="font-size: 15px">Conference reports </span></span></p> </li><li style="margin: 0in 0in 8pt; line-height: 1; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; mso-line-height-alt: 100%; color: #ffffff;"><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: 1; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; mso-line-height-alt: 100%;"><span style="color:#ffffff;"><span style="font-size: 15px">Book reviews </span></span></p> </li><li style="margin: 0in 0in 8pt; line-height: 1; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; mso-line-height-alt: 100%; color: #ffffff;"><p class="MsoNormal" style="margin: 0in 0in 8pt; line-height: 1; caret-color: rgb(0, 0, 0); font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; mso-line-height-alt: 100%;"><span style="color:#ffffff;"><span style="font-size: 15px">Letters to the editor </span></span></p> </li></ul><p class="MsoNormal last-child" style="margin: 0in 0in 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