How Acupuncture Can Help Soothe Pregame Anxiety
May 7, 2024
The topic of mental health in sports has been mostly ignored until fairly recently. But thanks to several high-profile athletes’ willingness to open up about their struggles, the topic is no longer quite so taboo.
“Athletes at all levels are realizing the importance of their overall mental health, mental preparation before an event and mental recovery afterward,” says Thomas R. Betts, DAOM, LAc, a sports medicine acupuncturist at Henry Ford Health. “Having your mind in the right place pays big dividends in terms of sports performance.”
One of the many tools athletes are using to get their minds healthy is acupuncture. It may be an ancient Chinese practice, but it can be useful to help improve the mental health of modern athletes.
What Is Acupuncture?
Acupuncture is a healing technique that has been used in traditional Chinese medicine for thousands of years. Acupuncture practitioners (acupuncturists) insert very fine, thin needles into the skin at various points on the body, depending on what condition they’re treating.
According to traditional Chinese medicine, the insertion points for the needles correspond to specific internal organs or energy channels in the body. “The philosophy behind traditional Chinese medicine is that acupuncture works by manipulating the flow of blood and energy to create balance and harmony in the body,” says Betts.
From a Western medicine perspective, acupuncture works by stimulating the central nervous system and by having some direct effect on the tissues in which needles are placed. Acupuncture also has a balancing effect on hormones within the body. It works well with other treatments for anxiety such as sports psychology, massage therapy, guided visualization and meditation.
How Can Acupuncture Improve Sports Performance?
Acupuncture has long been used to help people relax, reduce stress and cope with anxiety. And it can have that effect even when the acupuncturist is treating a physical problem. “Even when I’m treating an athlete for a sports injury, when I ask how they feel post treatment the overwhelming response I hear is ‘I feel so relaxed,’” says Betts.
This is why acupuncture seems like a natural fit for helping athletes of all levels cope with performance anxiety, pregame jitters or other competition-related fears. “Reducing stress helps athletes perform better,” says Betts. “And more and more athletes are realizing that taking care of their mental health and using tools to stay mentally focused can really enhance their performance.”
When Should Athletes Try Acupuncture?
Since an acupuncture session can leave you feeling super calm and relaxed, you don’t want to try it for the first time right before a game or competition. “The timing is important,” says Betts. “You want the athlete to feel motivated to compete, not totally Zenned out.”
The best approach is to schedule a series of acupuncture sessions in the weeks leading up to a big game, competition or race. Betts says he typically recommends athletes come in twice a week for three weeks to get started. “It’s not about treating their anxiety in the moments before a game,” he says. “It’s about establishing a baseline of calm that they can carry with them into the competition.”
While there’s still some stigma surrounding athletes and mental health, Betts sees the popularity of acupuncture as one sign of a shift. “I think we’re trending in the right direction for mental health,” he says. “Athletes are starting to understand that if they want longevity and success in their sport, they need to take care of their mental and emotional health—not just the physical.”
Reviewed by Thomas Betts, DOAM, RAc, a certified sports acupuncturist who sees patients at the Henry Ford Center for Athletic Medicine in Detroit.
To find a sports medicine provider at Henry Ford Health, visit henryford.com/athletes or call 313-651-1969.
Why Athletes Should See A Sport Psychologist
By
Elizabeth Swanson
Henry Ford Health
January 9, 2024
Whether at the professional or intramural level, there are so many benefits to being an athlete. Participating in a sport teaches communication skills, how to overcome adversity—and regular exercise has so many incredible health effects on the mind and body.
But that’s not to say athletes don’t have their own set of challenges. Pressures to perform, physical injuries and intense schedules can take a toll on anyone’s mental health, which is where a sport psychologist comes in.
“It’s helpful that a sport psychologist knows the culture of athletics and the typical stressors that athletes face,” says Seth Swary, Ph.D., a sport psychology clinician at the Henry Ford Center for Athletic Medicine. “We’re familiar with the influence the world of athletics can have on someone and how it can affect their well-being.
“Athletes have a whole team around them to help them perform — athletic trainers, nutritionists, etc.— so why shouldn’t they have an expert who is dedicated to supporting their mental health? A sport psychologist acts as a strength-training coach for the mind.”
Mental Health Challenges That Athletes Face & How Sport Psychology Can Help
Athletes often have a built-in support system: teammates and coaches who know what they’re going through and trainers and physicians who can help manage aches and injuries. But still, it’s not always easy. Some of the difficulties that athletes face include:
- Increased attention on body image. Especially if you play a sport that requires revealing outfits — or a sport with increased focus on weight — it might be difficult to maintain a healthy body image. For some, this can lead to an increased risk of developing an eating disorder.
- The pressure to perform. “If you’re an athlete at the college or professional level and play badly during a game, you get roasted on Twitter,” says Dr. Swary. “But even if you’re not in the public eye, there is pressure to perform — from coaches, teammates, family members.”
- Navigating demanding schedules. “I work with many college athletes and their schedules are packed — practicing at least two hours a day, team meetings, traveling to and from games — and then they’re trying to keep up with school,” says Dr. Swary. “It can be stressful.”
- Debilitating physical injuries. The physical demand of sports can also bring about its own set of challenges — especially when injuries occur. “You’re not only dealing with surgery and rehabilitation, but you’re also out of the game for a while,” says Dr. Swary.
- Making career transitions. “I’ve worked with many athletes who are transitioning from one level of athletics to another (for example, middle school to high school, high school to college, college to professional) along with athletes who are transitioning out of their career,” says Dr. Swary. “They wonder how they can leave this sport they’ve been doing their whole lives — some since they were 3 or 4 years old. It can be a huge part of their identity and a tough transition to make. Even more so if it’s an injury that abruptly derails their career. We can provide them with ways to make a smooth, healthy transition.”
That said, nothing “bad” has to happen to benefit from sport psychology. As Dr. Swary says, you don’t see a personal trainer because you’re not strong, you see a personal trainer because you could benefit from being stronger. It’s the same with sport psychology — and it can help improve your performance.
“We have specific skills we work on for performance optimization,” says Dr. Swary. “How do we talk to ourselves? How do we respond in certain situations? How do we stay in the moment when we’re distracted?
“A high school athlete may have had a rough day at school; then they have to refocus and find energy at the end of the day for their game. It can be helpful for any athlete at any time.”
Reviewed by Seth Swary, Ph.D., a sport psychology clinician at the Henry Ford Center for Athletic Medicine.
To learn more about the sport psychology program at Henry Ford or to request an appointment, visit henryford.com/sportpsychology.