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Mental Health

Maintaining a Positive Mental Health

13% of the global population experience some form of mental health disorder.

Athletes are not immune to mental health challenges, such as burnout, distress, anxiety, depression, unhealthy eating patterns, insomnia and alcohol or drug misuse.

Many different factors can impact athlete mental wellness and are all associated with mental health symptoms:

  • Injury

  • Performance pressures

  • Dealing with failure and/or success, and

  • Career transition out of sport

See below an evidence-based sport science and medicine guidance for developing athletes to maintain a positive mental health.

Maintaining a Positive Mental Health (UK Sports Institute)
Feb 02, 20262.54 MB
Maintaining a Positive Mental Health (UK Sports Institute)
Feb 02, 20262.54 MB

IOC Mental Health in Elite Athletes Toolkit

This toolkit is intended to equip stakeholders with the knowledge and guidance to protect and promote while providing resources to benefit elite athletes’ mental health and well-being.

IOC Mental Health in Elite Athletes Toolkit
Jan 23, 20267.18 MB
IOC Mental Health in Elite Athletes Toolkit
Jan 23, 20267.18 MB
Illustration of athletes in various sports within a head silhouette, with text: "IOC Mental Health in Elite Athletes Toolkit, Spring 2021."
IOC Mental Health in Elite Athletes Toolkit @IOC Athlete 365

Content Guide

Infographic detailing a toolkit's four sections: Introduction, Mental Health Symptoms, Roles and Responsibilities, and Resources.
Content Guide - IOC Mental Health in Elite Athletes Toolkit @IOC Athlete 365

Introduction

Introduction - IOC Mental Health in Elite Athletes Toolkit
Jan 23, 20261.94 MB
Introduction - IOC Mental Health in Elite Athletes Toolkit
Jan 23, 20261.94 MB

Mental Health Symptoms and Disorders

Mental Health Symptoms and Disorders Prevalence

Infographic on mental health in athletes, covering anxiety, depression, eating disorders, substance misuse, ADHD, gambling, and alcohol misuse.
Prevalence of Mental Health Symptoms and Disorders in Elite Athletes @IOC Athlete 365
Mental Health Symptoms and Disorders - IOC Mental Health in Elite Athletes Toolkit
Jan 23, 2026253 kB
Mental Health Symptoms and Disorders - IOC Mental Health in Elite Athletes Toolkit
Jan 23, 2026253 kB

Roles & Responsibilities

This section outlines the roles and responsibilities of the key stakeholder groups related to the creation of a psychologically supportive athletic environment. These stakeholder groups are: athlete's entourage, coaches, sports organizations, and health professionals.

Roles and Responsibilities - IOC Mental Health in Elite Athletes Toolkit
Jan 23, 2026102 kB
Roles and Responsibilities - IOC Mental Health in Elite Athletes Toolkit
Jan 23, 2026102 kB

Athletes' Entourage

Athletes' Entourage - IOC Mental Health in Elite Athletes Toolkit
Jan 23, 2026609 kB
Athletes' Entourage - IOC Mental Health in Elite Athletes Toolkit
Jan 23, 2026609 kB
  • Athlete-Coach Communication on Stigmatized Health Topics

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Sports Organizations

Sports Organizations - IOC Mental Health in Elite Athletes Toolkit
Jan 23, 2026478 kB
Sports Organizations - IOC Mental Health in Elite Athletes Toolkit
Jan 23, 2026478 kB

Health Professionals

Health Professionals - IOC Mental Health in Elite Athletes Toolkit
Jan 23, 2026447 kB
Health Professionals - IOC Mental Health in Elite Athletes Toolkit
Jan 23, 2026447 kB

Resources

The final section of the toolkit highlights available resources and where to find further information.

Resources - IOC Mental Health in Elite Athletes Toolkit
Jan 23, 20263.04 MB
Resources - IOC Mental Health in Elite Athletes Toolkit
Jan 23, 20263.04 MB

IOC Sport Mental Health Recognition Tool

The International Olympic Committee (IOC) Sport Mental Health Recognition Tool 1 (SMHRT-1) can be used by athletes, coaches, family members and all other members of the athlete’s entourage to recognise mental health problems, but not to diagnose them. The SMHRT-1 presents a list of athlete experiences (thoughts, feelings, behaviours, physical changes) that could be indicative of mental health problems.

IOC Sport Mental Health Recognition Tool (SMHRT1)
Jan 23, 2026150 kB
IOC Sport Mental Health Recognition Tool (SMHRT1)
Jan 23, 2026150 kB

IOC Sport Mental Health Assessment Tool

The International Olympic Committee (IOC) Sport Mental Health Assessment Tool 1 (SMHAT-1) is a standardised assessment tool aiming to identify, at an early stage, elite athletes (defined as professional, Olympic, Paralympic and collegiate level; 16 and older) potentially at risk for, or already experiencing, mental health symptoms and disorders, in order to facilitate timely referral of those in need of adequate support and/or treatment.

IOC Sport Mental Health Assessment Tool 1 (SMHAT1)
Jan 23, 2026150 kB
IOC Sport Mental Health Assessment Tool 1 (SMHAT1)
Jan 23, 2026150 kB

Anxiety - Coping Strategies

Athlete Mental Health Support

24/7 Mental Health Support for Athletes at the Winter Olympic Games Milano Cortina 2026: Starting from 20 January 2026

Eating Disorders

Eating Disorders: What You Need to Know

Eating Disorders: What You Need to Know (US National Institute of Mental Health)
Feb 03, 2026510 kB
Eating Disorders: What You Need to Know (US National Institute of Mental Health)
Feb 03, 2026510 kB

Eating disorders in female athletes

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Recommendations and nutritional considerations for female athletes

Athlete Guide to Basic Food Preparation and Cooking (UK Sports Institute)
Feb 05, 20264.83 MB
Athlete Guide to Basic Food Preparation and Cooking (UK Sports Institute)
Feb 05, 20264.83 MB

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Relative Energy Deficiency in Sport and the use of assessment tools

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Athletes

Sports Nutrition Fundamentals To Improve Performance (UK Sports Institute)
Feb 05, 20263.92 MB
Sports Nutrition Fundamentals To Improve Performance (UK Sports Institute)
Feb 05, 20263.92 MB

Coaches

Relative Energy Deficiency in Sport: Best Practices for Coaches

RED-S Best Practices for Coaches
Feb 05, 20265.00 MB
RED-S Best Practices for Coaches
Feb 05, 20265.00 MB

Video of the Webinar: 14.05: Dr. David Bailey & Vanessa ZorasRelative Energy Deficiency in Sport – best practice for coaches

Transitioning Out of the Sport

How to manage your transition out of sport

https://www.olympics.com/athlete365/articles/mental-health/how-to-manage-your-transition-out-of-sport

IOC Athlete365 Courses