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Performance Anxiety in Athletes: What It Is and How to Overcome It

Performance anxiety in athletes is more common than most people realize. From youth competitors to elite performers, athletes of all ages experience moments of intense pressure before or during competition. While nerves can sharpen focus and enhance performance, excessive anxiety can interfere with confidence, coordination, and decision-making.


Performance anxiety in athletes

Understanding Performance Anxiety in Athletes

At Russell Health Collective, we work with athletes who struggle with overwhelming self-doubt, racing thoughts, physical tension, and fear of failure. These challenges are not signs of weakness — they are human responses to pressure. With the right tools and support, performance anxiety can be understood, managed, and even transformed into a competitive advantage.


What Is Performance Anxiety in Athletes?

Performance anxiety in athletes refers to the intense fear, worry, or nervousness experienced before or during athletic performance. It can show up physically, emotionally, and cognitively.


Physical Symptoms:

  • Increased heart rate

  • Shallow breathing

  • Muscle tightness

  • Nausea

  • Sweating

  • Shaking


Mental and Emotional Symptoms:

  • Fear of making mistakes

  • Negative self-talk

  • Overthinking plays or movements

  • Catastrophic thinking (“If I mess up, everything is ruined.”)

  • Difficulty focusing


In moderate amounts, stress can be motivating. But when anxiety overwhelms the nervous system, performance often suffers. That’s when professional support becomes valuable.


Why Does Performance Anxiety Happen?

Performance anxiety in athletes develops for several reasons:


1. Fear of Failure

Many athletes tie their identity to performance. When outcomes feel like reflections of personal worth, pressure increases dramatically.


2. Perfectionism

High standards can drive success — but rigid perfectionism fuels anxiety and self-criticism.


3. External Pressure

Parents, coaches, teammates, scholarships, social media, and financial investments can heighten expectations.


4. Injury or Return to Play

After an injury, athletes often fear re-injury or underperforming, increasing anxiety.


5. Past Negative Experiences

A previous mistake or poor performance can create anticipatory fear in future competitions.


Understanding these root causes is a key step in overcoming performance anxiety in athletes.


How Performance Anxiety Affects Athletic Performance

When anxiety activates the body’s fight-or-flight response, several performance barriers emerge:


  • Decreased motor coordination

  • Tight muscles limiting range of motion

  • Slower reaction times

  • Reduced confidence

  • Impaired strategic thinking


Ironically, the fear of underperforming can create the very outcome the athlete is trying to avoid.


The Nervous System and Athletic Performance

At Russell Health Collective, we often explain performance anxiety in athletes through the lens of nervous system regulation.


When the sympathetic nervous system is overly activated (fight-or-flight mode), fine motor skills and fluid movement decline. The key is not eliminating stress entirely — but learning to regulate it.


Mental health support focuses on helping athletes:

  • Recognize physical stress signals early

  • Develop grounding strategies

  • Build emotional resilience

  • Strengthen cognitive flexibility


Evidence-Based Strategies to Overcome Performance Anxiety in Athletes

1. Cognitive Restructuring

Athletes often engage in automatic negative thoughts (“I always choke,” “I’m not good enough”). Through counselling, we help athletes identify, challenge, and reframe these thoughts into balanced perspectives.


2. Controlled Breathing Techniques

Slow diaphragmatic breathing calms the nervous system. Practicing breathwork before competition reduces physical symptoms of anxiety.


3. Visualization Training

Mental rehearsal strengthens neural pathways associated with successful performance. Athletes visualize executing plays confidently and effectively.


4. Pre-Performance Routines

Consistent routines provide psychological safety and predictability, reducing anticipatory stress.


5. Mindfulness-Based Strategies

Mindfulness improves present-moment awareness, preventing athletes from getting stuck in past mistakes or future fears.


6. Self-Compassion Development

Performance anxiety in athletes often stems from harsh self-criticism. Learning self-compassion builds resilience and sustainable confidence.


When Should an Athlete Seek Professional Support?

It may be time to seek mental health support if:


  • Anxiety interferes with enjoyment of the sport

  • Sleep is disrupted before competitions

  • Panic attacks occur before or during events

  • Avoidance behaviours develop

  • Confidence declines significantly

  • Performance anxiety spreads to academics or work


Professional counselling provides a structured environment to build coping tools tailored to the individual athlete.


How Russell Health Collective Supports Athletes

Our mental health support services are designed to support young adults, adults, and seniors facing anxiety, depression, performance stress, and trauma-related challenges.


For athletes experiencing performance anxiety in athletes, our psychotherapist can help with:


  • Anxiety management techniques

  • Trauma-informed therapy if past experiences are impacting performance

  • Identity exploration beyond sport

  • Coping skills for competition pressure

  • Emotional regulation strategies

  • Stress management during high-demand seasons


Because Russell Health Collective is multidisciplinary, we can also integrate:

  • Physiotherapy for injury recovery

  • Concussion rehabilitation

  • Massage therapy for physical tension

  • Dietitian services for energy regulation

  • Yoga and Pilates classes for nervous system support


This whole-person approach recognizes that performance anxiety in athletes affects both mind and body.


Performance Anxiety in Youth Athletes

Youth athletes may struggle silently with anxiety due to fear of disappointing adults. Parents and coaches play a critical role in shaping psychological safety.


We encourage:

  • Emphasizing effort over outcome

  • Encouraging open conversations about stress

  • Normalizing nerves before competition

  • Avoiding overly critical feedback


Mental health support for youth athletes fosters confidence that extends beyond sport.


Reframing Anxiety as Readiness

One powerful shift involves reframing anxiety symptoms as readiness signals.

A racing heart? The body prepares for action.Sweaty palms? A sign of heightened alertness.Butterflies? Energy mobilizing for performance.


With therapeutic support, athletes learn to interpret physiological arousal as performance fuel rather than threat.


Building Long-Term Mental Resilience

Overcoming performance anxiety in athletes is not about eliminating nerves. It’s about building resilience.


Resilient athletes:

  • Accept imperfection

  • Recover quickly from mistakes

  • Maintain perspective

  • Separate identity from performance

  • View setbacks as growth opportunities


Counselling helps cultivate these traits in a structured, evidence-based way.



Strengthen Your Mental Game with Professional Support

If performance anxiety in athletes is holding you back, you don’t have to manage it alone. At Russell Health Collective, our mental health support services provide practical, evidence-based tools to help you compete with confidence and clarity. Book a consultation today and start strengthening your mental performance.


👉 Book a consultation today




Turning Performance Pressure into Performance Power

Performance anxiety in athletes is common — but it does not have to define your experience in sport. When understood and managed effectively, nervous energy can enhance focus, sharpen skills, and elevate performance.


At Russell Health Collective, we believe mental health is just as important as physical conditioning. With professional guidance, practical tools, and compassionate support, athletes can transform anxiety into resilience.


If you’re ready to build confidence that lasts beyond the scoreboard, our team is here to help you move forward — stronger, steadier, and more self-assured.


Contact Information

Clinic Hours

  • Mon. 10:00am-7:00pm

  • Tues. 8:00am-6:00pm

  • Wed. 9:00am-6:00pm

  • Thurs. 9:00am-6:00pm

  • Fri. 8:00am-1:00pm


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