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5 Tips for the Anxious Athlete

3/3/2026

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Sarah Vanderpool, LCMHC, NCC, LPSC

Psychotherapist

In addition to being a licensed psychotherapy, I am also a former competitive athlete and current coach. With the latter role, helping my athletes prepare for competition, both mentally and physically, is my job. But as parents, as coaches, and as athletes, what do we do when our brain becomes unmanageable and negatively affects athletic performance? While there is certainly no “one size fits all,” I’ve used my knowledge as a coach, parent, and mental health professional to compile what I think is a helpful list of things to consider for athletes who have pre-competition anxiety.

Feeling anxious before a big game or competition is completely normal, but when nerves start to interfere with your performance or enjoyment, it’s time to take action. Many athletes struggle with pre-game jitters, overthinking, or fear of failure, but with the right mindset and strategies, anxiety can actually become a powerful source of focus and motivation.
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​1. Fuel Your Body
Put good in, get good out. Athletes must properly fuel their body for optimal competition results. This includes proper nutrition throughout practices, days/hours leading up to, and after the main event. A well-fueled body performs better and recovers faster. See what Abby Olmstead, Registered Dietitian Nutritionist, has to say about fueling your body properly for competition: Fueling your Body for Game Day.


2. Be a Goldfish
Goldfish have a short memory — and that’s a good thing. Finding the mental toughness to shake off mistakes and stay focused on what is happening in the moment can be challenging, but practice makes permanent. Keep moving forward and focus on what’s next – you got this!

3. Visualization
Mentally rehearse success. Picture yourself performing confidently and skillfully. See it from a 3rd-person perspective (like you’re watching yourself from the stands) and from your own eyes. This is what people mean when they say “eat, sleep, and breathe your sport”. Utilize positive visualization any time you have a free moment and make it part of your pre-game routine.

4. Pre-Game Routine
Routine builds confidence and reduces nerves. Everybody’s pre-game routine might look a little different, but the goal is the same – train your muscle memory well before game time. Include sleep, nutrition, breathing, and visualization. Add music, positive self-talk, or a specific warm-up — whatever helps you lock in. If you’re not sure what to do, ask your coach and/or teammates for help. Or your trusty mental health therapist 🙂

5. Breathe
Slow breathing = calm body and clear mind. When anxiety rears its unwanted head, you’ll want to have some coping skills in your back pocket to help mitigate the frustrating effects anxiety can have on your body and your performance. When you can control your breathing, it helps regulate heart rate, which is directly impacted by anxiety. Slow your breathing, and make your exhale longer than your inhale. Try 4-7-8 breathing:
  • Inhale for 4 seconds
  • Hold for 7 seconds
  • Exhale slowly for 8 seconds
Pro tip: Struggle to exhale slowly? Hiss like a snake to control the airflow.

You have more power over your mind than you realize. So go, right now, and practice your breathing and visualization, and make a few notes on what a pre-game/competition routine might look like for you. In part two, I’ll talk more about managing adrenaline, and practicing for permanence, not perfection.

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Sarah Vanderpool
Author Sarah Vanderpool, LCMHC, NCC, LPSC is a Licensed Professional School Counselor and Licensed Clinical Mental Health Counselor. She specializes in working with children, adolescents, and college-aged adults. As a former competitive athlete, Sarah has a niche in sports psychology and enjoys supporting youth and adults who participate in both competitive and recreational athletics alike to overcome psychological obstacles such as stress, anxiety, concentration, confidence, anger, and depression.
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    Banyan Tree Counseling & Wellness

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  • Home
  • Book Appointment
  • About Us
    • FAQ >
      • FAQ en español
    • Our Story
    • Mission & Values
    • YouTube Channel
    • Blog
    • Crisis Resources
    • JEDI Philosophy
  • Services
    • Services
    • Psychiatry | Medication Management
    • ADHD >
      • ADHD
    • Autism Assessments >
      • Book ADOS-2 Assessment
    • Coaching
    • Couples >
      • Gail Herbert, LCMHCA - Couples & Relationship Therapist
      • Yubi Aranda Sandoval, LCMHCA - Couples & Relationship Therapist
      • Angel Joel, LCMHCA - Couples Therapist & UNCG PhD Candidate | Winston-Salem, NC
      • Jennifer Cui, LCSW, Couples & Relationship Therapist
      • Emu Aragon, LCMHC - Couples & Relationship Therapist
    • Eating Disorders Therapy
    • Educational Consulting | Special Needs Advocacy >
      • Jordan Peterson, MEd, MA, LCMHCA - Educational Consultant & Advocate
    • Expressive Arts Therapy
    • OCD >
      • Alexa Brenner DeConne, LCSW
      • Hayley McCraw, LCMHCA
    • Groups & Webinars
    • Nutrition >
      • Executive Nutrition & Performance Coaching
    • Parenting + Family Therapy
    • Play Therapy for Children >
      • Kyra Willeford
      • Alexa Brenner DeConne, LCSW
      • Gregoria Arreola-Meza, LCMHCA
      • Vika Hunter, LCMHCA
      • Yubi Aranda Sandoval, LCMHCA
    • Separation Counseling + Collaborative Parenting
    • Telehealth
    • Therapy for Teachers
    • Trauma
  • Meet Our Team
    • Meet the Whole Team!
    • Abby Olmstead, Registered Dietitian Nutritionist
    • Abbey Lefko
    • Alexa Brenner DeConne
    • Amber Miner
    • Andrew Shaw
    • Angel Joel
    • Autumn Martin
    • Brittany Proxmire
    • Britt Stewart
    • Bru Ramirez >
      • Bru Ramirez, Psicoterapeuta Licenciada
    • Christine Ridley
    • Emily Ortiz Badalamente
    • Emily Rodgers
    • Emu Aragon >
      • Emu Aragon, Consejero Clinico
    • Gail Herbert
    • Gregoria Arreola-Meza >
      • Gregoria Arreola-Meza, Consejera Clinica
    • Hayley McCraw
    • Jennifer Cui
    • Kyra Willeford
    • Larisa King, Psychiatric Practitioner
    • Leandra Ottman
    • Leslie "Les" Gura
    • Maggie Latta-Milord
    • Miriam Dineen, Psychiatric Practitioner
    • Sarah Vanderpool
    • Savannah Ornt
    • Simone Banks
    • Tess Job
    • Tiffany Woods
    • Vika Hunter
    • Yubi Aranda Sandoval >
      • Yubi Aranda Sandoval, Consejera Clinica
    • Administrative Staff >
      • Brittany Proxmire
      • Jill Wixon
      • Emilia Lipnicki
      • Brooke Lichtenfels
      • Christal Stewart
      • Emu Aragon, Admin
      • Jamee Nunnery
    • Leadership Team >
      • Jamie Cullen
      • Chantal D. Hayes
      • Jordan Peterson
      • Graham Hayes
      • Sharon A. Findlay
  • Fees & Insurance
    • Fees + Insurance
    • Pay My Bill
  • Hiring
    • Hiring Clinical Lead/Supervisor
    • Hiring Therapist
    • Hiring Psychologist
    • Hiring PMHNP/PA
    • FAQ's for Interns
  • Client Portal