Sports Psychiatry Mental Performance at the Highest Level of Competition

At the elite level, performance is rarely limited by physical ability alone.

Focus, confidence, composure, and the ability to execute under pressure often determine outcomes. Even subtle disruptions in mental state—attention, emotion, recovery—can meaningfully impact performance.

Sports psychiatry addresses these variables with clinical precision.

At Choulet Performance Psychiatry®, our work with athletes is designed to support both mental health and sustained performance, recognizing that the two are inseparable at a high level.

Designed for the Demands of Elite Sport

Sports psychiatry extends beyond traditional mental skills training.

As physicians, sports psychiatrists evaluate and treat the full range of factors that influence how an athlete performs, including:

  • Performance anxiety and pressure under competition

  • Confidence challenges and imposter syndrome

  • Attention and focus concerns, including ADHD

  • Anxiety, depression, and mood-related conditions

  • Mental barriers following injury and return-to-play transitions

  • Identity shifts, including transition out of sport

This allows for a more comprehensive, medically informed approach—particularly in environments where performance and well-being must be managed simultaneously.

A More Individualized Approach to Care

No two athletes experience pressure, performance, or recovery in the same way.

Care is highly individualized and may include:

  • Refining cognitive and emotional responses under pressure

  • Addressing underlying mental health conditions when present

  • Supporting focus, attention, and decision-making in real time

  • Rebuilding confidence following setbacks or injury

  • Developing mental frameworks for consistency and adaptability

The goal is not only to resolve challenges—but to create a more stable and reliable performance baseline.

Navigating Injury, Recovery, and Transition

Some of the most complex moments in an athlete’s career occur off the field.

We provide support for:

  • The psychological impact of physical injury

  • Loss of identity or structure during recovery

  • Anxiety around return to competition

  • Transitioning out of sport or into new roles

These periods often require a different level of care—one that addresses both performance and identity with equal attention.

Integrated, Collaborative Care

Performance is influenced by a broader ecosystem.

When appropriate, we collaborate with coaches, trainers, and other members of your support team to ensure that care is aligned with your training, recovery, and competition demands.

This integrated model allows for:

  • Greater continuity between mental and physical preparation
  • More effective implementation of strategies
  • A cohesive approach to long-term development

A Standard Aligned with Elite Performance

At Choulet Performance Psychiatry®, sports psychiatry is approached with the same level of rigor and precision required in elite sport.

We understand the demands, the pressure, and the expectations—and provide care that is aligned with that reality.

Begin with a More Comprehensive Approach

If you are seeking a sports psychiatrist who understands both the clinical and performance dimensions of athletics, we invite you to begin the process.

Psychiatrists Selected for Precision and Discretion

To learn more about our team of board-certified psychiatrists, including their backgrounds and fees, click below.

BROOK CHOULET, M.D., F.A.P.A.

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MICHAEL BOWEN, M.D.

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KATHERINE GALLARDO, M.D.

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MATTHEW MONTGOMERY, M.D.

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Your Path to Performance Optimization

For those seeking a more thoughtful and individualized approach to mental health and performance, we invite you to begin the process.​​​​​​​

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