For the first time in history Tokyo Olympics has taken mantal health issues to the podium.
Indian team has been no exception.
Here is my attempt to give you a glimpse of what affects a champion's mind.
I have worked as mental health coach for many sportspersons over last 2 decades.
Chess, TT, Lawn Tennis, Golf and occasional shuttler too.
Some of those have played at international level too.
So I have some insider information for you.
Read on -
For most people mental health is about anxiety, depression, suicide and the big names like bipolar and schizophrenia.
For performance most people are happy to believe that self confidence and persistence is all that is needed.
It is far from truth.
Mental coaching for performance is dictated by sports (even by role in the team), temperament of sportsperson, team behaviour, coach's methods, family & friends and most importantly - intimate relationships.
It changes dramatically at different levels of competitive success.
There is nothing "normative" about life of a sportsperson. From very early age they live a double if not triple life.
One in their mind.
One on court/ground
And
One for rest of the world.
Loneliness is one of the greatest fallouts of dedication and success.
It is difficult to have "normal" friends. Relationships with coach and even family are stressed.
A trusted small inner circle is all you have IF you are lucky.
It gets lonelier with success.
Another real enemy is what is going on in your mind.
Being able to switch modes from training, coaching, planning and competing is vital. Not many can do this easily.
Being able to change plans on the fly and execute them flawlessly is a rare gift of intelligence that very few have.
Competing at school, district even state and regional level is child's play for a decently gifted sportsperson in India (except cricket and chess).
Game changes exponentially as you move to national & international level.
Being able to see yourself at your best all the time, that best being good enough at international level and struggling to get real life performance to match that super-image in your mind is sheer torture.
Who to trust?
How much?
What part of the performance is under my control?
What needs to let go? For how long?
Not easy questions when each microsecond counts.
Many times this is what makes sportspersons superstitious and devoted to some guru. It is difficult to completely trust living people around you
Preparation for this needs to start very early. Some are gifted with fabulous temperament, many can be trained.
In early days, parents are main support. Most parents learn sports with their children and also try to "counsel" them.
Most early coaches also have serious limitations
As any sportsperson knows that early habits are important. Wrong habits can harm seriously.
For mental part of the game, habits need to change as one rises and faced more able opponents. This is something most parents miss completely.
Ability to listen to your mind and also to silence it when needed is important skill.
I suspect a beloved gymnast and an indian TT player got affected by what happened in their mind. They couldn't see themselves fitting their own very high standards and walked away.
There is no one size fits all solution.
Mental fitness is also a TEAM effort. Parents, coaches, support staff and team-mates all need to be on same page for that sportsman. It is hive-mind (ref - Indian Jones and crystal skulls :)).
Till few years ago battling with power obsessed sports bosses and pathetic training facilities was main deterrent.
Now it is getting better consistently with @Ra_THORe
I am sure that with each successive international championship, India's performance will continue to get better. #JaiHind
There are many complex issues that I left out in this thread.
Aim is to spread awareness that mental coaching for performance is NOT common sense and many times it is counter intuitive.
After a few months break, I did a home visit again.
This is my favourite part of work. Visiting a child in their home for assessment/consultation/intervention is one of the most rewarding part of my work as a child psychiatrist in India.
Read on..
Possibility of violence and self neglect are two commonest causes of home visit in my work.
I have been called to talk a child out of locked rooms, toilets, homes, etc. Sometimes I succeed.
What I see in clinic is a sanitized, made up version of family.
Even a planned home visit lets me into their real world and gives wealth of useful clinical information that can help the child and family.
Many parents want their kids to become doctors in India. Many kids also have similar dreams.
This thread can help you choose with better information about medicine and healthcare.
Read on...
Most children aspiring to be doctor talk medicine as -
Saving lives
Fighting disease
Giving access to healthcare to all people
Glamour
Finding pathbreaking ways of treatment
Money
Impressing friends and relatives
All honest answers. True.
Real life medicine is simple -
Working with ONE person at a time. A few or a lot everyday. Everyday of the year. All your working life.
It is intimate and emotional work irrespective of your clinical speciality.
For whatever reasons, "good touch-bad touch" has become buzzword with NGOs and Govt agencies.
They feel compelled to include "Good Touch" in every discussion about Childhood Sexual Abuse (CSA).
This is highly dangerous and may make children MORE vulnerable.
Reasons - 1. 85-95% CSA happens at home. From people depicted as "good touch" in various programs. 2. Abusers groom children for a considerable time before moving on with sexual assault. Grooming involves various techniques INCLUDING so called "good touch".
This picture shows one of the most poignant moments in doctor's/nurse's working life. The moment when patient passes away.
(I don't know name of the painter)
Now a days, most of us choose hospital as our place of transition. It is very rare for people to breathe their last at home in their own bed with dear ones standing by.
Most people have no experience of being witness of this moment of passing away. And for us medical professionals, unfortunately, it is a frequent experience.
A batchmate of mine settled in remote area of Maharashtra 25 years ago.
Financially well off family and intelligent chap. He had every opportunity to choose a more lucrative branch and city to settle down for practice.
He chose to go back to his family village. It was a Taluka place but really a largish village. His training as pediatrician in Mumbai was grossly inadequate to work in realities of rural Maharashtra.
He persisted. Became a successful practitioner.
In a recent phone chat he told me that he shut down his pediatric ICU and gave away all the equipment to whoever was willing.
I was surprised and pulled his leg about third wave and child patients of covid. And also about him abandoning the iminent battleground.