#311 Dr Caz Nahman & Dr Andrew Kirkland - Considering Language and Environments for Good Mental Health
Jan 6, 2025
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In this enlightening discussion, Dr. Caz Nahman, a Consultant Child and Adolescent Psychiatrist with a focus on youth sport and mental health issues, teams up with Dr. Andrew Kirkland, a Lecturer in Sports Coaching and BASES Accredited Sport Scientist. They delve into the importance of language and environment in supporting mental health among athletes. Topics include the integration of athletic identity in mental health treatment, the need for healthier training approaches, and the significance of effective communication and psychological frameworks in fostering athlete well-being.
The podcast emphasizes the critical role that language and environment play in shaping the mental health of young athletes in sports.
Increased openness around mental health issues in athletics has led to more support, but caution is needed to avoid over-medicalization of normal emotional experiences.
Adopting a biopsychosocial perspective is essential for understanding athletes' mental health challenges and creating supportive performance environments that nurture individual differences.
Deep dives
The Role of Sport in Mental Health
The conversation emphasizes the significant impact that sports can have on mental health, particularly from a young age. Kaz Narman, a child and adolescent psychiatrist, highlights her experiences with athletes facing mental health challenges, which often stem from unhealthy relationships with competition and exercise. She notes that the pressure to perform can lead to symptoms of eating disorders and other psychological issues, necessitating a better understanding of athletes’ mental well-being within the sports community. The podcast identifies the need for a systemic approach that involves coaches and the wider sporting environment in supporting mental health.
The Shift in Mental Health Discourse
There has been a notable shift in the discourse surrounding mental health in sports, with increased openness about athletes' struggles. Prominent sports organizations have started mandating mental health support for their players, leading to more public discussions about mental health challenges faced by athletes. However, both Kaz and Andrew Kirkland caution that while openness is welcome, there is a risk of medicalizing everyday emotions and experiences, potentially fostering a culture of intolerance towards normal stressors. This suggests a delicate balance must be struck between acknowledging mental health issues and recognizing them as part of the human experience.
Understanding the Medical Model
The podcast discusses the limitations of the medical model when addressing mental health issues in athletes. Kaz points out that medical diagnoses often do not capture the complexities of why an individual is struggling, as they tend to focus solely on symptoms rather than the broader life context. Andrew agrees, highlighting the importance of viewing mental health through a biopsychosocial lens, taking into account the biological, psychological, and social factors that contribute to an athlete's experience. This broader perspective encourages coaches and practitioners to consider how systemic issues within sport can affect individual mental health.
Creating Healthy Performance Environments
Creating healthy performance environments is crucial for promoting mental well-being among athletes. Kaz suggests that coaches should strive for autonomy-supportive environments that recognize individual differences and foster trust between coaches and athletes. This requires coaches to be attuned to their athletes' unique communication styles and support needs, rather than applying a one-size-fits-all approach. The importance of ongoing training for coaches in psychological frameworks is emphasized as a means to enhance their ability to engage with athletes effectively and holistically.
Neurodiversity in Sport
Neurodiversity is acknowledged as a vital but often overlooked aspect of athlete development. Kaz explains that neurodiverse individuals can bring valuable strengths, such as heightened attention to detail and loyalty, to their sport. However, they may also face unique challenges, such as difficulties with body awareness and sensory processing. The podcast highlights the need for research in this area and encourages coaches to understand and leverage the strengths of neurodiverse athletes while providing tailored support to address their specific needs.
I’m delighted to speak to Dr Caz Nahman and Dr Andrew Kirkland in this week’s episode. We discuss the role of language and the environment when considering mental health in sport.
Caz is a Consultant Child and Adolescent Psychiatrist. Caz has also completed additional training in sport psychiatry with the ISSP (International Society for Sport Psychiatry) and is currently Deputy Chair of the Royal College of Psychiatry Sports and Exercise Psychiatry Special Interest Group.
Caz has experience working within a general child and adolescent setting as well as working in in-patient and community eating disorders services. She has previously been an elected member of the RCPsych Eating Disorders Faculty and in this role co-edited a book - New to Eating Disorders - designed as a training tool for staff new to working within this field.
Caz’s interests include compulsive overexercise; youth sport; eating disorders in athletes, autism spectrum disorders in athletes, life-style psychiatry and medical education. In addition, she is keen to improve standards of care for athletes with mental health problems.
Andrew is a Lecturer in Sports Coaching at the University of Stirling. He is also a member of the General University Ethics Panel, a Chartered Scientist and a BASES Accredited Sport and Exercise Scientist (support & pedagogy).
Andrew has worked as a sport physiologist and coach developer at British Cycling and supports others in developing performance environments.
Andrew's research philosophy is driven by impact and translation of research into practice. Specifically, he uses Implementation and Behavioural Change Science to explore mental health in sport, 'merging' his practical experience with evidence-based practice with the aim of helping others to develop more effective sporting systems.
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