GETTING MENTALLY STRONG TO GET BACK IN THE GAME: THERAPY FOR INJURED ATHLETES

Athletics isn't just physical; it's a mental and emotional journey. Injury can sideline your passion and challenge your identity. Here, you and I focus on holistic recovery, addressing the psychological impact of injury, rebuilding confidence, and finding new paths to athletic and personal fulfillment.

therapist-for-injured-athletes

Understanding the Impact of Athletic Injuries

therapist-for-injured-athletes
therapy for injured athletes colorado
therapy for injured athletes

For athletes, an injury can be more than just a physical setback. It can shake your identity, disrupt your routines, and challenge your sense of purpose and self-worth. You may find yourself struggling with:

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  • When an injury happens, it's a big shock. One day you were healthy. The next, your sport was taken away from you. Your immediate reaction may be, "This is not happening to me," or "Maybe I should go see another doctor. They could be wrong." Denial and disbelief are natural feelings when it's hard to make sense of something. The body and mind need time to process how you're going to get through this.

  • Your injury doesn't make sense to you. Your body has betrayed you. One day it was working and the next it's broken. The chaos and insanity of it all is anger-inducing. You want to kick, punch, scream. Why did this happen to YOU? You didn't deserve this. Everyone else gets to move on and you're left behind with this nagging injury that you never asked for in the first place.

  • You feel so helpless and lost. This injury sucks. You don't want it. You wish it never happened. You don't know what to do. You're not used to feeling weak. It's all so depressing.

  • Where do you go from here? How do you get back to sport?...if you ever get back...no wait...WHEN you get back. Aw hell! You go back and forth. Some days you feel like your old self and others you wonder if you can hack it. You can't wait to get back, but then sometimes you worry another injury could be lurking around the corner. This isn't you. You're generally confident when you're playing your sport or competing, but this damn injury has made you question yourself. Self-doubts have entered.

  • Sometimes it's easier to be by yourself:

    1. No one understands what you're going through.

    2. You don't want their pity and you don't want to keep answering questions about your injury or recovery.

    They don't get it. You're over it. "Just leave me alone, already."

  • It can be lonely at times when everyone else is healthy and you're recovering from an injury. It feels like everyone is moving on without you. Your teammates, fellow athletes, your coaches. They're still involved in practice and competition, but you've been left behind. You've been forgotten.

  • You have been an athlete your whole life. It's what you know. It's in your blood. But right now, you can't be active. Right now, you can't compete. Your athletic identity has been taken away. So who are you now? Who are you really when you can't rely on your sport to define you?

  • When you're stressed, you played your sport. When you're overwhelmed, you competed. When you felt intense emotions, you could just hit the ground running or pick up a ball, and it would all feel better. You can't do that now and you are going out of your mind. Thoughts are racing. You feel like you're on an emotional rollercoaster with no end in sight. And you can't let it out like you used to. Now what?

  • There's always fear that it could happen again. That an injury could pop out of nowhere and wreck your life all over again.

therapy for injured athletes nyc
therapy for injured athletes
therapist-for-injured-athletes

Hi again! My name is Alicia, and I know what you’re going through. After suffering from both an ACL tear and Achilles rupture, I know the process of physical and mental recovery very well. If you want relief from someone who gets it, reach out!

Keep scrolling to read about my athletic journey down below...

The Game Plan To Recovery

  • Let’s Get it Out

Before we can heal, we need to take an opportunity to mourn the loss of this injury and express our feelings. Just shoving them down and starting our rehab won’t work. I will help you process the injury and how it’s going to affect your life. I will validate your feelings - the good, the bad, and the ugly. All of your feelings are welcome here - the anger, the sadness, the frustration, the confusion, the fear. These are all normal and necessary responses to injury so we can move forward and get to the healing part. You will feel heard and understood. You can ugly cry with me. We can even scream together.

  • Flexibility, Adaptation, Resilience

When we put our hearts and souls into sport and its taken away, it can feel like we’ve lost everything. We may not know who we are anymore or our place in the world. In therapy, we will learn techniques to increase psychological flexibility, adaptability, and resilience. While your athletic identity is important, you are a dynamic being with multidimensional qualities. This doesn’t mean you’re losing your athletic identity, rather we are expanding your sense of self to be more inclusive to all the qualities that make you YOU! We will make space for the you that is versatile in life just as you are in sport. When we can become flexible in our identities and live life according to our values, it allows us to adjust to life’s inevitable challenges without being overwhelmed by them. This adaptability helps in managing stress, setbacks, and injury.

  • The Confidence to Get Back Out There

Returning to sport can be exhilarating and scary. We’ll come up with a plan to make sure you feel confident and mentally strong when you step back out there. You already have the muscle-memory of your movements in sport, this is about having the mental muscle-memory to know and believe that your body is capable and will hold you up. It can and will do strong, athletic, and agile things for you once again as long as you believe in yourself.

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  • Change Your Thinking

When we are injured, it can be really easy to fall into a cycle of pessimism and despair. I will help you identify and learn to recognize negative or unhelpful thoughts related to your injury that may be interefering with your mood and subsequent recovery. You will learn how to challenge these thoughts and reframe your thinking into a more realistic and balanced way. When we start to think more realistically as opposed to the all-or-nothing way, we also start to notice the postive impact these thoughts have on our feelings and behaviors which can subsequently increase positive outcomes.

  • Push Through the Discomfort; NOT Through the Pain

As athletes, we are taught to train harder, get stronger, be faster, get better. Push. Push. Push. While this strategy helps us overcome adversity and creates mental toughness, it doesn’t make much space for listening to our own internal voice or signals coming from our bodies. My goal is to help you learn to listen to your innate wisdom , bringing self-compassion and self-care into the athletic equation. Self-compassion helps manage negative emotions, reduces self-criticism, enhances motivation, and supports overall psychological well-being, all of which contribute to a more effective and positive recovery experience.

  • Coping Skills

When the thoughts and feelings get to be too overwhelming, we’ll learn some new coping skills, such as mindfulness, deep-breathing, progressive muscle relaxation, and visualization to help you get back to baseline and feeling grounded again. We may even play a game, watch dog-surfing videos, or dance it out.

therapy for injured athletes in new york
therapy for injured athletes in Colorado

READY TO GET TO WORK?!?!

Let's Gooooo!

Let's Gooooo!


Hi! My name is Alicia. I'm an athlete and exercise enthusiast, and if you're reading this page, you are too. No matter your age. No matter if you're no longer competing or playing your sport. No matter if you're injured. Let me tell you how I define athlete. Athlete to me is a state of mind that complements but is not dependent upon a set of movements someone executes with their body. Anyone who is an athlete can access this state of mind where they are able to endure and persevere in the face of challenges. An athlete exhibits mental fortitude, strength in the face of adversity, discipline, motivation, perseverance, and hard work all while fine-tuning and enhancing their physical craft. That’s why no matter the age, if you have that mental toughness, you will always be an athlete because you bring that into everything you do even if it’s not sport.

I was a first-born girl, meaning I became an honorary son. My father introduced me to sports very early on. In the backyard, he would pitch to me a beach ball and I would swing at it with a big, red plastic bat. There was no way I could miss. Whacking that beach ball was so satisfying and fun. After my father laid the groundwork, I soon realized in school that I was good at sports. I excelled in gym class, won ribbons during field days, and always did well in that pesky Presidential Physical Fitness Test, except for that damn V-Sit and Reach.

During this time, I was an only child to pretty young parents who were trying to figure out things for themselves too. See, my parents are first-gen. My grandparents on both sides came to NY from Puerto Rico in search of better opportunities. In an effort to give me a better life, my parents moved me to the suburbs of Long Island from Brooklyn. They thought I'd be safer, have access to better education and all the things they never had. Well, the effects of this were not great at first. I didn't fit in at school. I didn't have a lot of friends. I wasn't from there and didn't look like I was from there. My one saving grace was sports - moving my body, hand eye coordination, being fast. Those were things that had gotten reinforced. Those were ways that I knew I was good and liked. So in second grade, this brave little girl came home with a flyer from school asking her parents to play in a newly forming lacrosse league. My parents looked at each other, and looked at me, asking if I was sure I wanted to do this. There was no lacrosse in Puerto Rico, and definitely no lacrosse in Brooklyn. They didn't know what this sport was. I said, "yes,", so we went to Modell's and bought a stick. I was the only second-grader on the team but my athletics career had kicked off.

MY STORY

Soon thereafter, I was playing softball, basketball, lacrosse, and soccer. Did I mention I was also a big kid? Meaning, I'm the same size that I am now as a fully formed adult back in the fourth grade. Yeah, I was huge. And overscheduled. Eventually I had to pick one sport and given that my father had played basketball and I was baby Shaq, it was befitting to stick with basketball. CYO turned into AAU which turned into Varsity. I ate, breathed, and slept basketball. My favorite movie was Love & Basketball. I wanted to be Sue Bird or Becky Hammond. I'd play basketball in school for the school team, then I'd play basketball after school for my AAU team, and then travel to tournaments on the weekends. When it was summer, I went to basketball camp hoping to improve my skills and get on scouts' radars. My teammates became my best friends. Their families, my extended family. It was not only a sport, it was a lifestyle. But at this level of competition, also came fear of failure, performance anxiety, looking to external sources for my own affirmation, looking at my teammates' as competition, perfectionism, and family rupture. 

By the time I was a senior in high school, I had burned out. Though I had been in communication with a couple of D3 programs and had met with the coaches and visited campuses, I chose another school that had already selected their team and I would not be on it. This was the first time in a long time, I wouldn't be on a team. Naked, exposed. Who would I be? Playing basketball was who I was. It was such a big part of my identity. Enter the rugby team. A couple of players walked into our freshman dorm with their cool, long-sleeved polo shirts fresh from tour in another country. 

Sports. Check.

Team. Check.

Playing sports with a team in another country. Check.

I was in. 

therapist for injured athletes

Due to Title IX, we were considered a varsity sport, which meant we had access to all the athletic resources that any other sport had. We practiced 5 days a week, had matches on Saturdays both in the Fall and the Spring, a weight-lifting program, access to trainers and athletic support staff, clinics and camps during the off-season, and transportation/food/hotels for away matches. My parents thought I was crazy. But the thing with being 5'2'' and having competed your whole life is you want to continue to prove that you can overcome challenges. Whiplash from hair pulled, cleat marks on my legs, copious black and blues, and my fair share of black eyes, I was tough. However, I wasn't tough enough to avoid the dreaded ACL tear. During the spring of my senior year, I got tackled in an awkward position and could not get my hips to fall in the same direction as my knees. Diagnosis: partial ACL tear. For years, teammates had been dropping like flies to this scary injury which up until this point, I had successfully avoided; this injury, which usually signified your athletic career was over. I wasn't gonna go down like that. Nope, not me. After graduation, I returned home to New York where I did my prehab, then had arthroscopic surgery which removed some scar tissue, and completed my rehab. 

This time playing rugby was enough to make me miss basketball, and for the next six years, I found ways to compete as an adult in various basketball leagues in New York City. I returned to the sport on my terms, without anyone else's motivations. To move my body. Have fun. Compete. Make friends. That was enough. I even coached middle school youth for a few years. Throughout the years of meeting different players, I created a basketball community and would organize pick-up games. It was at one of these pick-up games where on a drive to the hole, my partially torn ACL became a fully torn ACL. 

therapist-for-injured-athletes

Enter the self-doubts: Should I give up sports? Am I getting too old? Should I readjust how I look at my athletic regimens and exercise routines? This was more serious now. The first five days being immobile were rough. I had to ask my friends to help me just put on underwear. I couldn't reach. I couldn't bend. Those feelings of helplessness were crippling. When everyone went back to their lives, business as usual, and I was left behind dealing with this injury, I felt abandoned. Trying to get around on crutches or my knee brace in fast-paced NYC, where no one has patience for anyone who can't keep up made me want to cry. "Step aside, sister!" "Get the hell out of the way." And me feeling like please, just have mercy on me. I am fighting so hard just to get to work, just to get to rehab, just to get up my apartment stairs. Many days despair and frustration would take over. I started my rehab and for the next 4 months had a solid routine, however, I lost my health insurance when I started graduate school and had to find another place to continue my rehab. Rehab is a big commitment on top of whatever else you have going on in your life - a job, kids, a partner, social engagements, cleaning your home, taking care of a pet etc. At first, you're super excited to get to a place where you can be mobile again, but at a certain point, you lose patience and want to advance faster than your PT permits, than maybe your body permits. After all, risk of reinjury is a huge fear for us all, but as athletes we are also not used to just sitting still and doing nothing. We train more. We train harder. We practice the same move or play over and over until it’s executed to perfection. Overall, my commitment to training from sports helped me to commit to my rehab. However, there were many times where it felt like drudgery. Once I completed my rehab, it also felt scary to be out there on my own without the support of my physical therapist and his guidance. Any time, I felt an ache or pain in my knee, it worried me. I would convince myself that I needed another MRI to confirm my ACL was still there! Eventually, I returned to sport and got back out on the basketball court. I actually completed my rehab during my first-year of my masters program in social work. Sport had always been a coping mechanism for me and I used my experience to conduct a weekly basketball group for student-veterans to get stuff off their chest while doing something healthy with their bodies.

As I continued to age, it became riskier to play ball with people 2-3 times my size. I started to think about the longevity of my body and how I wanted to preserve it and prevent injury so that way I could have a long life of movement. I began considering alternative and complementary approaches to fitness. I began foam rolling regularly. I took up a yoga and Pilates practice. I began strength training. I got into HIIT workouts so I still felt like I was getting a burn. And of course, I always continued to do my physical therapy exercises for my knee. I reassessed basketball as the mechanism for movement, and decided I would explore other things where I could still be athletic. I took volleyball lessons and went to clinics and open-plays. Then I played in some leagues. (Crazy right? For some reason I have a propensity for sports played by giants.) I also decided to take tennis lessons. I had good footwork from basketball and I could get to balls pretty quickly. I also thought, “Hey, tennis is played by people of all ages. This is something I can do for years to come.”

therapist-for-injured-athletes

I would always get to lessons about a half hour early to do a dynamic warmup. Upon my second tennis lesson, we were doing a drill. The instructor was hitting balls to each one of us individually, and we had to hit and place them where he wanted. I have been running to balls and getting into position my whole life. Nothing new. I was ready. However, as I sprinted to the ball this time, I felt someone step on the back of my heel. When I turned around, there was no one behind me. Confused, I fell down on the court. What was probably seconds, felt like a minute in slow motion. Trying to make sense of what just happened, I knew in my soul it was bad. Nothing else made sense. I was positive that I had torn my Achilles tendon. I was in shock. I was in disbelief. How could this happen? I warmed up. I made sure I was feeling strong. It felt so unfair especially as the other people in my class showed up 5 minutes before class or even late and just hopped onto the court. This wasn’t supposed to happen to me! I had taken the preventative precautions! I’m diligent. I’m not careless. WTF?!?!?! Anger came, then sadness followed as I called my family crying. As I waited for the wheelchair to get escorted out of the building, I called orthopedic urgent care secretly hoping and praying they might tell me it wasn’t as bad as I had thought. I arrived an hour later and within two seconds, the doctor confirmed my diagnosis just by looking a the dangling of my foot. Gotta love the efficiency of the Thompson Test.

There’s two parts to dealing with this type of injury. There’s the practical part that needs to do something about it. You’re in pain. You can’t be in physical pain. You need your Achilles to be fixed and so you need to come up with a plan to handle business. You need to Google surgeons, interview them, then have surgery. After surgery, you need to figure out what support you need whether it be medical equipment in the home or a physical person to help you. Find a physical therapist. But there’s the other part of you that is in emotional pain. You’re mourning the loss of your movement, the loss of a body part that will never be the same again. You’re trying to wrap your head around why your body betrayed you. There’s fear, doubt, and uncertainty about the future and the future of your relationship with sports, exercise, and movement. One day you were healthy, fit, and strong, and the next vulnerable, weak, and helpless. For lack of a better word, wrapping your head around this injury is a mindf*ck.

Apparently, when you tear your Achilles, it is advised that you have surgery within two weeks from the date of your injury. I didn’t have much time to spare. Right away, my brain got to work, compartmentalizing my emotions, to handle the task at hand. I interviewed three surgeons and I have zero regrets about that, even saw the one who repaired Kevin Durant’s Achilles, but he wasn’t the man for the job. You need to feel confident in your surgeon. This isn’t about trying to make other people feel comfortable. A good surgeon will not mind that you got a second or third opinion. I ended up having surgery out of HSS in NYC with Dr. Scott Ellis and I’d pick him all over again. No regrets. Phenomenal team. Great, now that my Achilles was reattached came the hard part. My recovery. My time with my thoughts. My time with my feelings. Time feeling incapable and helpless, not being able to do simple tasks. This was the most painful part.

I couldn’t walk/bear weight on my injured leg for two months. I lived up two flights of stairs, my kitchen downstairs, my bedroom upstairs. I scooted up and down the stairs like a baby learning to maneuver them for the first time. I one-legged hopped to and from the bathroom. I wrapped my leg in cellophane for showers and sat on a plastic stool from the 99 Cent Store. I got a minifridge and a microwave and made my office/den into my home base from which I spent many long days on the couch. I had gone through ACL repair, I thought I knew what to expect. I would hit the ground running with my rehab and get back to my old self ASAP. WRONG. An Achilles is totally different. You have to wait. Those two months of non-weight bearing were rough. The helplessness was hitting me hard. It’s not a feeling I’m used to. I tend to be quite independent. But here, I had to learn how to use my words and ask for help. I’m not going to lie. My marriage was tested. At times I also felt abandoned. I was stuck at home but everyone else went on with their life, including going back to their 9-5, leaving me by myself at home vulnerable to try and do tasks that I could no longer do on my own. There were adjustments that needed to be made. New dynamics to learn and roles to be renegotiated.

therapist for injured athletes
therapist for injured athletes
therapist for injured athletes

It was like my freedom has been taken away. When you can’t move, you’re alone with your thoughts and emotions. This creates a lot of stress and burden. Your brain can go to dark places. From a biological perspective, not being able to walk made me the most vulnerable. If we were still living tribally, and a threat was coming, I wouldn’t survive. I’d get eaten by that lion. Being in this type of vulnerable and helpless state, is a lot to handle on your own. I got myself into therapy. I knew if I was going to recover, I needed support. Therapy was crucial for me during this time. Having someone to not only listen but who allowed me the breathing room to talk about my struggles openly and without judgement made me feel like I wasn’t going crazy. Like I wasn’t weak. My therapist gave me permission to feel the pain and suffering I was going through, when no one else could understand, when even physical therapists got awkward when I got emotional about my injury.

I tried to take things day by day. Day by day turned into setting small goals for myself where I could still feel like I was growing in some way - showering by myself, getting up and down stairs, taking my cast off to move to the boot, finding a comfortable sleeping position, learning to use the knee scooter to give myself more freedom and mobility, and eventually getting to weight-bearing and walking. I worked on changing my thinking from what I didn’t have to what I did have. I had time to read for pleasure. I had time to spend with my dog. I had time to sit by a warm fireplace and practice some mindfulness. I found ways to exercise other parts of my body.

Finally, after two months, I was able to get into rehab. Over the next year, I went from the simplistic and basic exercises of doing toe yoga and ankle CARS to squatting and dead-lifting the most weight I had ever in my life. I was getting strong and making my body more resilient to future injury. Sure, there were ups and there were downs. There were periods where I was bored and frustrated and wanted to progress more. There were periods where any kind of ache and pain made me very nervous about the risk of reinjury. I stayed the course, learning more about the nervous system and pain connection. I started to notice the difference between body parts that were manifesting as pulls or tightness and needed more strength to be resilient versus an actual malaise or pain. I told myself, “You will not feel this way forever. This feeling is temporary. Like all feelings, it will pass,” to decrease my nervous system’s hypervigilant response. When I ran my first race in the Bolder Boulder, I was ecstatic. All the hard work, the commitment to training and to showing up for myself, all the emotional pain got me there. I was back. To celebrate, the one-year anniversary of my recovery, I hiked the Grand Canyon rim to rim. This hike memorialized and proved that I could do something that I had never done before. It set the mindset for more experimentation, slowly working my way back to sport until I finally returned to the the scene of the crime. On August 4, 2024, I stepped back onto that tennis court. I proved to myself and to my body that injury is a temporary state, but that athletic mentality is forever. We’re warriors. We don’t go down without a fight. And we keep fighting.

therapist for injured athletes