CLIENTS
Clientele
Dr. Piatigorsky serves the following:
— Elite athletes (Olympic, professional, collegiate, adventure sports)
— Coaches (sport-specific, strength/conditioning, mental performance)
— Sports medicine professionals (physicians, clinicians, athletic trainers, physical therapists)
— Institutions (teams, clubs, academies, athletic departments)
Services are available to adults aged 18 and older, with cultural competence and respect for individual differences in race, ethnicity, culture, nationality, identity, sexual orientation, religion, and other diversity factors.
Presenting Problems
Athletes and sport professionals present with a wide range of clinical and performance concerns, showing substantial variation in expression and impact on functioning. The examples below illustrate some of the common issues addressed.
Clinical Symptoms
Mood
Depression • Irritability • Guilt • Anhedonia • Lability • Euphoria • Numbing
Anxiety
Worry • Restlessness • Tension • Panic • Avoidance • Phobia • Agitation
Trauma-Related
Intrusions • Nightmares • Detachment • Withdrawal • Arousal • Dissociation • Flashbacks
Compulsive
Checking • Ordering • Rituals • Substance abuse • Gambling • Hoarding • Repetition • Obsessions
Somatic
Fatigue • Headache • Palpitations • Trembling • Nausea • Appetite • Insomnia
Cognitive
Inattention • Memory • Indecision • Rigidity • Judgment • Disorganization • Procrastination
Physical health
Pain • Illness • Rehabilitation • Sleep disturbance • Disordered eating • Concussion • Low weight
Contextual
Family • Relationship • Financial • Academic • Occupational • Romance • Housing • Discrimination
Performance Challenges
Focus
 • Concentration • Awareness • Refocusing • Cueing • Flow
Cognitive
 • Self-talk • Mindset • Strategy • Imagery • Decision-making
Physiology
 • Energy regulation • Arousal control • Composure • Recovery • Endurance
Motivation
 • Goal setting • Confidence • Discipline • Drive • Engagement
Consistency
 • Routines • Preparation • Persistence • Execution • Reliability
Interpersonal
 • Communication • Leadership • Cohesion • Trust • Cooperation
Systems
 • Boundaries • Coordination • Load management • Structure • Feedback
Personal
 • Injury • Transition • Career planning • Identity • Lifestyle