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