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Ponizovskiy Department of Mental Disorders Complicated by Substance Abuse, Moscow Research Institute of Psychiatry, Russia KEY POINTS r Athletic retirement is a challenge that results in healthy adjustment or a distressful response. r Substance abuse in former athletes is one of the signs of career transition distress. r Extensive studies investigating substance abuse in retired athletes are needed to improve preventive measures. BACKGROUND Changes in social roles occurring during the life course of every person are difficult transitional periods requiring adaptation.

The following real-life cases highlight a few of the issues associated with doping in sport. 30 Clinical Sports Psychiatry Case Study 1 A 16-year-old adolescent male always dreamed of being a high school football player. Despite an aggressive workout schedule and intense weight lifting, he was only able to get his weight up to 215 pounds. The coach told him after the tryout that he liked his effort, but he would need to put on 25 additional pounds to make the team. The player asked the coach how he could possibly do it.

12. Kerr G, Dacyshyn A. (2000) The retirement experiences of elite female gymnasts. Journal of Applied Sport Psychology 12, 115–133. 13. Taylor B, Ogilvie BC. (1994) A conceptual model of adaptation to retirement among athletes. Journal of Applied Sport Psychology 6, 1–20. 14. Sinclair DA, Hackford D. (2000) The role of the sport organization in the career transition process. ) Career Transitions in Sport: International Perspectives. Morgantown: Fitness Information Technology Inc, pp. 131–142. 15.

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