Recognition of adjustment disorder in college athletes: a case study.

The occurrence of a sports-related adjustment disorder can inhibit optimum athletic performance and scholastic achievement and impair the overall functioning of athletes. Physicians and trainers caring for athletic teams must maintain an acute awareness of the athlete's mental and physical well-being to detect subtle signs of a mood or psychological disturbance. The case of the collegiate basketball player discussed here exemplifies the subtle presentation and stages of an adjustment disorder with the predominant manifestation of depression mixed with anxiety and disordered conduct. This player's lack of participation in practice and game play led to a distorted view of his self-worth, which slowly eroded his ability to play basketball, attend classes, and enjoy previously pleasurable activities.