Abstract: Introduction: Sports psychiatry is a developing field whose focus is the diagnosis, treatment, and management of mental illness in sports team members. Participation in elite sports can compromise mental health as psychiatric symptoms and disorders are often unrecognized until players experience performance failures, injury, or interpersonal concerns. Despite the growing recognition of psychiatric illness in sports, sports psychiatry is yet to be widely practiced in athlete healthcare management. Methods: We conducted a search on relevant publications on sports psychiatry and mental health in elite athletes. Results: Numerous papers detailed mental health statistics in elite athletes as well as outlined the development of sports psychiatry with respect to healthcare management. The papers describe cultural barriers to athlete mental health treatment include stigma, low mental health literacy, adverse mental health treatment experiences, busy schedules, and cultural/religious factors. Modifiable systemic factors include conflicts of interest for team clinicians caused by dual loyalty to sports franchises, and power relations encompassing intra-team hierarchies that preven
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