The official magazine of the Football Medicine & Performance Association
football medicine & performance
Issue 30 Autumn 2019
Feature
David Cotterill’s Road to Recovery FOCUS ON: Mental Health The Role of a Psychotherapist in a Football League Club Hidden in Plain Sight – Mental Health Challenges in Football Clubs Substance Abuse and Gambling in Professional Football Managing Mental Health Emergencies in Elite Football
Legal Ţ Education Ţ Recruitment Ţ Wellbeing
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CONTENTS WELCOME
8
Updates
FEATURES
10
Injury Mitigation in Team Sports. Part-1: A Review of Current Dogma Colin W. Fuller
13
The Role of Football Clubs in Supporting Community Mental Health Initiatives Dr Alan Pringle
15
David Cotterill’s Road to Recovery
16
The Role of a Psychotherapist in a Football League Club Gary Bloom
20
Mental Health Symptoms in Professional Football Vincent Gouttebarge, Gino Kerkhoffs
24
ABOUT
27
Golf. The Ultimate Mind Game? Dr Andrew Murray
28
Substance Abuse and Gambling in Professional Football Gary Souter
32
Mental Health of the Elite Young Athlete Manroy Sahni, Johnson Pok-Him Tam
34
Managing Mental Health Emergencies in Elite Football Tim Rogers
37
Getting Back in the Driving Seat: Taking Control of Your Work, Life and Wellbeing
40
FMPA Register
Hidden in Plain Sight – Mental Health Challenges in Football Clubs Dr Misia Gervis, Lara Baker, Osimeiro Imoedemhe
Football Medicine & Performance Association 6A Cromwell Terrace, Gisburn Road, Barrowford, Lancashire, BB9 8PT T: 0333 456 7897 E: info@fmpa.co.uk W: www.fmpa.co.uk FMPA_Official Officialfmpa fmpa_official LinkedIn: Football Medicine & Performance Association FMPA_Register FMPARegister fmpa_register Chief Executive Officer Eamonn Salmon eamonn.salmon@fmpa.co.uk
Design Oporto Sports www.oportosports.com
Executive Administrator Lindsay Butler admin@fmpa.co.uk
Photography PA Images, FMPA, Getty Images
Administration Assistant Amie Hodgson amie.hodgson@fmpa.co.uk Project Manager Angela Walton angela.walton@fmpa.co.uk Marketing/Advertising Charles Whitney 0845 004 1040
Contributors Colin W. Fuller, Dr Alan Pringle, Gary Bloom, Vincent Gouttebarge, Gino Kerkhoffs, Dr Misia Gervis, Lara Baker, Osimeiro Imoedemhe, Dr Andrew Murray, Gary Souter, Manroy Sahni, Johnson Pok-Him Tam, Tim Rogers Print Media Village www.media-village.co.uk
COVER IMAGE Birmingham City’s David Cotterill. Birmingham City v Nottingham Forest - Sky Bet Championship - St Andrew’s. Dave Howarth / EMPICS Sport / PA Images
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mental health
football medicine & performance
DAVID COTTERILL’S ROAD TO RECOVERY David Cotterill's story is a tale of addiction, depression and ultimately, redemption. During this conversation with Dr Sean Carmody, he reflects on his new-found purpose as a champion for mental health for those within the sport, and beyond
David Cotterill is coming up to 6 months sober when we speak. After each month of sobriety he collects a chip to mark the achievement; “To Thine Own Self Be True” it reads. Sharing this with his thousands of followers on social media motivates him, but perhaps more importantly, it serves as inspiration for those who continue to suffer in silence. Cotterill’s road to recovery has known more turbulent times. His career in football has taken him the length and breadth of the country. Spells with Bristol City, Wigan and Sheffield United preceded a move to Doncaster in 2012 where his destructive relationship with alcohol gathered momentum; “I was drinking three or four bottles of wine, and then going out to train. I was basically trying to fill a void”. Ironically, Cotterill admits he was playing well despite this dependence on alcohol, but the addiction had begun to hurt other aspects of his life including his relationships. During his time playing for Sheffield United, Cotterill gained an invaluable mentor. Gary Speed would drive the pair back and forth from Manchester, where they both lived, for training and Cotterill recalls those days fondly; “He was a huge influence on me, an amazing person to
be around and an exceptional friend. We would have long talks in the car, about what it means to be a professional footballer – as a young footballer, those conversations kept me grounded”. Gary Speed’s untimely death rocked football to its core, and shone a light on the hidden mental health crisis within the game. Clarke Carlisle, Danny Rose, Marvin Sordell, Aaron Lennon – more came forward to share their struggles, showing that mental illness does not discriminate based on career, wealth or status. In recent times, Cotterill has become a champion for mental health, encouraging young men to discuss their feelings, and to seek help for their addictions. These efforts have led to Cotterill establishing the David Cotterill Foundation, whose stated mission is “to help everyone realise that it’s braver to talk than to suffer in silence”. Life has changed for Cotterill as he seems to have found a renewed sense of purpose, but it could have been much different. It was at a time of his greatest professional success that he felt the lowest, in 2016, when Wales reached the semi-finals of the European Championships. During this tournament, he felt “really lonely, like there was nobody I could talk to”. He expresses empathy for support
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staff; “Their job is to get players to perform on the pitch, they’re not thinking about potential mental health issues”. Nevertheless, he felt isolated; “.. the best thing I could do was to keep quiet, and not jeopardise my place”. At other times of crisis, suicide haunted his thoughts, and this led to attempts on his own life. He considers this as a turning point, as the moment that allowed him to turn his energies towards helping those who face similar struggles to those he has overcome. Should football do more to support the mental health of its players? Cotterill believes so, and he is particularly concerned about young players who fall out of the game who may not have the financial security of established professionals; “There needs to be better support in place for younger players, clubs can do more to help that transition”. He also echoes the calls for there to be a better recognition of how injuries may impact on mental health as much as physical health. The road ahead of Cotterill is long, and filled with uncertainty. His impact on others to date is extraordinary. However, as with recovery from any addiction, he knows that challenging days lie ahead. But for now, he’ll keep collecting those chips.
15
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