Athlete Wellness Beyond Injuries: Athletic Trainers on Mental Health, Identity & Support Teams

On the MSHSAA All-Access Podcast, executive director Dr. Jennifer Rukstad welcomes Sports Medicine Advisory Committee athletic trainers Brent Holtgrewe (Greater St. Louis) and Jason Pyrah (southwest Missouri) to discuss athlete wellness as fall sports begin. They describe how athletic trainers support students through injuries and often become trusted, non-transactional adults who can notice mental health concerns, identity struggles, fear of letting others down, bullying, or issues at home. Holtgrewe emphasizes relationship-building, trend-spotting, and collaboration with counselors, nurses, and administrators to connect athletes to resources, while Pyrah explains communicating appropriately with coaches to protect athletes during recovery. B ...