Student-athlete mental health
Supporting athletes navigating performance pressure, confidence, injury, burnout, team dynamics, identity, transitions, and the emotional demands of balancing sport with life.
Arianna B. Nixon
Clinical Mental Health Counseling Graduate Student · Former NCAA Division III Dual-Sport Goalkeeper · Turner Syndrome Advocate
I am preparing for a career in counseling rooted in empathy, whole-person wellness, collaboration, and respect for each client’s lived experience. My interests include student-athlete mental health, women’s health, identity, resilience, life transitions, and accessible telehealth support.
I earned my Bachelor of Arts in Psychology from Eastern Mennonite University, where I competed as a goalkeeper in both field hockey and lacrosse. I am completing graduate preparation in Clinical Mental Health Counseling at Walden University, with a focus on telehealth counseling, private practice, and supervision.
My experience as a student-athlete taught me how much can exist behind an outwardly composed performance: pressure, fear of failure, injury concerns, changing roles, perfectionism, team expectations, academic demands, and the challenge of maintaining an identity beyond sport. Those experiences help me approach athletes with curiosity rather than assumptions.
My lived experience with Turner syndrome also informs my commitment to women’s health, self-advocacy, and care that recognizes the emotional impact of complex medical experiences. I want girls and women to feel heard, respected, and supported as whole people—not reduced to a diagnosis, a body, a role, or a statistic.
These are developing interests within supervised graduate training, not claims of independent specialization or licensure.
Supporting athletes navigating performance pressure, confidence, injury, burnout, team dynamics, identity, transitions, and the emotional demands of balancing sport with life.
Creating affirming space for self-esteem, relationships, body image, health advocacy, role expectations, confidence, and the experiences that shape how women understand themselves.
Helping clients make meaning during graduation, career changes, retirement from sport, changing family roles, new diagnoses, emerging adulthood, and other seasons of uncertainty.
Building emotional awareness, communication, self-compassion, flexible thinking, healthy routines, grounding skills, and realistic strategies that fit a client’s actual life.
Academic position statement: As a counselor-in-training, I am developing the knowledge, skills, and ethical foundation necessary to use telehealth responsibly in my future counseling practice. This statement reflects how I currently envision integrating telehealth after completing the appropriate education, supervised clinical experience, training, and licensure required for independent practice.
My developing counseling identity is grounded in empathy, collaboration, whole-person wellness, accessibility, and respect for each client’s lived experience. Telehealth fits within that identity because it can reduce barriers related to transportation, location, work or school schedules, athletic travel and training, health needs, disability, caregiving responsibilities, and other circumstances that may make consistent in-person counseling more difficult.
I am particularly interested in supporting student-athletes, women and girls, emerging adults, and people navigating identity, health concerns, life transitions, performance pressure, and resilience. For student-athletes, telehealth may support continuity of care around classes, practices, competitions, rehabilitation, and travel. For clients managing health concerns or major transitions, virtual care may offer another way to receive support without adding an additional trip or disruption.
I also recognize that telehealth is not automatically the best option for every client or situation. In future practice, I would consider each client’s preferences, safety, privacy, cultural and linguistic needs, disability-related accessibility, technology access, and ability to engage meaningfully in a virtual format. My goal would be for technology to support the therapeutic relationship—not become the center of it.
My current preparation includes a B.A. in Psychology and graduate study in Clinical Mental Health Counseling at Walden University, including developing interests in telehealth counseling, private practice, and supervision. My graduate education continues to build my understanding of counseling theory, ethical decision-making, documentation, assessment, treatment planning, boundaries, confidentiality, and culturally responsive care.
As I continue my training, I intend to pursue additional education and professional development in telehealth counseling, privacy and cybersecurity, crisis response, telehealth-informed consent, documentation, accessibility, culturally responsive virtual care, and changing state and federal requirements. The ACA Code of Ethics, particularly Section H: Distance Counseling, Technology, and Social Media, and applicable Virginia Board of Counseling regulations and guidance will help inform my practice.
As a counselor-in-training, I am not presenting myself as an independently licensed counselor. Independent telehealth counseling would occur only after I have completed required supervised preparation and obtained the credentials and legal authorization necessary to practice.
I see technology as a tool that can increase access and strengthen continuity without replacing human connection. In future practice, I can envision using secure video counseling when it is clinically appropriate, along with privacy-protective electronic health records, digital intake and consent forms, appointment scheduling, secure client communication, treatment documentation, and appropriate screening or assessment tools.
Technology may also help extend learning beyond a session through carefully selected psychoeducational materials, coping resources, reflective activities, wellness information, and other digital supports connected to a client’s counseling goals. With student-athletes and young adults, technology may create flexibility around demanding schedules; for clients managing disability or health concerns, it may reduce some access barriers.
At the same time, I would not assume that digital access is equitable access. Internet reliability, technological literacy, privacy at home, language, disability-related needs, and comfort with virtual communication differ from person to person. I would want those differences to be part of the clinical conversation and would continue evaluating whether telehealth remains appropriate throughout care.
I want my future use of telehealth to reflect the same values I hope to bring into every counseling relationship: empathy, respect, collaboration, accessibility, competence, and care for the whole person. Convenience alone does not make a service ethical or effective. My responsibility as a developing counselor is to keep learning how to use technology intentionally, understand its limitations, protect the people I serve, and preserve the therapeutic relationship at the center of care.
Professional references: American Counseling Association, ACA Code of Ethics (2014), Section H; Virginia Board of Counseling, Guidance on Technology-Assisted Counseling and Technology-Assisted Supervision (Guidance Document 115-1.4); and Virginia Board of Counseling standards of practice.
The perspectives I carry shape how I hope to listen, connect, and learn under supervision. They are not substitutes for clinical training; they are part of the human context I bring to that training.
Athletes are often praised for discipline, toughness, and composure, but those same expectations can make it harder to admit fear, fatigue, loneliness, pain, or uncertainty. Counseling can provide a confidential space to separate self-worth from outcomes and develop tools that support both well-being and sustainable performance.
As a former collegiate goalkeeper, I understand the mental demands of a position where mistakes feel visible, leadership often requires constant communication, and staying present matters after every goal, save, win, or loss.
Advocacy is not a replacement for medical care. It is a commitment to dignity, communication, access, community, and emotional support throughout care.
My personal journey with Turner syndrome gives me a deep respect for the courage required to live with ongoing appointments, uncertainty, medical language, and decisions that can affect identity and daily life.
Medical experiences can shape confidence, trust, body image, relationships, grief, and the way a person understands the future. Emotional support should be part of whole-person care.
Girls and women deserve understandable information, room to ask questions, support in communicating their needs, and care teams that listen without dismissing their concerns.
A diagnosis is one part of a life. Advocacy can connect people to community, affirm different paths to adulthood and family, and make room for joy, ambition, sport, education, and leadership.
Graduate focus in telehealth counseling, private practice, and supervision. Counseling coursework has included person-centered, cognitive behavioral, feminist, narrative, existential, and solution-focused perspectives.
Contributed to curriculum development, counseling support, substance-use programming, group work, individual support, research, grant writing, publication design, website and social media work, tutoring, life-skills instruction, and employment-readiness workshops.
Completed psychology study while competing as a dual-sport collegiate goalkeeper. Co-presented an academic project titled Organized Sports and Mental Health.
Supported children through community arts programs, progressive counseling responsibilities, co-teaching, supervision, youth sports coaching, and faith-based service. Additional customer-facing work strengthened communication, adaptability, and teamwork.
These examples highlight topics I have explored through Clinical Mental Health Counseling coursework and academic projects. They represent developing knowledge and reflection—not independent clinical credentials or specialization.
Explored ethical responsibilities in distance counseling through the ACA Code of Ethics, including confidentiality, informed consent, technology competence, electronic communication, client location, privacy, and planning for disruptions or emergencies.
Compared and applied person-centered, cognitive behavioral, feminist, narrative, existential, and solution-focused perspectives while considering how theory can support collaborative, individualized counseling.
Coursework has examined ethical decision-making, duty-to-warn and safety responsibilities, broaching culture and difference, professional boundaries, and the purposeful use of silence and presence within the counseling relationship.
Applied a social-ecological perspective to improving awareness of and access to resources and support services for people with disabilities, considering how individual, relationship, community, and systems-level factors can shape access and well-being.
Based in Charlottesville, Virginia, Arianna is especially interested in supervised clinical counseling internships and aligned entry-level mental health, student-athlete wellness, women’s health, program-support, and advocacy opportunities serving adolescents, emerging adults, athletes, women, families, or clients navigating health-related and life-transition concerns.
I welcome conversations about supervised counseling internships and aligned entry-level opportunities with counseling practices, community agencies, schools, college wellness programs, health organizations, women’s mental health initiatives, Turner syndrome organizations, and sport-focused programs.