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It began with Phil Mickelson getting schooled in ping pong. It turned out to be a lot more.

For the brother who has everything, Tim Mickelson made a request of Dr. Michael Lardon a few years ago. A sports psychologist, Lardon had worked with Tim’s men’s golf team at USD. In that time, Tim found out that Lardon was wickedly good at table tennis.

Tim Mickelson asked Lardon if he could give Phil some ping pong pointers as a Christmas present. Phil wanted to learn a new serve for those epic battles in the U.S. Ryder Cup team room.

Lardon, of course, said yes, and they met in the gym at The Bridges, where Mickelson learned a few things while whiffing at Lardon’s high-toss serves. Lardon would later get his reward when Mickelson asked him about some of his psychological approaches.

And on the driving range at The Bridges, as Lardon explained a pre-shot routine and Mickelson immediately put it into play on his practice shots, the five-time major winner said, “I like your mental scorecard system.”

That was it.

“The light went on in my head,” Lardon said. “That’s what I’ll call it! I don’t know if Phil even knows it, but he came up with the name.”

With the mental scoring system as the centerpiece, Lardon has written a new book, “Mastering Golf’s Mental Game, Your Ultimate Guide to Better On-Course Performance and Lower Scores” (Crown Archetype, $25).

Lardon previously wrote a book called “Finding Your Zone,” for athletes of all walks, but the associate clinical professor of medicine at UCSD had always wanted to do a golf-specific book. He had been close to golfers for years, including caddying for his brother, Brad, for a time on the PGA Tour.

Lardon’s clients have included David Duval, Lee Janzen and Erik Compton.

“I really feel like if a reader were to spend time with this book, when you’re done with it, it will be like me working with you directly,” Lardon said. “That was the idea of this. To make something that, if you worked on it, would be of value.”

In Mickelson’s case, he has credited Lardon with helping him get into the proper frame of mind to do what he never thought he could – win the British Open in 2013.

In the foreword to the book, Mickelson wrote, “Coming so close to winning the U.S. Open is unfortunately something I had experienced before 2013, but Merion was especially tough. Mike helped me see that in spite of that every difficult finish, my game was in a great place and I was continuing to play better. I went to Muirfield with more confidence than I had going into previous British Opens.”

Many sports psychologists attempt to remove players from being results oriented. Lardon came up with a very specific plan to make that happen. With the mental scorecard, golfers are asked to follow a pre-shot pyramid, the tenets of which are: calculating the shot, creating the shot, and executing the shot.

Golfers then rate their performance in each area for each hole and come up with a score. At the end of the round, they’ll have a number for how well they played mentally throughout the round.

At their best, top-level pros, working in a zone, can reach about 95 percent, Lardon said. High-handicappers may only play at 25 percent.

“If I can get those guys to put the cigar down, follow something that’s pretty simple, and keep their mind on track, I think it will make the biggest difference for them,” Lardon said. “Since they’re not doing it now, any improvement is going to give you some pretty good results.”

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World-class athletes, Fortune 500 CEOs and Navy SEALs have common traits that make them the ultimate competitors. But the wiring that makes them great at those jobs also makes them vulnerable to certain kinds of problems.

Problems like the ones Tiger Woods has right now, says Dr. Michael Lardon.
Lardon is a clinical psychiatrist who has worked with SEALs, CEOs, PGA Tour players and other elite athletes for more than 20 years as a peak performance coach. He’s helped players on the rise learn how to handle pressure and SEALs who come to the end of their deployment learn how to transition into civilian life. He talks about his work with Phil Mickelson and other golfers in his new book, Mastering Golf’s Mental Game, which was excerpted in last month’s Golf Digest.
Lardon has never treated Woods, but he sees the threads common to “alpha predators” at the top of the competitive food chain who go through a crisis when they’re past their peak. “It’s an unusual situation for them to be in — being the one who needs help,” says Lardon, who is a consulting psychiatrist to the United States Olympic teams at the Olympic Training Center in Chula Vista, Calif. “You’re the ultimate predator, you’ve been dominant in a hyper-competitive environment and you feel invincible. But when you can’t do some of the things you used to do, it presents a new set of challenges. A lot of them can’t do it.”
Woods’ search for a Sean Foley replacement is probably the least complicated part of this process. “From my point of view, a new teacher isn’t that big of a deal. That’s familiar territory for him,” says Lardon, who has also worked with Erik Compton, Rich Beem and David Duval. “A big piece is injury. His body is breaking down. On top of that, the talk about 19 majors has been so deafening for so long, and he’s gone more than six years without winning one. That’s intense pressure — something he hasn’t ever really had to deal with.”
And the fallout from Woods’ well-publicized personal problems in 2009 goes beyond an expensive divorce settlement. “He used to be the PGA Tour’s rockstar, but now the crowd is split,” Lardon says. “Even if you say you don’t care about things like that, it’s a different dynamic when you go out to play. And saying that he is putting his kids first might make him a better person, but it won’t necessarily make him a better golfer. He’s going from having this solitary focus on golf to taking his kids to school every day. Real life has become a hurdle. And he has to deal with the fact that his kids are going to know what happened, because it’s all been so public. That’s real emotional pain.”
Fixing it will be an especially hard road for someone like Woods, who has stayed famously closed off from everyone except a small circle of friends and employees. “To get better, you have to get real feedback from somebody who understands the whole situation,” Lardon says. “That reputation for being this ruthless guy is something that helped make him be a great player, but for this he’s going to have to open himself up — which will probably require a totally new mentality. He has to re-assess his goals. He’s not going to be in his physical prime again, so how does he maximize what he has and be more efficient? A swing coach is just one of the experts he should see.”

 

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Reviewed by Tim Boggan, Table Tennis Magazine, Nov-Dec 2008

lardon-us-junior-team-champSports psychiatrist Dr. Mike Lardon is well known for having worked with PGA, NFL, and Olympic athletes. For almost 35 years he and his family have been friends with my family – originally through the now-Olympic sport of table tennis. Mike and my sons Scott and Eric won the 1976 U.S. Junior Team Championships at Detroit’s Cobo Hall, and later that year Mike, experiencing for a time his own “Zone,” was a finalist in the U.S. Junior Singles Championships at Caesars Palace in Las Vegas. Because of our shared table tennis and golf experiences (I was once Captain of my University Golf Team), I re-live in reading Mike’s book much of my own competitive experience, for almost all those who take sports or anything else seriously probably at some time or other have been in a “Zone” – that is, where you perform at your highest level, but likely don’t know how it happened.

To take an example from my own life – and Mike’s book urges you to interrelate like doctor/patient, teacher/student – when in the 1960’s six-time U.S. Table Tennis Champion Dal-Joon Lee had not lost a single match to any native-born U.S. player, I opened my eventual loss to him with an unbelievable 21-8 first-game win. When that game was over, I had no idea that I’d built up such a score, or even that the game had ended. For a moment in Time, but only for a moment, I’d been in a no-thought trance – the “Zone.” How to do it again and again? Since that’s what aspiring winners want to know, Mike’s aim in this book is to share Lessons he’s learned to help you try to find, repeatedly, this elusive “Zone.”

Lesson One stresses the importance of dreams, even daydreams. They can lead you to the path of “self-actualization,” to your “inner drive for higher values and purpose,” and so to the “Zone.” Write them down, think about them – they’ll provide internalized energy and direction for you. And perhaps some revelations. Mike gives the example of Dr. Jonas Salk discovering the polio vaccine. During one of his recurrent dreams, “he was able to manipulate his perspective from observer to the subject itself, the virus. He said that in this state of being the virus, he saw his own (the virus’s) vulnerability” – and the vaccine followed.

book_lgMike had sometimes caddied for his brother Brad, for years a golf pro playing the PGA circuit, and thus had occasion to learn vicariously from watching some of the best golfers. He was struck – and wants you to be too – by how Phil Mickelson, positioned to win the Masters, “was napping just prior to teeing off.” It showed how prepared he was, how confident he was – how he’d made the inevitable anxiety, the tension needed to perform, manageable.

“Fuel your determination to succeed with unwavering commitment,” says Mike. Lesson Three describes “your most powerful ally: will.” Mike’s speed-skater friend Eric Heiden “played with pain.” During his coldest practice sessions in a Wisconsin winter, he’d persevere when others left the ice. How’d he do it? By remembering how he used to test himself in summers by sitting in an automobile with the windows closed and the heat on, seeing how long he could endure it. Then in the dead of winter he’d practice this “solipsism” – his mind convincingly modifying reality so as to adapt this remembered warmth to the cold. Lesson: manage your reality, strengthen your will.

Lessons Four and Five I, as a now aging golfer, have to pay strict attention to – for I hit many bad shots and “freeze” on short putts. Problem is: I’m result-oriented, I’m afraid I’ll mishit and add another stroke to my already burgeoning total. What you, Tim, and others like you need, says teacher Mike, is a homework assignment. You’re all to keep two scorecards – one for your actual score, the other for those times you unconsciously know what you’re supposed to do and unhesitatingly do it. For example, you read the line you want your putt to take and just smoothly stroke the ball. Nothing last-second extra is needed. Especially not thought. Keep it simple. ADD anything and you’ve got Attention Deficit Disorder. So, on the second scorecard, whatever club is called for, you’re to record “the percentage of shots that you executed to the best of your ability.” Use the following guidelines: first, visualize the shot you want, then hit it without doubt, or, if doubt exists, back away and start again. Absorb yourself in that regimen until it’s mindlessly automatic. “We choke when we care too much about the wrong thing.” Take satisfaction in the quality of shots hit. Have FUN! It’s often said, says Mike, “that only 10 percent of life is what happens to you, and 90 percent is how you react to it.”

One important concept is conserving your energy. You have to practice some detachment. If you’re frustrated, have the mind-awareness to take a reality check. To relieve tension stretch your fingers. It’s even o.k. to get angry – we’ve seen Tiger Woods bang down a club, or for uttering an audible curse word incur a reprimand from announcer Johnny Miller – but it’s not o.k. to lose focus. Generally performance depends on intensity of focus. Anger can be overcome by visualization techniques. For example, Mike says he sometimes asks “players to shut their eyes and imagine putting their anger on a falling leaf and releasing it to descend into a flowing stream.” That’s Lesson Six.

usa-table-tennis-mag-2008-nBut it follows in Lesson Seven that the player’s passion, his juices have to keep flowing too. “A mind that is worried about what others think” is practicing “extrinsic motivation,” not the “intrinsic motivation” needed. When we honor the pure motivation that comes from heart and soul, and is not laid out for us by others, “we are loving ourselves.” But following our own path, pursuing our dream, is not an unhealthy experience. This “healthy narcissism” allows us to have the “dedication and effort required to achieve the highest level in business, arts, or sports.” Being in the “Zone” requires pure motivation – it’s a “private experience.”

I once did an interview with Zhuang Zedong (Chuang Tse-tung), the famous three-time World Table Tennis Champion of the 1960’s. “Failure is the Mother of Success,” he said – and “Success the Mother of Failure.” That is, the more successful the player, the more pressure he begins to feel; and the more pressure he feels, the more chance he’s afraid of losing. For, with his reputation, and his need to preserve it, everyone goes gunning for him. “It’s that fear, that failure of spirit, the player must overcome if he’s to be great.” Mike realizes this of course, and says it’s imperative for a player, even for Tiger Woods, to realize “his sport is not a matter of life and death” (for him it almost is?). For sure, though, Lesson Eight says any player has to overcome fear.

Lesson Nine is so important to every player, for it emphasizes the importance of confidence. How do you get it? By “mastery experience” naturally, but also through vicariously watching someone who’s got it, or who can inspire you to get it.

It helps if, as a lead-off quote in Lesson Ten states, “Playing under pressure is not to be feared. It is merely the normal circumstance of performing.” Familiar territory for those who progress. Mike stresses the importance of “activation energy.” Start a reaction that tries to lead you to the “Zone.” But realize the “Zone” “can’t be forced or controlled.” It has “a life of its own.” And though Mike does a good job of trying to get you to find it, understand it, when all’s said and done, the ten lessons learned, the “Zone’s” “an inexplicable phenomenon.” It just arrives out of nowhere.

Since faith in yourself helps, I’ll point you to my own inner door of intrinsic motivation, and show you the mystic key Simone Weil keeps for me and others. The “Zone’s” in mind-awareness, though mindlessly obtained. She says: “Even if our efforts of attention seem for years to be producing no result, one day a light that is in exact proportion to them will flood the soul.” That light, too, comes out of nowhere – faith-based… like the inexplicable “Zone.”

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STACK Magazine“The ‘zone’ refers to a higher state of consciousness where we perform our best; it’s something human beings innately strive for,” says Dr. Michael Lardon, a sports psychologist and author of the book, Finding Your Zone. Elite athletes always strive to perform at this level, but many have a hard time getting there mentally. To help you out, we picked the doctor’s brain for a few tips on getting in your zone – and staying there.

Desire vs. Will

Lardon advises transforming your desire to do something into your will to do it. “With desire, you have this energy, and it’s just out there; but with will, you channel that energy at a goal,” he says.

“Take Tiger Woods for example. Everything he does always has a purpose, a goal attached. Everything you do in your life [should be] related to your goal: what you eat and drink, how often you [socialize], when you work out and if you train your mind.”

Read more »

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Elite athletes are capable of finding it on a regular basis, and top golfers are often in it when clutch shots are made.

Southland Golf MagazineIt’s also discussed in daily life, and chances are you’ve been in it before, whether it’s generating your best report for school or work, conquering your favorite video game or making more putts than usual on the practice green.

It’s performing at your highest level – being in “the zone” – and it’s Dr. Michael Lardon’s job to help professional golfers and other athletes be in it as much as possible.

When you’re in the zone, you really don’t think too much,” said Lardon, a sports psychiatrist whose education includes a B.A. in psychology from Stanford, an M.D. from the University of Texas and an internal medicine internship at UCLA. “You bypass your cerebral cortex, and when you do that you work at a much more reflexive, instinctive level. Paradoxically, as we’ve become more intelligent and think more [in our activities], we often get in our own way.”

Lardon grew up playing golf in Long Island, N.Y., often waking up early with his dad and younger brother to play the Black Course at Bethpage State Park. Though he excelled at the sport as a youngster, his most successful athletic endeavor was table tennis. Lardon was so talented that he was chosen at 16 to go to Japan to train with the reigning world champion.

When Lardon returned to America for the national junior championship, he discovered the zone, a mental state where one of his top skills became even easier to execute.

“I made it to the finals and I had an unusual experience where the ball, which normally travels at speeds exceeding 100 mph, started to slow down, and I won the first two games easily,” Lardon recalled. “I was in the zone. Then, somebody said something to my coach about me becoming the next national champion, triggering me to become conscious of what was going on, and I fell out of that state and lost the match. The experience haunted me for many years but also gave rise to my drive to understand the science behind this phenomenon.”

Later, Lardon turned professional and played all over the world, still fascinated with similar states of peak performance he experienced. He won a gold medal at the Olympic Sports Festival in 1980 and then retired to delve into the zone from an academic angle.

His research took off during the early 1990s at UC-San Diego, where he completed his residency in psychiatry and a fellowship in psychopharmacology and psychobiology. In 1994, he was awarded a grant by the United States Tennis Association for the “Neuroelectric Assessment of Enhanced Athletic Performance” – basically, what role the brain plays in an athlete’s performance.

“We had three focus groups: athletes that were among the best in the world, people that were in very good shape and then regular people,” Lardon said. “Even regular people reported times in their lives – not always in sports, it could have been in their jobs – where everything was flowing synchronously.”

Even before that study, Lardon, who has been an associate clinical professor in UCSD’s psychiatry department since 1995 and a consulting psychiatrist for U.S. Olympians since 1999, was offering advice to pro golfers. He met many of them through caddying for his brother, Brad, who first made it onto the PGA Tour in 1991.

Dr. Lardon has helped many golfers find "the zone" more often.“Any PGA Tour level golfer can shoot 62,” Lardon said. “Why somebody plays well on Sundays, or why somebody like Tiger Woods can always seem to put it together, that’s between the ears.”

His new book, Finding Your Zone: Ten Core Lessons for Achieving Peak Performance in Sports and Life, isn’t devoted entirely to golf, but much of it is.

Here are four of Lardon’s tips that can help you visit the zone more often on the golf course:

  • See the big picture. “Half of [succeeding] is what’s going on when you’re out there in the heat of the moment and how you manage stress and anxiety. The other half is how you contextualize the sport in your life and the importance of having balance and a check of your ego.”
  • Keep a thought journal. “Go back after your round and recall what was happening on each shot. Almost uniformly, when players are playing well, they’re fully engaged in the process of what they’re doing. On poor shots their minds wander to things like, ‘I’ve got to pick up my kids.’ That happens so quickly and insidiously that I think amateurs don’t really pick it up.”
  • Have a mental game plan. “Maybe 10 minutes before your round, take time and say to yourself, ‘For the next four hours, my focus is going to be on staying relaxed every time I hit a shot.’ Or, ‘I’m going to try to be really cognizant of what I’m doing and what’s going on so my attention doesn’t drift.'”
  • Pulse your concentration. “Think of your focus like an accordion. When you’re walking after a shot, you can relax, and when your ball comes back into sight, your concentration starts to increase and you begin making calculations. You bring that intensity out, and when you step into the shot, you’re fully committed, and after the shot you can relax again.”

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SAN DIEGO – Dr. Mike Lardon is a sports psychiatrist. The difference between a sports psychiatrist and a sports psychologist can be as wide as, oh, the Pacific Ocean.

Unlike sports psychology, a largely unregulated field with a wide range of qualifications, sports psychiatrists such as Lardon are medical doctors.

Lardon majored in psychology at Stanford University, graduated from the University of Texas Medical School, attended UCLA for internal medicine training, and completed his psychiatry residency plus a two-year fellowship in psychobiology (the relationship of the mind and body) at the University of California at San Diego.

He serves as an associate clinic professor of psychiatry at UCSD and maintains a private practice.

So lay down on my couch, and I’ll tell you how to hit a 300-yard drive.

No, no, no.

Lardon constantly crusades against stereotypes in the psychological arena.

david-duval-and-mike-lardon“In psychiatry, we are pigeonholed all the time,” Lardon said as we walked Torrey Pines Golf Course during the U.S. Open. “People talk about us like we are the ones who give drugs to crazy people.

“In the same way, sports psychologists and psychiatrists are pigeonholed: ‘Oh yeah, I know all about them. They give advice to athletes.’ Well, it isn’t that simple.”

Lardon stresses this reality: Our lives outside golf have a huge influence on our golf success or failure.

“On any given day,” he said, “your score depends not only on how you play, but also on the framework and context of what is going on in your life. Using the same reasoning, what you do off the course can help you on the course.”

He has been an adviser to David Duval and works with Rich Beem and Michael Campbell. All three are major champions who might be viewed as restoration projects, having plummeted in the world rankings.

Lardon does not discuss his players, and they, too, remain largely silent. Excessive testimonials invariably place too much pressure on the golfers who utter them, something Beem avoided when he said simply, “I’m getting there, and Mike is helping me.”

Lardon is ready, though, to dispense specific advice that might help all golfers. His new book, “Finding Your Zone, Ten Core Lessons for Achieving Peak Performance in Sports and Life” (Penguin, paperback, $14.95), is aimed heavily at golf.

While observing the U.S. Open, he offered seven tips for golfers of all skill levels.

TIP NO. 1: Keep two scorecards.

One is for your score, the other is for your commitment to every shot.

“On every single shot, I want you to answer yes or no,” Lardon said. “The idea is to achieve a yes on each shot. To do this, you need a clear image of the shot, you need to step into the shot with conviction, and you need to execute it with full commitment and a clear mind.”

TIP NO. 2: Develop instant amnesia.

“Tiger Woods has this uncanny ability to forget one shot and go on to the next shot,” he said. “I’m not saying that all of us can be Tiger Woods, but I am saying that we can learn from his example. Too many golfers become self-conscious after a bad shot. It happens to good players as well as average players. We need to overcome this self-consciousness and focus on the next shot.”

TIP NO. 3: Let-go-of-the-club drill.

“Try this drill for letting go and moving on,” Lardon said. “After every shot, do not let go of the club until you are ready to forget about the shot. If you are steaming mad, hold onto the club and recalibrate. Letting go of the club – whether you hand it to your caddie or stuff it into your golf bag – is a signal that you’re ready to move on.”

TIP NO. 4: Trust your training.

“Don’t try to change things on the course,” Lardon said. “Trust your training. Each time you play, that’s what you have that day, so go with it. Maintain a clear plan. Don’t complicate what your mind and body are doing.”

TIP NO. 5: Stepping-over-the-line drill.

“Avoid overthinking,” Lardon said. “I talk to players all the time, and you would think they’re doing brain surgery. They get in their own way.”

Lardon recommends a drill that has been advocated by Henri Reis, Annika Sorenstam’s teacher, and others: Draw an imaginary line 3 or 4 feet behind the ball. Once you step over that line, all your computation has to be gone. Maintain a clear image of the shot and swing away.

TIP NO. 6: Anxiety is fine; fear is not.

“It is normal to be anxious,” Lardon said. “Anxiety can be beneficial. Fear, on the other hand, can be inhibiting.

“Ask yourself, ‘What am I afraid of? Can you live with the result of your shot? Can you accept it?’ If you hit a bad shot, you’re still going to be here tomorrow to play again.”

TIP NO. 7: Keep a dream journal.

“The night before you play, run through the golf course in your mind’s eye,” he said. “Develop a mental template for it. Give yourself suggestions. You might be able to dream about your success. We all have the ability to move our dreams and influence our dreams. The unconscious mind is a powerful place.”

“Then keep a journal. Jot down tidbits, what worked for you. Dreams go in there, too.”

No couches here, just solid advice.

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Seventeen days before his big race at the 2002 Olympics, U.S. sledder Jimmy Shea got word that his grandfather, a 1932 gold medal winner, had been killed by a drunk driver. Reeling and distraught, he turned to sports psychiatrist Michael Lardon for counsel. At Lardon’s suggestion, Shea taped a picture of Grandpa Jack into his helmet for the downhill race. Fifteen high-speed turns later, under driving snow, Shea won the gold with .05 of a second to spare, marking the memory of his grandfather by becoming the first third-generation winter Olympian the nation has ever had.

chargers-kicker-nate-kaedingFor Lardon, who has helped sports figures such as PGA champion Rich Beem and San Diego Chargers Pro Bowl kicker Nate Kaeding reach for greatness, Shea’s win in Utah illustrates how even the most crippling distractions can be overcome – both in sports and in the game of life. Now Lardon, in a new book called Finding Your Zone, has boiled down the essential lessons and advice he dispenses to elite athletes. Those looking for some quick-fix, secret formula should stop reading now. As Lardon points out in the introduction, “The secret is there is no secret.”

“Allow yourself to dream, but realize there are no shortcuts,” he writes. “The Zone is not for sale for $19.99 or any price: It’s free …the Zone is within you.”

If it sounds like a Star Wars, new-age approach to peak athletic performance, the book’s spiritualistic undergirding is balanced with common-sense, practical steps to achieve it. Though some athletes have a physical edge over others, Lardon’s chief message is that anyone with the will and discipline can achieve greatness.

He helped his own brother, Brad Lardon – two-time Texas State Open Champion and 2007 Southern Texas PGA Player of the Year – achieve his dream of getting a fully exempt PGA Tour card.

Michael Lardon’s fascination with high-performance sports was nurtured by his own interest in table tennis. In 1976, at age 16, he was chosen by the United States Table Tennis Association as the country’s most outstanding junior. He won a gold medal in the 1980 U.S. Olympic Sports Festival.

A graduate of the University of Texas medical school, Lardon won the Judd Research Award at the University of California, San Diego for his work studying the brain waves of some of the world’s greatest athletes. The common link, he found, was their ability to perform at a “primitive, reflexive level while being fully engaged.”

Time slows down when you’re in the Zone, he observes, making a speeding fastball seem like it’s traveling in slow motion or allowing golfers like Tiger Woods to enter an almost trance-like state, ignoring distractions and fears to sink a high-pressure putt.

But everyone can’t be like Tiger, so how does the average Joe reach peak performance?

Lardon lays out 10 practical lessons for getting into the Zone, ranging from tips to good practicing habits to advice on letting go of negative thoughts and destructive behavior. Lesson No. 1 seems a bit odd – channeling the power of the subconscious mind – but Lardon points out that some of history’s greatest achievements were born as dreams.

Inspired by a college class given by Jonas Salk, who devised a cure for polio based in part on recurring dreams about it, Lardon advises his clients to keep a dream journal and even to consciously daydream as a way of visualizing success and peak performance. He dedicates another chapter to the power of concentration and the danger of “overthinking” athletic performance. For example, after observing that professional golfers often alter their preshot rituals during high-pressure moments – generally spending more prep time when the stakes were highest – Lardon used a stopwatch in 2004 to calculate how long Tiger Woods spent getting ready to hit the ball. “He always took the same amount of time with each shot, regardless of its importance,” Lardon writes.

He’s a psychiatrist, so people often come to Lardon when they’re in a slump, can’t seem to win or choke too much. Typically, he writes, it’s because they began to “care too much about the wrong things,” like critics in the media, fame or money. To recreate the magic, Lardon advises his clients to make an effort to remember what was most important when they had the most fun, and to be honest about what truly motivates them. “Falling into the Zone is not that different from falling in love,” Lardon writes. “They both come out of nowhere. They both can dissipate in a moment’s notice, and without passion they cease to survive.”

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Performance-enhancing drugsABSTRACT

The integrity of sport is predicated on the assumption that all athletes compete on a level playing field. Unfortunately, the use and abuse of performance-enhancing drugs has become ubiquitous, creating complex challenges for the governing bodies of individual sports. This article examines the complexity of these issues within the world of professional golf, major league baseball, and Olympic competition. Integral concepts like, “What is a therapeutic exemption?” and “When does restorative function end and performance enhancement begin?” are discussed in detail.

INTRODUCTION

When it comes to the world of sports, we now live in the age of doping. Baseball historians will contemplate describing the current time as the “steroid era.” Baseball’s greatest pitchers and hitters are now portrayed as villains.[1] The sport of professional cycling has been decimated by doping scandals; Tyler Hamilton tested positive after winning the Olympic gold medal in 2004 in Athens, and Floyd Landis was stripped of his 2006 Tour de France title. Olympic track and field star Marian Jones was not only stripped of her Olympic medals, but was sentenced to six months in prison for perjury concerning her admitted use of performance-enhancing drugs. This year in the professional sport of golf, which has always been characterized by integrity and honesty, the governing body, or PGA Tour, has implemented its own doping policy. As a sports psychiatrist who works with PGA players while on tour and is familiar with this issue, I find it noteworthy that in early June, 2007, Dick Pound, former president of the World Anti-Doping Agency (WADA) stated in an article that the PGA Tour Commissioner, Tim Finchem, told him that there is no drug problem in golf.[2] Mr. Finchem correctly reversed his opinion several weeks later.[3] Now for the first time I am hearing the PGA Tour golfers complain, “Have things gone overboard with drug testing?” The reality is that performance-enhancement drugs can insidiously infiltrate the sport of golf and have the serious potential to threaten the integrity of almost all professional sports.

ENHANCING PERFORMACE OR RESTORING NORMATIVE FUNCTION?

Most of the issues involving the definition of performance-enhancing drugs in the past have been relatively clear cut. However, with the continuing advancement of medicine and particularly the application of psychotropic medicines, the sports psychiatrist will need to become an integral player in this complex social, moral, and medical drama. Psychiatrists who work with professional athletes will be faced with unique challenges that must be identified, acknowledged, and acted upon in agreement within the sport to ensure the integrity of the profession.

The stated mission of the United States Association of Drug Agencies (USADA), the official antidoping agency for America’s Olympic athletes, is to preserve “the wellbeing of Olympic sport, the integrity of competition, and the ensuring health of athletes.”[4] A primary example that has often required the policing of USADA is use of erythropoietin (EPO), which provides performance enhancement in endurance sports like cycling.[5] This protein is produced by the kidneys and accelerates erythrocyte production, thereby increasing the oxygen-carrying capacity of an individual’s blood. The use of EPO clearly violates the USADA objective of preventing an unfair advantage to fellow competitors.

The World Anti-Doping Agency (WADA) was organized under the 1999 initiative from the International Olympic Committee (IOC) and defines the term therapeutic exemption as the use of a drug for restoration of normal health.[6] But one of the central problems in defining a therapeutic exemption lies in understanding the evolving power of medical science. Medicine historically has focused on restoring normative health for those with pathologic conditions. As medical science advances, however, the focus of treatment transcends the long-standing goal of normalizing pathologic conditions and extends into the concept of wellness and helping individuals feel better than they have ever felt. The emerging questions are the following: (i) “What does the restoration of normal function mean?” (ii) “Who should define its characteristics?” Perhaps the most important question stated from a medical therapeutic perspective is, “Where does restoration of normative function end and the beginning of performance enhancement start?”

Further complicating these critical issues are the subtle ways in which performance-enhancement drugs are sport specific. For example, in sports like golf, archery, or pistol shooting, where a steady hand is critical, beta blockers provide a performance-enhancing function that combats the normal physiologic tremor that is exacerbated in high-pressure situations.[7] Conversely, in an endurance sport like cycling or long-distance running, beta blockers adversely affect performance[8] and would not necessarily be prohibited. An interesting recent doping violation comes from the Canadian snowboarder Ross Rebagliati, who had to return his Olympic Gold medal due to testing positive for marijuana, only to have it later returned for a variety of reasons. This situation raises the unexpected question of whether marijuana is a performance-enhancing drug. Another interesting question to consider is whether athletes with adult attention deficit hyperactivity disorder (ADHD) are better athletes when treated with stimulants? It has been reported9 that some athletes actually perform better when their ADHD symptoms are not treated with medication. For example, a basketball point guard who has symptomatic ADHD may actually be more spontaneous or unpredictable for the opponent. In contrast, the center player with ADHD who has difficulty disciplining him- or herself to stay near the basket may find that he or she is often out of position unless his or her ADHD symptoms are treated with medication.[9]

The most controversial current policy issue has occurred in baseball, where stimulant abuse has plagued the sport for decades.[10] Although no well-controlled scientific studies conclusively support claims that stimulants provide ballplayers with an unfair performance-enhancement advantage, these chemicals have long been thought to do so because of their physiologic and psychoactive properties. The question then arises, “If an individual truly has adult ADHD, is the use of stimulants actually providing a performance-enhancement edge or simply providing a restorative function?” Furthermore, if the governing bodies deny athletes effective and standard treatment for psychiatric disorders, are they discriminating against the mentally ill? In this context it is not surprising that Major League Baseball (MLB) in 2007 gave out 103 therapeutic exemptions for the use of stimulants for ballplayers with ADHD. This figure is disconcerting when juxtaposed with the 26 therapeutic exemptions given just one year earlier in 2006. It is also no surprise that this dramatic increase temporally coincided with the Mitchell investigation. George Mitchell was a former United States senator, who was appointed by the commissioner of Major Leagues Baseball to conduct a 20-month inquiry of performance-enhancing drugs. This high-profile investigation resulted in a 409-page report[11] that not only made recommendations but also identified a number of high-profile baseball players who admitted illegal drug use. The subsequent media attention has certainly made athletes more careful when using performance-enhancing drugs and seeking therapeutic exceptions. The dramatic increase in asking for a therapeutic exemption suggests that some baseball players may be looking for a loop hole to continue stimulant abuse by seeking them through fictitious therapeutic exemptions, whereas in the past they would take the drugs covertly. If so, are these violations being addressed by physicians with expertise in diagnosing ADHD and whose allegiance is to maintain baseball’s integrity? Although sport psychiatrists are now finally being consulted, it is disconcerting that they do not sit on any major sports medical advisory boards. For example, the drug policy of the MLB is administered by a pediatrician. The USADA has a 12-member board that consists of three physicians, a gynecologist, orthopedist, and urologist. The time has come for these agencies to develop a published, standardized policy that clearly and fairly defines which athletes meet criteria for psychiatric disorders and what drugs provide psychoactive properties that enhance performance.

Another reason to involve psychiatric consultation in professional sports stems from recent reports that antidepressant drugs have been implicated as performance-enhancement agents. It is now well known that the selective serotonin reuptake inhibitors (SSRIs) are recognized as first-line treatment for anxiety disorders and their various subtypes.[12] Additionally, a selective serotonin-norepinephrine re-uptake inhibitor (SNRI), such as venflaxine, also has received approval for generalized anxiety disorders. Although this situation may sound counterintuitive or even absurd, consider the hypothetical example of a professional athlete who is anxious by nature but does not meet DSM criteria for an anxiety disorder. If this athlete is regularly competing on a public stage, he is likely to experience more anxiety than if working daily at a desk job. The more patients are symptomatic, the more aggressively physicians treat them. Are these athletes being given an unfair advantage if they can biologically increase their capacity to calmly compete in high-stress competition, even if the medication used is permitted? If so, who is ethically responsible to define this subtle issue and enforce fair policy? It seems that the burden falls less on the athlete, who is likely to be naïve to these implications, and more on the clinical experts who create policy with each sport’s governing body.

Another developing concern is the use of antidepressants for treating what is commonly termed over-training syndrome. Overtraining refers to a negative response to training stress and is often due to chronically high training levels without periods of lower training loads.[12] Overtraining also can lead to fatigue and depression.[13] It has been hypothesized that overtraining syndrome may involve disregulation of brain serotonin and neuroendocrine function.[15,16] Treatment logically dictates that SSRIs and SNRIs should be effective, and these have anecdotally been reported to help athletes with this common problem.[17] Moreover, the use of SNRIs for various pain conditions makes one consider if this class of drug can benefit endurance athletes who inherently cope with tremendous pain during training and competition. The question should be asked if the use of an antidepressant in these situations is fair.

CONCLUSION

Physicians involved in professional sport need to fully understand the complexity of performance-enhancing drugs and where we draw the line. To do so, not only must the physiologic and psychotropic properties of each drug be considered, but also the individual characteristics of each sport and, more important, the individual biology of each athlete. A medical system for athletes that ensures a fair and accepted standard for all individuals in a given sport needs to be established. In a world of advancing neuroscience and concomitant psychotropic drug development, the psychiatrist must become an advocate for the appropriate uses of psychoactive medicines. The issues involved are complex and potentially have far reaching cultural effects in how psychotropic medicines are perceived by the public. Unfortunately, the majority of prescriptions given for psychotropic drugs are not given by psychiatrists and probably the world of sport is no exception.[18,19] If the integrity of the practice of medicine and professional sport are to be maintained, all involved must be more informed and directly involved in the decision making about medication efficacy and appropriateness. To address the issue of where the line is drawn and who draws it, the world of sports is unknowingly calling for physicians who possess expertise in psychopharmacology, psychiatry, and athletics. It is time that the burgeoning field of sport psychiatry answers the call.[20]

REFERENCES

Permanent Link: http://www.psychiatrymmc.com/performance-enhancing-drugs-where-should-the-line-be-drawn-and-by-whom/

1. Holway J. Outlook: Baseball’s steroid era. Washington Post. March 12, 2004. http://discuss.washingtonpost.com/wp-srv/zforum/04/r_outlook031504.htm. Access date: July 9, 2008.
2. Pound RW. The PGA Tough needs drug testing now. Golf.com. http://www.golf.com/golf/tours_news/article/0,28136,1625943,00.html. Access date: June 4, 2007.
3. Hack D. PGA tour moves closer to adopting drug policy. New York Times. http://www.nytimes.com/2007/06/21/sports/golf/21golf.html. Access date: June 21, 2007.
4. United States Anti-doping Agency. Mission statement. http://www.usantidoping.org/who/mission.html. Access date: July 8, 2008.
5. Eichner ER. Blood doping: Infusions, erythropoietin and artificial blood. Sports Med 2007;37:389–391.
6. World Anti-Doping Agency. What is a therapeutic use exemption? http://www.wada-ama.org/en/exemptions.ch2. Access date: July 8, 2008.
7. Kruse P, Ladefoged J, Nielsen U, et al. Beta-blockade used in precision sports: Effect on pistol shooting performance. J Appl Physiol. 1986;61:417–420.
8. Juhlin-Dannfelt A. Beta-adrenoceptor blockade and exercise: Effects on endurance and physical training. Acta Med Scand Suppl. 1983;672:49–54.
9. Conant-Norville DO, Tofler IR. Attention deficit/hyperactivity disorder and psychopharmacologic treatments in the athlete. Clin Sports Med. 2005;24:829–843.
10. Curry J. With greenies banned, up for a cup of coffee? New York Times April 1, 2006. http://www.nytimes.com/2007/06/21/sports/golf/21golf.html. Access date: July 9, 2008.
11. Mitchell GJ. Report to the commissioner of baseball of an independent investigation into the illegal use of steroids and other performance-enhancing substances by players in major league baseball. http://en.wikipedia.org/wiki/. Access date: December 13, 2007.
12. Stahl SM. Psychopharmacology: Neuroscientific Basis and Practical Applications, Second Edition. Cambridge: Cambridge University Press, 2000:302–303.
13. McCann S. Overtraining and burnout. In: Murphy SM (ed). Sport Psychology Interventions. Champaign, IL: Human Kinetics, 1995:347–365.
14. Kamm RL. Principles for the psychiatrically aware sports medicine physician. Clin Sports Med. 2005;24:745–769.
15. Pearce PZ. A practical approach to the overtraining syndrome. Cur Sports Med Rep 2002;1:179–183.
16. Cristina I, Sampaio L, Celso W. Relationship of the overtraining syndrome with stress fatigue, and serotonin. Rev Bras Med Esporte 2005;11(6):333e–337e.
17. Begré S, Traber M, Gerber M, von Känel R. Change in pain severity with open label venlafaxine use in patients with a depressive symptomatology: an observational study in primary care. Eur Psychiatry. 2008;23(3):178-86. Epub 2008 Mar 6.
18. Schulberg HC, Burns BJ. Mental disorders in primary care: epidemiologic, diagnostic, and treatment research directions. Gen Hosp Psychiat 1988;10:79–87.
19. Yates DF, Wiggns JG, Lazarus J, Scully JH. Patient safety forum: Should psychologists have prescribing authority? Psychiatr Serv 2004;55:1420–1426.
20. International Society of Sports Psychiatry. Home Page. http://www.theissp.com/. Access date: July 8, 2008.

Posted by & filed under Resources.

An eating disorder is marked by extremes. It is present when a person experiences severe disturbances in eating behavior, such as extreme reduction of food intake or extreme overeating, or feelings of extreme distress or concern about body weight or shape.

A person with an eating disorder may have started out just eating smaller or larger amounts of food than usual, but at some point, the urge to eat less or more spirals out of control. Eating disorders are very complex, and despite scientific research to understand them, the biological, behavioral and social underpinnings of these illnesses remain elusive.

The two main types of eating disorders are anorexia nervosa and bulimia nervosa. A third category is “eating disorders not otherwise specified (EDNOS),” which includes several variations of eating disorders. Most of these disorders are similar to anorexia or bulimia but with slightly different characteristics. Binge-eating disorder, which has received increasing research and media attention in recent years, is one type of EDNOS.

Eating disorders frequently appear during adolescence or young adulthood, but some reports indicate that they can develop during childhood or later in adulthood. Women and girls are much more likely than males to develop an eating disorder. Men and boys account for an estimated 5 to 15 percent of patients with anorexia or bulimia and an estimated 35 percent of those with binge-eating disorder. Eating disorders are real, treatable medical illnesses with complex underlying psychological and biological causes. They frequently co-exist with other psychiatric disorders such as depression, substance abuse, or anxiety disorders. People with eating disorders also can suffer from numerous other physical health complications, such as heart conditions or kidney failure, which can lead to death.

Eating disorders are treatable diseases

Psychological and medicinal treatments are effective for many eating disorders. However, in more chronic cases, specific treatments have not yet been identified.

In these cases, treatment plans often are tailored to the patient’s individual needs that may include medical care and monitoring; medications; nutritional counseling; and individual, group and/or family psychotherapy. Some patients may also need to be hospitalized to treat malnutrition or to gain weight, or for other reasons.

Anorexia Nervosa

Anorexia nervosa is characterized by emaciation, a relentless pursuit of thinness and unwillingness to maintain a normal or healthy weight, a distortion of body image and intense fear of gaining weight, a lack of menstruation among girls and women, and extremely disturbed eating behavior. Some people with anorexia lose weight by dieting and exercising excessively; others lose weight by self-induced vomiting, or misusing laxatives, diuretics or enemas.

Many people with anorexia see themselves as overweight, even when they are starved or are clearly malnourished. Eating, food and weight control become obsessions. A person with anorexia typically weighs herself or himself repeatedly, portions food carefully, and eats only very small quantities of only certain foods. Some who have anorexia recover with treatment after only one episode. Others get well but have relapses. Still others have a more chronic form of anorexia, in which their health deteriorates over many years as they battle the illness.

According to some studies, people with anorexia are up to ten times more likely to die as a result of their illness compared to those without the disorder. The most common complications that lead to death are cardiac arrest, and electrolyte and fluid imbalances. Suicide also can result.

Many people with anorexia also have coexisting psychiatric and physical illnesses, including depression, anxiety, obsessive behavior, substance abuse, cardiovascular and neurological complications, and impaired physical development.

Other symptoms may develop over time, including:

  • thinning of the bones (osteopenia or osteoporosis)
  • brittle hair and nails
  • dry and yellowish skin
  • growth of fine hair over body (e.g., lanugo)
  • mild anemia, and muscle weakness and loss
  • severe constipation
  • low blood pressure, slowed breathing and pulse
  • drop in internal body temperature, causing a person to feel cold all the time
  • lethargy

TREATING ANOREXIA involves three components:

  1. restoring the person to a healthy weight;
  2. treating the psychological issues related to the eating disorder; and
  3. reducing or eliminating behaviors or thoughts that lead to disordered eating, and preventing relapse.

Some research suggests that the use of medications, such as antidepressants, antipsychotics or mood stabilizers, may be modestly effective in treating patients with anorexia by helping to resolve mood and anxiety symptoms that often co-exist with anorexia. Recent studies, however, have suggested that antidepressants may not be effective in preventing some patients with anorexia from relapsing. In addition, no medication has shown to be effective during the critical first phase of restoring a patient to healthy weight. Overall, it is unclear if and how medications can help patients conquer anorexia, but research is ongoing.

Different forms of psychotherapy, including individual, group and family-based, can help address the psychological reasons for the illness. Some studies suggest that family-based therapies in which parents assume responsibility for feeding their afflicted adolescent are the most effective in helping a person with anorexia gain weight and improve eating habits and moods.

Shown to be effective in case studies and clinical trials, this particular approach is discussed in some guidelines and studies for treating eating disorders in younger, nonchronic patients.

Others have noted that a combined approach of medical attention and supportive psychotherapy designed spe-cifically for anorexia patients is more effective than just psychotherapy. But the effectiveness of a treatment depends on the person involved and his or her situation. Unfortunately, no specific psychotherapy appears to be consistently effective for treating adults with anorexia. However, research into novel treatment and prevention approaches is showing some promise. One study suggests that an online intervention program may prevent some at-risk women from developing an eating disorder.

Bulimia Nervosa

Bulimia nervosa is characterized by recurrent and frequent episodes of eating unusually large amounts of food (e.g., binge-eating), and feeling a lack of control over the eating. This binge-eating is followed by a type of behavior that compensates for the binge, such as purging (e.g., vomiting, excessive use of laxatives or diuretics), fasting and/or excessive exercise.

Unlike anorexia, people with bulimia can fall within the normal range for their age and weight. But like people with anorexia, they often fear gaining weight, want desperately to lose weight, and are intensely unhappy with their body size and shape. Usually, bulimic behavior is done secretly, because it is often accompanied by feelings of disgust or shame. The binging and purging cycle usually repeats several times a week. Similar to anorexia, people with bulimia often have coexisting psychological illnesses, such as depression, anxiety and/or substance abuse problems. Many physical conditions result from the purging aspect of the illness, including electrolyte imbalances, gastrointestinal problems, and oral and tooth-related problems.

Other symptoms include:

chronically inflamed and sore throat
swollen glands in the neck and below the jaw
worn tooth enamel and increasingly sensitive and decaying teeth as a result of exposure to stomach acids
gastroesophageal reflux disorder
intestinal distress and irritation from laxative abuse
kidney problems from diuretic abuse
severe dehydration from purging of fluids
As with anorexia, TREATMENT FOR BULIMIA often involves a combination of options and depends on the needs of the individual.

To reduce or eliminate binge and purge behavior, a patient may undergo nutritional counseling and psychotherapy, especially cognitive behavioral therapy (CBT), or be prescribed medication. Some antidepressants, such as fluoxetine (Prozac), which is the only medication approved by the U.S. Food and Drug Administration for treating bulimia, may help patients who also have depression and/or anxiety. It also appears to help reduce binge-eating and purging behavior, reduces the chance of relapse, and improves eating attitudes.

CBT that has been tailored to treat bulimia also has shown to be effective in changing binging and purging behavior, and eating attitudes. Therapy may be individually oriented or group-based.

Binge-Eating Disorder

Binge-eating disorder is characterized by recurrent binge-eating episodes during which a person feels a loss of control over his or her eating. Unlike bulimia, binge-eating episodes are not followed by purging, excessive exercise or fasting. As a result, people with binge-eating disorder often are overweight or obese. They also experience guilt, shame and/or distress about the binge-eating, which can lead to more binge-eating.

Obese people with binge-eating disorder often have coexisting psychological illnesses including anxiety, depression, and personality disorders. In addition, links between obesity and cardiovascular disease and hypertension are well documented.

TREATMENT OPTIONS FOR BINGE-EATING DISORDER are similar to those used to treat bulimia. Fluoxetine and other antidepressants may reduce binge-eating episodes and help alleviate depression in some patients.

Patients with binge-eating disorder also may be prescribed appetite suppressants. Psychotherapy, especially CBT, is also used to treat the underlying psychological issues associated with binge-eating, in an individual or group environment.

Eating Disorders among Athletes

Eating disorders are ubiquitous among athletes, especially those involved in sports that place great emphasis on the athlete to be thin. Sports such as gymnastics, figure skating, dancing and synchronized swimming have a higher percentage of athletes with eating disorders, than other sports.

Many female athletes fall victim to eating disorders in a desperate attempt to be thin in order to please coaches and judges. Many coaches are guilty of pressuring these athletes to be thin by criticizing them or making reference to their weight. Those comments could cause an athlete to resort to dangerous methods of weight control and can do serious emotional damage to the athlete.

Coaches and trainers really need to educate themselves on the dangers and on the signs to look for in an athlete that may be suffering from an eating disorder. They must be able to recognize when healthy training routines turn into an obsession where the athlete turns to drastic measures to become thin and succeed in their sport.

Treatment Options

Research suggests that the most effective treatment for an eating disorder is multidisciplinary. That means that a treatment team, instead of a solitary practitioner, designs and executes a treatment plan that addresses the multidimensional nature of anorexia nervosa and bulimia.

The treatment team: how it works

As the client and treatment team members combat the eating disorder, a physician monitors and treats physical problems associated with starving, stuffing and purging.

If necessary, a psychiatrist prescribes medications that help correct underlying mood disturbances such as depression and anxiety.

A mental health therapist helps the client unravel and solve emotional and psychological problems underlying the eating disorder.

A dietitian provides nutritional counseling and debunks myths surrounding food and dieting.

A family therapist helps identify and change patterns of communications that have been troublesome and unsatisfying in the past.

A group therapy facilitator helps the client see that s/he is not alone in her/his disorder and that s/he can learn from peers.

An athlete’s coach is enormously important in her/his life. The coach at different times is teacher, parent figure, confidant, disciplinarian, and demigod. The coach decides when an athlete will compete, how much s/he will compete, and what s/he must do to compete. Because the coach is so significant to the athlete, s/he must not be omitted from the treatment team. For further treatment information go to: www.casapalmera.com or www.nationaleatingdisorders.org.

Posted by & filed under Media Center.

LOS ANGELES, June 8 (Reuters) – The key to survival for players tackling the longest U.S. Open course ever at Torrey Pines next week is to be mentally disciplined and prepared for setbacks, says a renowned physician and sports psychiatrist.

tiger-woods_spo065aDr. Michael Lardon, who has dedicated his career to helping elite athletes understand and more easily achieve peak performance, has advised his players to use this strategy to cope with the demands at the year’s second major championship.

U.S. Open layouts traditionally feature tight fairways, thick if graduated rough and slick greens. Regulation pars, rather than birdies, are often the most prized commodity.

“With the U.S. Open, you have to have a different expectation coming in,” Lardon told Reuters.

“You have to realise you are going to hit beautiful shots that will run through the fairway, perhaps just two inches in, and you won’t see the top of the ball in the rough.”

“You have to say to yourself: ‘This is the U.S. Open and it’s the same challenge for all the different players.’ They have to understand this is the nature of it.”

“I loved the movie The Silence of the Lambs when Jodie Foster asks Dr. Hannibal Lecter how to catch him (serial killer Buffalo Bill) and Lecter says to her: ‘You must understand the nature of what you covet.’

“In majors, and especially the U.S. Open, the challenge is so difficult, you have to be so patient, your frustration tolerance has to be enormous and so I think you have to anticipate that this is going to be the nature of it.”

“Pars are fantastic and there is a lot of damage control,” added Lardon, who has 2002 PGA champion Rich Beem among his clients. “When you have the opening, then obviously you take it but it’s not like regular courses you can dominate.”

The South Course at Torrey Pines, which co-hosts the PGA Tour’s Buick Invitational early each year along with the North Course, will play to a par of 71 and measure 7,643 yards off the back tees.

NO EQUAL

World number one Tiger Woods, a six-times winner of the Buick, is heavy favourite to clinch his 14th major title next week. In Lardon’s view, the twice U.S. Open champion has no equal in the game when it comes to unwavering mental strength.

“What impressed me most is his almost surgeon-like attitude,” Lardon said. “He’s not a golfer, he’s a rock star and he has some pressures to deal with that are immense.”

“For the last two years in the majors here in the U.S., I have had real up-close access watching his preparation an hour or two before tee-off on the weekends and he is almost trance-like. I am very impressed with that peace.”

Lardon, whose book Finding Your Zone was published earlier this month, believes Woods best exemplifies ‘instant amnesia’, a pre-requisite for sporting success at the highest level.

“To be in the now, you have to accept what has just happened. If you can’t do that, you will be separate from the experience and that is when trouble lurks.”

Instant amnesia is a quality that Tiger personifies and it’s absolutely essential because you’re not always going to hit a perfect shot and when you get up to that next shot, you have to not be thinking about the previous one.”

“We use that same attitude with place kickers in the NFL,” added Lardon, a former top-ranked U.S. junior table tennis player. “Instant amnesia is a concept you must have if you are going to perform at your very best.”

The 108th U.S. Open starts on Thursday. (Editing by Ed Osmond)