# Coercive compliance? Anti-doping systems in tennis and athlete mental health

## TL;DR

This paper discusses how anti-doping policies in tennis may harm athlete mental health and calls for fairer systems and better support.

## Contribution

The paper introduces a perspective on the mental health impacts of anti-doping enforcement and proposes multi-faceted support systems in professional tennis.

## Key findings

- Anti-doping enforcement can negatively affect athlete wellbeing even in unproven cases.
- High-profile doping cases reveal inconsistencies in integrity investigations.
- Fairness and education are needed to support athletes and improve policy enforcement.

## Abstract

Recently, a group of professional tennis players (i.e., the Professional Tennis Players Association) filed a legal case against several governing bodies in the sport. This suit intends to challenge the alleged disregard for athlete wellbeing when enforcing anti-doping policy, as this can engender adverse effects even in unintentional or unproven cases. This complaint is set against the background of several high-profile doping proceedings in tennis, which have further revealed potential inconsistencies in integrity investigations and processes. Accordingly, the purpose of this article is to explore the possibly harmful conditions for athletes described in this litigation, as well as to acknowledge the need for multi-faceted support among professional players. In doing so, this perspective paper also draws attention to the need for fairness in professional sport, alongside proposing ways in which sport psychiatrists and sports medicine physicians can advise and advocate for education for players, other healthcare specialists, and governing bodies.