How the work runs
The scienceof performance.
Mental toughness isn’t something you are born with. It is a skill that is systematically trained. The practice doesn’t rely on generic motivation or "just thinking positively." Dr. Pino uses evidence-based frameworks, specifically Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT), to help athletes manage the internal pressure of competition and execute when it matters most. Here is how the science translates to the field, court, and track.
CBT and ACT are used here as performance training. Delivered as clinical care they require licensure in the client’s state: Dr. Pino is licensed in Nebraska, and outside Nebraska this work is performance only for now.
Cognitive Behavioral Therapy (CBT)
Rewiring the mental game
Under pressure, athletes are prone to "mental chatter": rapid, negative thoughts that derail focus. CBT is the gold standard for identifying and restructuring these unhelpful patterns before they impact physical execution.
- Interrupting the spiral
- Dr. Pino teaches athletes to recognize the split-second shift between a bad play and a negative thought (e.g., "I’m going to blow this game"), and intercept it before it affects their next physical movement.
- Performance anxiety management
- By breaking the link between pre-game nerves and catastrophic thinking, athletes learn to interpret physiological arousal (butterflies, heart rate) as readiness rather than fear.
- Rebuilding confidence
- Confidence isn’t luck; it’s a measurable byproduct of preparation and accurate self-assessment. CBT helps athletes build a resilient internal dialogue that survives inevitable mistakes.
Acceptance and Commitment Therapy (ACT)
Focus under fire
While CBT helps restructure thoughts, ACT takes a different approach: it changes the athlete’s relationship to those thoughts. You don’t have to eliminate anxiety to perform at an elite level; you just have to stop fighting it.
- Cognitive defusion (unhooking)
- High-pressure environments create loud, convincing doubts. ACT helps athletes "unhook" from these thoughts. Instead of battling the thought "I can’t hit this pitcher," the athlete learns to acknowledge the thought and step into the box anyway.
- The present moment (staying grounded)
- Most athletic errors occur when the mind is stuck on the last play or projecting ahead to the final score. He trains athletes to anchor themselves in the present moment, focusing solely on the physical mechanics required right now.
- Values-driven action
- He connects athletes to their core competitive values. When the season gets tough, fatigue sets in, or playing time drops, a clear understanding of why they compete provides the momentum to push through adversity.
Core mental skills
What actuallygets trained.
These are the essential mental skills sport psychologists emphasize to help athletes perform at their highest level. Each one can be trained, strengthened, and applied across practices, competitions, and everyday life.
- Goal setting
- Establishing clear, specific, and challenging objectives to guide training and competition focus.
- Self-talk
- Using internal dialogue to enhance confidence, motivation, and focus while minimizing negative thoughts.
- Imagery & visualization
- Mentally rehearsing successful performances and skills using all senses.
- Focus & concentration
- Maintaining attention on relevant cues and tasks while avoiding distractions.
- Emotional regulation
- Recognizing and managing emotions to stay composed and competitive under pressure.
- Motivation
- Cultivating intrinsic and extrinsic sources of drive to sustain effort and commitment.
- Confidence
- Developing and maintaining a strong belief in one’s ability to succeed.
- Resilience
- Bouncing back from setbacks, mistakes, or adversity with mental toughness.
- Mindfulness
- Staying present and non-judgmental to improve awareness and recovery.
- Routine building
- Creating consistent pre-performance, during-performance, and post-performance routines.
- Arousal control
- Adjusting physical and mental activation levels for optimal performance.
- Attentional control
- Switching attention appropriately depending on the demands of the sport situation.
- Team cohesion & communication
- Enhancing interpersonal dynamics for team-based sports.
Transitions
When the gamechanges under you.
A career is a run of moments where the game changes and the athlete has to change with it: being recruited, a step up in level, a move across the world, an injury, and eventually the end of it. The physical side of each has a protocol and a timeline. The psychological side rarely does, and the work is almost always easier before the change than after it.
Recruitment, and waiting on an offer
Recruitment turns every game into an audition. The athlete is judged by people they cannot see, against rankings they did not set, on days the body does not always cooperate, and the silence between contacts is often harder than the showcases. Two things tend to follow. Performance narrows, because the reason for playing quietly shifts from competing to being seen. And self-worth starts tracking an offer somebody else controls. The work is keeping those two apart: what an athlete can execute on the day, and what a coach in the stands decides about it. Parents are usually living this one as well, and the work can account for that.
High school to college
The college game asks for more than a bigger weight room. A recruit who was the best player in their conference arrives as one of many, with a schedule that is no longer built around them, a coaching relationship that is professional rather than personal, and a first experience of being genuinely outperformed. Preparing for that in advance is very different from repairing it in November.
College to professional
Sport becomes a job, and everything that made it enjoyable is now what pays for the apartment. The work covers the shift from a fixed college structure to managing your own calendar, the reality of contracts and roster decisions you do not control, and holding on to the intrinsic reason you compete once it has an employer attached.
Arriving in the United States
Dr. Pino has worked with athletes from around the world making the move to American college and professional sport. The competitive step up is only half of it. The adjustment is cultural as much as athletic: language, food, distance from family, a coaching style and a directness that may be unfamiliar, and doing all of it while expected to perform immediately. That preparation can begin before you leave home rather than after the first hard month.
Work with athletes still outside the United States is performance work, which is not bound to a state. Clinical and counseling services remain limited to clients in Nebraska.
Injury, rehab, and return to play
Physical rehabilitation has a protocol and a timeline. The psychological side rarely does, and it is usually what decides whether an athlete comes back at their previous level or comes back tentative. This work runs alongside the medical plan rather than in place of it: the identity problem of being injured and suddenly outside the group, the boredom and isolation of a long rehab, and the fear of the movement that caused it. That fear is routinely still intact long after the tissue has healed.
Retirement, and the identity after it
Every athlete retires, and most are given no preparation for it. The ones who struggle hardest are often the ones for whom sport worked best, because the more of your life it organized the more of it goes when it stops. This is not only a professional problem. A club athlete who has built twenty years around training feels that loss too, and gets far less sympathy for it. The work is building an identity that does not need a scoreboard, ideally before the scoreboard is taken away.
Team workshops
The same work,for a whole squad.
Every skill above is also delivered as a team workshop, to a squad and its coaching staff rather than one athlete at a time. A session runs one hour as standard, and can be built around a single skill or a cluster of related ones: pre-performance routines before a season opener, emotional regulation and arousal control through a losing run, cohesion and communication when a roster changes.
- Length
- One hour as standard.
- Built around
- Any one of the thirteen skills, or a group of them.
- Who it is for
- The squad and the staff around it.
- Where
- Performance work, so it is available wherever you are, clubs and programs outside the United States included.
Fees
What thework costs.
Every service is private pay: insurance is not billed for any of them, therapy in Nebraska included. The first fifteen-minute intake call is free.
Individual
- Clinical and counselingClients in Nebraska
- $200per 50-minute session
- Sport psychology and performance
- $275per 50-minute session
Group
- Group therapyClinical · clients in Nebraska
- $75per person · 90 minutes
- Group sport psychology and performance
- $100per person · 90 minutes
Teams and organizations
- Talks and workshops
- $400per one-hour session
Longer engagements are arranged on inquiry, for a season or however long a program needs, wherever the club is based. Sessions run in English.
A sliding scale is available. If the fee is what stands between you and the work, say so on the intake call. It is a normal thing to ask.
You have the right to receive a “Good Faith Estimate” explaining how much your health care will cost. Read the notice
The result
Measurable consistency
By integrating CBT and ACT, the work builds psychological flexibility. Athletes don’t just feel better; they adapt faster to adversity, maintain emotional control during momentum shifts, and consistently close the gap between how they perform in practice and how they execute on game day.