
Therapy and Tennis: Madison Keys Cracks Open a Door Players Have Historically Preferred to Keep Shut
For years, tennis has celebrated mental toughness as much as physical endurance. Players are trained to dig deep, stay focused, and grind through pressure-packed points on their own. It’s a sport of isolation — no coaching from the stands, no teammates to lean on mid-match, no timeouts to regroup. That emotional solitude has long been seen as a badge of honor. But Madison Keys is challenging that narrative, one open conversation at a time.
The American star, currently ranked among the world’s top players, has recently spoken candidly about her use of therapy — not just as a tool for coping with the highs and lows of professional tennis, but as a cornerstone of her personal well-being. In doing so, Keys has cracked open a door that many in her sport have historically preferred to keep shut.
“There was this idea for so long that if you talked about mental health, it meant you weren’t strong enough to handle the tour,” Keys said in a recent interview. “That’s just not true. Taking care of your mental health is a sign of strength, not weakness.”
Her words echo a broader shift in professional sports, where athletes like Simone Biles, Naomi Osaka, and Michael Phelps have publicly discussed the pressures of elite competition and the importance of mental health. But in tennis, a sport deeply rooted in stoicism and individualism, Keys’ message still feels like a rebellion — a necessary one.
Growing up in the tennis world, Keys was groomed like many others to maintain composure at all costs. From junior tournaments to Grand Slam finals, emotional expression was often frowned upon, especially for women. But years of pushing through without fully acknowledging the psychological toll eventually took their toll on her performance and happiness.
“It got to a point where I just didn’t enjoy competing anymore,” she admitted. “I would wake up with anxiety before matches, dread certain tournaments, and question if I still loved the sport.”
It was therapy — and a willingness to be honest with herself — that began to shift things. Keys started working with a mental health professional not to “fix” herself, but to understand her thoughts and emotions more clearly. She learned how to manage stress, navigate disappointment, and maintain perspective even in the face of defeat.
That shift didn’t just improve her off-court mindset. It began to show in her game as well. More poised under pressure, more present during matches, and more forgiving of mistakes, Keys found a new rhythm — one that blended her natural power with newfound emotional clarity.
Now, she’s urging others in the sport to do the same. Through her nonprofit, Kindness Wins, Keys advocates for mental wellness and emotional openness among young athletes. She’s also been an outspoken proponent of normalizing therapy within locker rooms and support teams on tour.
“There shouldn’t be any shame in saying you need help,” she said. “We talk openly about physical injuries all the time — hamstrings, wrists, knees. Why can’t we do the same for our minds?”
The response has been overwhelmingly positive. Fellow players have reached out privately to thank her. Fans have shared their own stories. And coaches are beginning to embrace the role of emotional health in athletic development.
Still, Keys acknowledges that there’s work to do. The old-school mentality still lingers, particularly in elite tennis circles where vulnerability can be seen as a competitive disadvantage. Some fear that showing mental struggle might give opponents an edge. But Keys counters that argument with a truth she’s come to live by: true resilience comes from self-awareness, not silence.
As she prepares for upcoming tournaments, including the U.S. Open, Keys continues to speak openly about her mental health journey. Not because she has all the answers, but because she knows that every honest conversation makes it easier for the next athlete to step forward.
In a sport that has long idolized stoicism, Madison Keys is showing that strength looks different now. It looks like honesty. It looks like balance. It looks like therapy.
And for many watching — whether from the stands or behind their own closed doors — it looks like hope.
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