Guidance for Parents With Concerns About PES Use59
| 1. Get involved |
| a. Be aware of new pressures as athletes progress through different levels of participation and competition |
| b. Emphasize the basics of hard work, pushing limits, teamwork, respect for competitors |
| c. Give options for alternative ways to achieve peak performance |
| d. Monitor any use of supplements or shakes |
| e. Do not hesitate to ask directly about supplement use |
| f. Provide a counterpoint for prodrug and prosupplement messages |
| g. Become knowledgeable about PES |
| h. Be persistent |
| 2. Stay connected and create a strong partnership with your child’s coach |
| a. Get to know the team rules |
| b. Keep coach informed of any pertinent issues that may be occurring in athlete’s life |
| c. Respect role of coach |
| d. Talk to coach before or after practice, avoid sensitive discussions on game days |
| 3. Keep lines of communication open with the athlete |
| a. Emphasize the importance of good health |
| b. Use the news as a starting point for discussions on PES use |
| c. Emphasize that there are no shortcuts to peak performance |
| 4. Engage health care providers if you are concerned about PES use |
| a. Call provider before check-up and request that possibility of PES use addressed during examination |
| 5. Know the warning signs of PES use |
| a. Rapid changes in body shape |
| b. Aggressive behavior or atypical mood swings |
| c. Extreme hair growth or acne |
| d. Excessive time in weight room |
| e. Voice changes (especially for girls) |
| 6. If you discover that your child is using PES |
| a. Keep lines of communication open |
| b. Seek outside help |
| 1. Get involved |
| a. Be aware of new pressures as athletes progress through different levels of participation and competition |
| b. Emphasize the basics of hard work, pushing limits, teamwork, respect for competitors |
| c. Give options for alternative ways to achieve peak performance |
| d. Monitor any use of supplements or shakes |
| e. Do not hesitate to ask directly about supplement use |
| f. Provide a counterpoint for prodrug and prosupplement messages |
| g. Become knowledgeable about PES |
| h. Be persistent |
| 2. Stay connected and create a strong partnership with your child’s coach |
| a. Get to know the team rules |
| b. Keep coach informed of any pertinent issues that may be occurring in athlete’s life |
| c. Respect role of coach |
| d. Talk to coach before or after practice, avoid sensitive discussions on game days |
| 3. Keep lines of communication open with the athlete |
| a. Emphasize the importance of good health |
| b. Use the news as a starting point for discussions on PES use |
| c. Emphasize that there are no shortcuts to peak performance |
| 4. Engage health care providers if you are concerned about PES use |
| a. Call provider before check-up and request that possibility of PES use addressed during examination |
| 5. Know the warning signs of PES use |
| a. Rapid changes in body shape |
| b. Aggressive behavior or atypical mood swings |
| c. Extreme hair growth or acne |
| d. Excessive time in weight room |
| e. Voice changes (especially for girls) |
| 6. If you discover that your child is using PES |
| a. Keep lines of communication open |
| b. Seek outside help |