Recreational athletes comprise the most prevalent population using illegal Anabolic Androgenic Steroids (AAS). Despite regulatory efforts, substances are widely accessible, and most users report the experience of harmful side effects. It remains unclear why few users seek professional medical help. The aim of this study was to determine AAS users’ experience of side effects and help-seeking beliefs using an Interpretative Phenomenological Analysis of six interviews. Participants were from the United Kingdom (n = 5) and United States (n = 1), had all experienced side effects, with some reporting prolonged use of AAS (>10 years) and self-manufacturing the drugs from raw ingredients. Results showed that AAS users discredit medical professionals’ competencies, and practice cognitive dissonance by avoiding challenging situations. A microculture for information-sharing has developed among AAS users who initially self-treat to counteract side effects, leaving them vulnerable to further harm. To conclude, there is an urgent need for educational interventions that outline the risky practice of unregulated AAS use and self-treatments, and the need to seek professional help. Such interventions could be developed through a co-production basis, and be implemented by current/former AAS users alongside the medical community.

The reported usage of rational emotive behaviour therapy (REBT) in high performance sport is becoming more common in research literature. This research indicates that REBT is a useful and effective approach to performance psychology. However, applied professional practice reflections and insights remain sparse. The current paper brings together REBT practitioners who work predominantly in performance settings (i.e., sport) to answer three questions pertaining to their application of REBT. Practitioners were asked to respond to the following questions: (1) What do you consider to be among the main irrational beliefs that interfere with performance? (2) In your experience, which irrational beliefs impair one’s ability to recover from a significant injury or major setback? (3) Can you describe the role of cognitive restructuring/change/reappraisal/disputation in applied work as it relates to performance? In the present paper, the practitioners’ responses are collected and presented, following which common themes are drawn from the responses to form guidance for practitioners wishing to apply REBT in performance settings. It is hoped that the experiences of the included practitioners will be useful for those wishing to take an REBT approach to their performance psychology consultancy.