The Game Behind the Game.


I have a confession that surprises some of my clients: I am, unapologetically, a fútbol person.

So this summer you'd have found me exactly where half of Miami was — on the edge of my seat, hand over my mouth, yelling at the screen as if the players could hear me, holding my breath through the dying minutes of every match. I won't pretend I played it cool; I defended my team to anyone who dared doubt them. And this year? Spain has been magnificent — all the way to Sunday's final without a single shootout — so you can imagine the state of me.


IAnd somewhere in one of those games — hoarse, happy, wrapped up in a “we” — I caught myself thinking about what I actually do for a living. For ninety minutes, strangers all over this city had become one nervous, hopeful body. We scored. We almost had it. We held our breath together.

Here's something that always makes me smile as a scientist: that “we” isn't only poetic — it's chemical, and it doesn't check your gender at the door. When fans watch, testosterone climbs; when the team wins it climbs higher, when it loses it falls. Researchers measured it in saliva at real World Cup matches — and in one study of thefinal, the surge showed up the same in the women watching as in the men. Your body doesn't quite know it's on a couch. It thinks it's on the pitch.

I love that finding, because it's proof of something I say constantly: we are not brains being driven around in bodies. We are bodies. What we feel, we feel in the chest, theblood, the hands.

In the stands, and on the field our bodies are all the same flooded with energy, hearts racing, feeling alive and in the moment. And when the game ends, and the final whistle blows, life comes rushing back.

WHAT THE CHEERING COVERED UP

Because while we are basking in the glow of the beauty and thrill of the game, some of us both in the crowd and on the field are living and dealing with issues that they alone carry with them and we are not aware. This summer, a young player walked onto thepitch the day after his grandmother died, and played. We called it heroic — and as someone who spends her life sitting with grief, I agree. I don't think he was wrong. When you love something — a team, a country, a person you're now carrying with you — sometimes you square your shoulders, hold the grief in both hands, and finish what you came to do. That isn't denial. It can be devotion. I'm a guerrera; I know that fight, and I honor it.

And we saw the other side of it, too. Netherlands forward Cody Gakpo played days after he and his partner lost their unborn son — and when he scored, the composure cracked, and his teammates ran to fold him into their arms. That's the whole thing in one frame: a man doing his job with grief right behind his eyes, and — for once — being held in the middle of it, not alone and on the sidelines.

Holding a feeling to finish something you believe in isn't the mistake. Never coming back for it is.

So this is no lecture about men who won't cry. Sometimes holding the line is exactly right — you carry the pain, carry it on purpose with purpose, and play the match. Thedanger was never the game, the action, your teammates or your opponent. It's what comes after the whistle, when the stadium empties. Suppression isn't built to last. It's a temporary method of coping, not a way of life.

THE NUMBERS BEHIND THE HIGHLIGHT REEL

They're sobering: across studies, about a third of elite athletes meet criteria for a mental health condition, and retired ones show depression and anxiety at more than twice the rate of the general population.

Male athletes report fewer symptoms and seek help less than women — not because they struggle less, but because asking feels like breaking the code of what it is to be a man. Psychologists call the strategy expressive suppression: pushing a feeling down to keep going. In the moment, it can be a gift — it's what lets a surgeon finish theoperation, a parent stay steady for a scared child, a player finish the match. Thetrouble is never the sprint. It's mistaking the sprint for the whole race — because thebody keeps a quiet tab, and eventually it comes to collect.

WHERE THE SWALLOWED FEELINGS GO

They don't disappear — they move into the body. Grief is the clearest example: we file it under “emotion,” but it's a full-body event. In the first month after a loss, cardiovascular risk measurably rises — this is where “broken heart” comes from, and it's no metaphor. Grief lowers immunity, raises inflammation, wrecks sleep, and brings what researchers literally call “grief fog.”

The body keeps the score, even when the scoreboard says you're fine.

THIS ISN'T ONLY ABOUT ATHLETES

It's about the man reading this — or the man you love. Because it's never just grief. The same suppression shows up as the stress he won't name, the anxiety he calls “just tired,” and — very often — as what does or doesn't happen in the bedroom. Erectile difficulties, low desire, performance anxiety: men live these as failures of manhood. But so often they're the body doing exactly what those players did — speaking what themouth won't.

An erection isn't only about sex. It runs on blood flow, hormones, and a nervous system that has to feel safe enough to let go. Stress, grief, exhaustion, loneliness — thebody registers all of it. Sometimes the bedroom is simply where a man can't perform anymore. That's not weakness. It's information.

Playing through the pain can be its own kind of brave — I'll never take that from anyone; I've done it too. But there's a second courage we rarely name: sitting down once the whistle blows, putting the ball down, and letting yourself feel.

And you'd be in remarkable company. Lionel Messi — ours now, more or less — has said he spent years bottling everything up and resisted therapy for the longest time. When he finally went, he admitted it did him a world of good. If the greatest of all time can say that out loud, so can the man reading this.

So keep fighting like the guerrero, the guerrera, this life asks you to be. And then — come back for yourself. Slow down. Let the grief be grieved, the body be heard. Let someone help you carry it. That's not the opposite of strength. It's how strength survives. There are a hundred ways back — a friend who won't flinch, a good therapist, the quiet work some of us do in Little Havana, a weekend at an Ember retreat to exhale beside your person. Any door will do. Just walk through one.

You don't have to play hurt forever. Not here.

Dr. Yaz Marimon

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