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The Price She Pays: Confronting the Hidden Mental Health Crisis in Women's Sports―from the Schoolyard to the Stadium

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Two experts in mental health and sport lift the veil on the crisis in women’s athletics, offering parents and coaches urgently needed advice and support and showing how female athletes can find joy in whatever sport they choose, at whatever level they compete.

No matter the sport, the message to girls and women on the court or the field is the Be aggressive, but not too aggressive. Win at all costs, but be polite while you're doing it. Get strong, but not too big. Female athletes have long been conditioned to perform under these standards, gracefully and without complaints.

Yet, behind the scenes, female athletes are suffering from disordered eating, depression and anxiety, emotional and sexual abuse, self-harm, and even suicide ideation. Athletes like tennis star Naomi Osaka and gymnastics world champion Simone Biles recently took breaks from competition on the world stage to tend to their mental health. Their decisions have compelled many of us to What is causing this mental health crisis among female athletes? Through research and stories of female athletes of all ages and ability levels, The Price She Pays illuminates where we are going wrong—and how we can correct course.

Informed by their experiences both on and off the field, authors Katie Steele and Dr. Tiffany Brown help athletes and parents identify the signs and symptoms of mental health conditions, recognize mistreatment and abuse, understand body image and eating disorders, trauma, and more. By tackling these issues, The Price She Pays encourages readers to understand how the wellbeing of the whole person—not just the athlete—will lead to performance gains from the youth leagues to the elite levels, and everything in between.

288 pages, Hardcover

Published June 18, 2024

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Tiffany Brown

11 books

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Displaying 1 - 30 of 33 reviews
Profile Image for Erin.
3,961 reviews464 followers
May 27, 2024
Thanks to NetGalley and Little, Brown and Company for access to this title. I am auto-approved for this publisher. All opinions expressed are my own.

Book Tagline: Two experts in mental health and sport lift the veil on the crisis in women’s athletics, offering parents and coaches urgently needed advice and support and showing how female athletes can find joy in whatever sport they choose, at whatever level they compete.

The Price She Pays is an informative and well-researched non-fiction book that incorporates first-hand accounts from athletes, parents, and coaches, presenting the most updated and relevant information. Sixteen chapters cover a wide range of topics such as supportive guardians, body image, puberty, suicide, sexual assault, and motherhood. In addition, the authors have provided a comprehensive list of organizations that help support women in support. However, the downside of the list is that most of the locations are in the United States. We all know how quickly websites and phone numbers can be changed. But it is a good resource to have on your school library shelves!

My parents placed my brother and I in several different activities when we were young. It certainly taught us a lot about commitment as my mother was very strict on making sure we attended practices and events. From ages six to fourteen, I tried gymnastics, tap dance, swimming, piano lessons, Brownies, basketball, and softball. In high school, I concentrated on activities like the school newspaper and C.G.I.T. ( Canadian Girls in Training). One thing was for sure, I wasn't a great athlete but I had supportive parents. Reading this book made me realize two things- other people's parents certainly dampened my interest in some of my athletic pursuits and I didn't share about 80% of what was going on within my sport. I just know that I went from being a kid who loved being part of the team to being tired of 40+ men benching me because all they wanted to do was win. Not to mention how rude the parents of some of my teammates could be in the stands.

Was this book triggering for me? It sure was. So let me just end with this, if you have a daughter who is interested in sports and you want to be a good role model, put this book on your reading list. If you are a coach- male or female, you should consider this book required reading.



#ThePriceShePays #NetGalley
Expected Publication Date 18/06/24
Goodreads Review 27/05/24
Profile Image for CatReader.
1,077 reviews202 followers
July 7, 2025
Katie Steele and Tiffany Brown are both licensed marriage and family therapists, and Steele was also a college track athlete at University or Oregon, where she crossed paths with Alberto Salazar and had a generally unpleasant collegiate athletic experience resulting in long-term health issues, as she discusses in the introduction to this book.

The Price She Pays, co-written by Steele and Brown as well as a third collaborator, Erin Strout, is a smorgasbord of general advice aimed at parents and coaches of female athletes of all ages. I was hoping for more in-depth stories, rather than advice and brief vignettes.

I'm not the target audience for this book, and my own athletic career ended after two seasons of tee ball as a pre-K/kindergartener and three seasons as a co-ed soccer benchwarmer as a grade schooler (looking back at my motivations, I played only to bond with my male role models, not because I had any interest, let alone talent, myself).

Those in the target audience will probably find this book useful to some extent.

Further reading: mental health, scandal, and sports
What Made Maddy Run: The Secret Struggles and Tragic Death of an All-American Teen by Kate Fagan
Win at All Costs: Inside Nike Running and Its Culture of Deception by Matt Hart
The Longest Race: Inside the Secret World of Abuse, Doping, and Deception on Nike's Elite Running Team by Kara Goucher
The Girls: An All-American Town, a Predatory Doctor, and the Untold Story of the Gymnasts Who Brought Him Down by Abigail Pesta
Start by Believing: Larry Nassar's Crimes, the Institutions that Enabled Him, and the Brave Women Who Stopped a Monster by John Barr and Dan Murphy
The Other Olympians: Fascism, Queerness, and the Making of Modern Sports by Michael Waters

My statistics:
Book 210 for 2025
Book 2136 cumulatively
Profile Image for Cate Barrett.
74 reviews3 followers
October 13, 2024
There’s 13 chapters in this book and about 11 or 12 of them are things that my teammates or I experienced directly as D1 college athletes 😵‍💫 These are topics you’ve mostly heard about before, like disordered eating or sexism, but now you have them all in one volume for your uh, enjoyment?

This is a true book and an important book, if at times not the most gripping. I found myself hungry for more stories. The book kept introducing female athletes, where we’d get a few paragraphs describing the most traumatic time of her life, and then they’d move right on. It felt pretty clinical. But I’m not sure what a better balance would have been, exactly. The authors are therapists. The pacing throughout is pretty snappy.

I think the biggest reason this book I’m glad this book exists is for awareness. With my time outside of sport, I’ve come to recognize how there were several fucked up things in that experience. The authors mention this in the book, how victims often don’t realize it at the time when they’re in a situation. But some of the people they interviewed were women in their 40s who still didn’t think their own college experiences were wrong—“isn’t that the price we pay to be athletes?” they said. Chilling. If we’re going to see change in women’s sports (and men’s too) we HAVE to keep talking about this.
Profile Image for PinkAmy loves books, cats and naps .
2,766 reviews254 followers
April 15, 2025
THE PRICE SHE PAYS is a well-intentioned book on the difficulties girls and young women pay to succeed in sports, from intramural to the NCAA. The writers make the case for female needs to feel safe, supported and encouraged from coaches, parents and teammates.

By illustrating vignettes of athletes who have encountered troubles along the way the writers illustrate their points of view. I found myself wanting more depth and breadth of information such as mental health history and family dynamics. I also would have liked to know how teammates experienced similar situations, particularly for NCAA athletes.

On one hand I know that girls and boys have different needs and that they respond differently to the same circumstances, though outliers obviously exist. On the other hand the way the information was presented seemed to imply that girls couldn’t handle the way boys are coached. I wish that writers had focused on the different motivations for the genders.

Where THE PRICE SHE PAYS lost me was on transgender access to girl’s sports and locker rooms. Riley Gaines addresses the discomfort some female athletes felt with a biological male in their locker rooms in her memoir SWIMMING AGAINST THE CURRENT. I’m old enough to remember when Title IX began and the excitement I felt that I could participate in more sports. It didn’t matter that I wasn’t athletic or that I disliked playing sports. To me it was about not being told I wasn’t allowed. Even so, the fight for equality in sport still exists and scholarships are hard to come by.

I don’t recommend this book.
Profile Image for Allison.
113 reviews7 followers
Read
June 21, 2025
This should be required reading for coaches and female athletes, their parents, as well as NCAA policy makers. While I don’t believe I hold the same worldview as the author, this was really insightful…and so much aligned with what I’ve heard from the athletes I work with.
27 reviews
December 5, 2024
An important read for all athletes, parents, coaches, administrators, anyone really. As a practitioner who might someday work in organized athletics, I appreciated this insight into the (messed up) culture of many sports programs which tragically still exists today. There’s a lot of work to do in women’s sports and I appreciate the authors for calling it out
Profile Image for Melinda Godfrey.
54 reviews1 follower
September 10, 2024
Highly recommend! As a coach, parent, and sports fan. I could relate to so many of the topics. So many current events that were happening as well.
Profile Image for J Kromrie.
2,554 reviews48 followers
July 18, 2024
Thanks to Netgalley and the publisher for this eARC.

In “The Price She Pays: Confronting the Hidden Mental Health Crisis in Women’s Sports—from the Schoolyard to the Stadium,” Tiffany Brown and Katie Steele deliver a compelling and eye-opening exploration of the mental health challenges faced by female athletes. This book is a must-read for anyone involved in women’s sports, from parents and coaches to the athletes themselves.

Brown and Steele, both experts in mental health and sports, meticulously dissect the toxic culture that often surrounds women’s athletics. They highlight the unrealistic expectations placed on female athletes to be aggressive yet polite, strong but not too big, and to win at all costs while maintaining grace. 

The authors use a blend of first-hand accounts, research, and reporting to paint a vivid picture of the struggles faced by female athletes.  However, the book also delves into the experiences of lesser-known athletes, providing a comprehensive view of the issue.

One of the book’s strengths is its practical advice for parents, coaches, and athletes. Brown and Steele emphasize the importance of recognizing the signs of mental health issues and mistreatment.

“The Price She Pays” is not just a critique of the current state of women’s sports; it is a hopeful roadmap for systemic change. The authors call for a shift in how we view and treat female athletes, urging us to prioritize their mental health and overall well-being. This book is a crucial step towards creating a healthier, more supportive environment for women in sports.

“The Price She Pays” is a powerful and necessary read that sheds light on the hidden mental health crisis in women’s sports. Brown and Steele’s thorough research and heartfelt storytelling make this book both informative and deeply moving. It is a call to action for all of us to do better by our female athletes, ensuring they can thrive both on and off the field.
Profile Image for Mo Holub.
160 reviews1 follower
June 19, 2024
As women's sports continue to rise in the public eye, the celebration of athletic achievement has also shone a light on the messy underside, including the culture of toxic and abusive coaching environments (tl;dr: NWSL's Sally Yates Report, USA Gymnastics Larry Nassar Scandal, Nike Oregon Project Lawsuit, etc...) and the stigma surrounding mental health support for athletes. Steele and Brown's "The Price She Pays" tackles these topics and more, taking on the sports world at all levels and challenging it with the main question on every female athlete's mind: how do we make sure that the athletes coming after us have a safer, healthier, and happier sports environment than we did?

The extensive and thorough research in this book makes it required reading for anyone working with or raising a female athlete, covering everything from period equity to body image issue and eating disorders to the impact of social media. Equal parts educational and a call to action, Steele and Brown strive to raise awareness of the changes needed to foster a safer and supportive sports culture for our female athletes to succeed.
Profile Image for Bethany Hillier.
1 review
March 5, 2024
I was fortunate to have an advance copy loaned to me. The book will be officially released in June of ‘24.

This book helped me reflect on my own athletic career and now my daughter’s as she experiences sports and athletics as a second grader. I’m grateful for what we know and are learning now about women’s sports and mental health, that we didn’t know when I was starting out. It’s encouraging AND there’s so much room for growth.

Whether you played little league, are/were a top recruited athlete or have/had a professional career this book is for you. It covers the spectrum. If you’re a parent, coach, teacher or just in proximity to girls and women, this is required reading.

The stories will break your heart, lift you up and inspire you to know more and do more when it comes to women’s sports. The data show we have a lot of work to do!

Profile Image for Renata.
Author 1 book4 followers
August 18, 2025
Many of the topics covered in this book seem obvious problem-solution approaches to consider around girls and women in sports, but sadly it's just not how things are.

The Price She Pays is a must-read for ANYONE in the world of women's sports: coaches, parents, athletes, doctors, managers, journalists, and so on. It's almost like a go-to guide on what not to do to athletes and how to help them through the ups and downs (especially the downs) of their careers.

Everything they state is based on facts, true stories, and research, but it's not a heavy or difficult read whatsoever. It's written in a way that makes it easier to digest such complex information, which is not often achieved in this genre of books.

Great read. Again, if you're in the world of women's sports, The Price She Pays is a must.
93 reviews3 followers
June 16, 2024
A must-read for parents and coaches of female athletes.
As girls' and women's sports increase in popularity, we as parents, coaches and educators must make sure we are supporting these female athletes in the best possible way - no matter the level of the sport. We must protect their physical and mental health. We need to make sure coaches of women's sports are knowledgeable and in tuned to the unique needs of female athletes.
This book is well researched and comprehensive. Authors include numerous accounts on a variety of concerns, incorporating accounts from female athletes in several sports at all levels. Very readable and well organized. An excellent resource.
I am grateful to NetGalley for an advance copy.
Profile Image for Kasia Hubbard.
572 reviews19 followers
November 25, 2024
The Price She Pays is a deep dive into women's sports and all the different issues that have arisen over time, and is now finally being opened up to talk about more freely than ever before. From the emotional and physical abuse from coaches, to being open about menstration and how that effects a woman's body during training and perfomance, to mental health issues and options available for individuals, as well as the recent allowing of men in women's sports, all from the perspectives and voices of women currently in the sports field as well as those who were in the field but have left, for various reasons. A book that dives deep into a subject we don't talk enough about. Very well done!!
*I received a copy of this book from NetGalley. This review is my own opinion*
117 reviews
January 30, 2025
ouch but small-o ouch. Haven't digested but immediate- Somehow I wish it would have been more detailed, painful, which I realize is probably a crazy response. I didn't find it that helpful to read so many clear, simple, kind sentences about what should happen in ideal circumstances, but I realize that's probably what makes this book so great for its intended audience. However, "take up a hobby" and "make friends" is a 1-star take for someone retiring from an intense elite career who has a breakdown and I stand by that
Profile Image for Lindsay.
89 reviews
July 24, 2024
Wow. This book was so great. As a female athlete in many sports for so long so many chapters resonated with my experience even as an adult "rec" league athlete. Gives us as athletes the language to understand what things are inappropriate and how to get resources to help us have success. Also gives us the tools and language to be better in the roles of coaches or role models for other girls and women.
Profile Image for Ms..
439 reviews3 followers
November 26, 2024
I love sports so much and they can also be SO BAD for non-white dudes. This book is a great overview of the many issues facing women/non-men/girls in sport and...yeah. Good stuff to think about and keep in mind.

The fact that more freakin' abusive coaches are not facing criminal charges is...WILD.
22 reviews
March 13, 2025
The authors of this book share their personal stories related to sports, expressing the need for counseling. I think counseling in sports is important. This book goes beyond to guiding the reader how to recognize signals from people you should look up to and ways to regulate emotions effectively. I would recommend, an enjoyable read.
Profile Image for Lissy Dean.
79 reviews
June 27, 2024
Extremely helpful book on bringing up points of emphasis for improving mental health among female athletes. There were so many stories that were relatable in various topics. Would highly recommend to someone in the field
Profile Image for Sarah.
230 reviews4 followers
August 19, 2024
A must read for those who have experienced the range of ups and downs competing in sports throughout youth and young adulthood.

Also: All coaches should read this.

I have to let this book simmer more before I expand upon this review!
Profile Image for Sarah Ismond.
199 reviews
Read
September 30, 2024
Every mom/coach/sister/person who has a loved one (gurl) in sports must read this to be educated on the importance of how to show up in their life and understand the development of young girls minds (how sports can help and hurt). Phenomenal read
946 reviews2 followers
October 7, 2024
This book made me want to be so vigilant of my granddaughters' experiences in the sports they love. As I watched my husband coach for 40 years, I saw so many positive changes in that profession, and know more are needed.
Profile Image for Scott Kummer.
60 reviews16 followers
December 6, 2024
As a male in the sport of running and race director this was a really good resource. It definitely brought things to my attention which I will take to the sport and make me and the sport better. A must read for men in sports.
57 reviews
March 31, 2025
I have boys, but was a figure skater and dancer as a child and teen. I found a lot of this information hit very close to home. A lot of the advice can be used by all parents of athletes. Overtraining and under fueling are serious issues in the athletic community. I recommend this book highly.
211 reviews
August 1, 2025
Lots of fantastic insights into coaching women. Definitely geared more towards college or high level high school; however recognizing the many things to think through as a coach for women is worth the listen. Will definitely take a few tidbits away on how I approach the upcoming season.
Profile Image for Kendra Kruse.
145 reviews
November 28, 2025
This book was rich! It gave me language for things I’d experienced but didn’t know how to express! It was excellent reading for athletes and their parents! Really, it’s great for all of us who work with athletes in any capacity!
2 reviews
July 23, 2024
This should be required reading for anyone involved in the development of athletes, all ages and genders.
Profile Image for Sarah Lyons.
1,656 reviews8 followers
October 29, 2024
Very interesting and I would recommend to anyone with girls who are active in sports of any kind. It helped me see things from a perspective I hadn’t considered.
Profile Image for Bryan Boehringer.
7 reviews
November 2, 2024
A heartbreaking, but important read for any parent of a female athlete. An essential read for men that coach women at any level.
Displaying 1 - 30 of 33 reviews

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