Investigating mental health challenges faced by elite gymnasts, focusing on the impact from adolescence to their professional years. Inspired by the notable case of Simone Biles during the 2020 Tokyo Olympics, where mental health issues led to her withdrawal, this study delves into the broader issue affecting many elite gymnasts. The primary goal is to understand the relationship between gymnasts and their coaching staff, exploring ways in which coaches can positively influence mental health outcomes. The research employs a Case Study Research design, focusing on specific gymnasts in local gymnasiums, with data collection involving observations, coding, and thematic analysis. The ultimate objective is to contribute valuable insights that can inform the development of effective mental health support programs for elite gymnasts, acknowledging the lack of attention this critical issue has received in the past.