A British Championship motorcycle racer (male, age 22·4) presented with internal fixations to a 3-week-old transverse fracture of left tibia and fibula. The patient initially appeared to be uncommitted to the treatment and rehabilitation (three out of five missed appointments) and spoke in negative terms regarding returning to racing. Using a variation of2performance profile, the athlete and primary care provider determined those areas that the racer felt needed the most attention from a psychological standpoint. Intervention strategies were then applied by the primary care provider after consultation with the sport psychologist. Performance profiles were completed on a weekly basis to monitor both the racer's and the care provider's perceptions of change. Of the 12 constructs developed, nine showed positive week-on-week changes, whilst three showed positive changes over the 12-week period the racer was under care. None regressed at any stage. The racer attributed feelings of increased motivation and confidence in returning to competition to the psychological support programme. The greatest benefit reported by the athletic trainer was felt to be increased compliance to treatment and rehabilitation prescription.