Finding Unexpected Joy: How Basketball Became Therapy for CPTSD Recovery
"With thirty seconds remaining until the buzzer sounds, life – and the entire year behind me – transforms into a complete blur. Nothing matters more than the ball hitting the backboard." This powerful realization came to Australian author Olivia De Zilva during her unexpected journey toward healing from complex post-traumatic stress disorder.
The Search for Salvation in Unexpected Places
After trying numerous conventional approaches to find relief in 2024, including religious exploration and reformer pilates classes, De Zilva discovered that traditional methods failed to provide the salvation she desperately sought. Having recently returned to Adelaide following two years of study in Brisbane, she found herself grappling with a profound identity crisis. What initially seemed like a quarter-life crisis was diagnosed by a psychiatrist as complex PTSD, a condition requiring specialized therapeutic approaches.
The medical professional suggested several standard treatments: yoga (which proved challenging due to coordination issues), journaling (complicated by self-censorship tendencies), and group therapy sessions. However, what De Zilva ultimately discovered she needed was something entirely different – the adrenaline rush of competitive sports and the shared experience of strangers collectively pursuing a beautiful, ceremonious goal through athletic competition.
First Quarter: An Unlikely Beginning
Despite having no natural affinity for sports – she owned expensive running shoes she rarely used and couldn't distinguish between football teams – De Zilva's partner suggested attending an Adelaide 36ers National Basketball League game. Initially sitting in the nosebleed sections surrounded by families in team jerseys consuming expensive stadium food, she never anticipated this would become a long-term therapeutic practice.
"The doctor had explained that joy can be discovered in the most unexpected places," De Zilva recalls. "For me, that revelation occurred during the first quarter, as the intensity built on court, sneakers squeaked in attention, and the net made that distinctive feathery swoosh as the ball passed through." She found herself captivated by the shared purpose unifying everyone in the arena, the collective grimace when a defender failed to block a shot, and the communal joy when the referee signaled possession for their team.
Second Quarter: Learning to Exist in the Moment
Having promised herself she wouldn't remain in Adelaide permanently, returning felt like moving back into her parents' home after professional or personal setbacks. During this difficult period, life moved at an agonizingly slow pace for De Zilva. On the basketball court, however, she discovered that ten minutes could feel like ten years when her team was losing.
Obsessively watching the game clock, she remembered her doctor's advice about beauty appearing when least expected. This lesson crystallized when a point guard reached the rim, transforming her misery into a sudden swell of joy. In basketball time, anything could happen unpredictably, teaching her there was no value in trying to anticipate every next move – a valuable metaphor for her recovery journey.
Time Out: Recognizing the Therapeutic Value
Several months into the NBL season, during a coffee meeting with a friend who inquired about her wellbeing, De Zilva made a startling realization. "I explained that without basketball to anticipate each week, I probably would have collapsed into an even more significant emotional heap than I already occupied," she recounts.
When pressed about basketball's specific appeal, she struggled to articulate the complex sensations: the warmth from arena lights on her skin, tears welling up to thaw the emotional lump in her throat, the profound feeling of intimate connection while sitting beside complete strangers. Sometimes the most powerful therapies defy easy explanation.
Third Quarter: Navigating Difficult Periods
As the Sixers found their rhythm during games, De Zilva noticed parallels to her therapeutic process. When players were knocked down and the stadium erupted in supportive screams, she recognized this as a form of group therapy – albeit more expensive and considerably louder than conventional sessions.
The third quarter of basketball games often presents particular challenges, with players stumbling, stray balls causing turnovers, and moments when teams appear ready to surrender. De Zilva saw her entire 2024 experience reflected in these difficult quarters: the emotional buildup, subsequent disappointments, persistent uncertainty, and constant apprehension.
"The psychiatrist explained that CPTSD can ambush you at any moment," she notes. "On the basketball court, this manifested as a sudden ankle snap, followed by wide-eyed stares from players, the coach signaling for time-out, and that tumble of emotions as the buzzer sounded like a shrill alarm awakening you from a distressing dream."
Fourth Quarter: Collective Strength and Healing
The final quarter represents the decisive period where fans contract into a collective strength De Zilva had never previously experienced. As the team scores, spectators feel that achievement personally; when players fumble, supporters share that disappointment equally.
This dynamic helped her realize there exists a way to coexist with other people unselfishly and without specific intent, regardless of how strongly she desired to feel loved or seen by others. During those final thirty seconds, with life and the preceding year blurring together, nothing matters more than the ball striking the backboard.
"When that moment finally arrives," De Zilva concludes, "I can breathe properly again." Her search for stability and community in what felt like a profoundly lonely world led her to an unexpected discovery: basketball helped her understand that home doesn't necessarily represent a physical place, but rather a feeling of belonging and connection.



