48min

The Shadow of Self-Inflicted Wounds

By Tyler Brooks · Published 2026-03-24 · 76ers' Paul George blamed mental health for banned substance use

Paul George will suit up for the Philadelphia 76ers on Wednesday night against the Boston Celtics, ending a 25-game suspension for violating the NBA's anti-drug policy. He tested positive for a banned substance, a performance-enhancing drug called Glucocorticoids. His explanation, offered through his agent, pointed to mental health struggles as the reason he took the substance. That's a tough pill for anyone to swallow, especially given the timing for a Sixers team that desperately needs him.

George signed a four-year, $176 million deal with Philadelphia this past summer, a massive commitment for a team aiming to contend for a title. The Sixers are currently 31-18, sitting fifth in the Eastern Conference, but they've been treading water without Joel Embiid, who's out with a meniscus injury. Embiid was averaging 35.3 points and 11.3 rebounds per game before his injury, a legitimate MVP candidate. Losing George for 25 games on top of that has been a huge blow. Tyrese Maxey has stepped up, averaging 25.7 points and 6.4 assists, but he can't carry the load alone against the league's elite.

The Mental Health Conversation

Look, mental health in professional sports is a serious issue, one that deserves all the attention and resources it gets. We've seen stars like Naomi Osaka and Kevin Love openly discuss their battles, and it's changed the conversation for the better. But when a player tests positive for a PED and then cites mental health as the reason, it complicates things. It can feel like a convenient shield, even if it's not. The NBA's policy is clear: banned substances are banned, regardless of the stated reason. George knew the rules. He's a veteran, 14 seasons in the league. This isn't some rookie making a mistake.

The specific substance, Glucocorticoids, is often used to reduce inflammation and pain. While it's not a steroid in the traditional sense, it can help with recovery and allow players to push through discomfort. If George was struggling mentally, there are established protocols and resources within the NBA to help. Taking a banned substance outside of those channels, even with a doctor's prescription, is a violation. It puts the league, his team, and his teammates in an impossible position.

Rebuilding Trust and On-Court Impact

Here's the thing: George needs to deliver, immediately. The Sixers have lost six of their last ten games. They're facing a Celtics team that's 39-12, leading the East by a comfortable margin. His first game back is against the best team in the conference. The schedule doesn't get much easier, with games against the Knicks, Cavaliers, and Bucks looming. He's walking into a pressure cooker.

His numbers last season with the Clippers were solid: 23.8 points, 6.1 rebounds, and 5.1 assists per game, shooting 45.7% from the field. Philadelphia needs that production, and more, especially with Embiid sidelined for weeks, if not months. The Sixers traded away two first-round picks and a pick swap to acquire him. That's a steep price for a player who then misses 25 games. The fanbase, already on edge after years of playoff disappointments, won't tolerate anything less than maximum effort and peak performance. He has to prove he’s worth the investment, both financially and in terms of the team’s championship aspirations.

My hot take? This suspension, regardless of the mental health explanation, will hang over George for the rest of his tenure in Philadelphia. He'll have to be nearly perfect on the court to fully win over a skeptical fanbase. I predict he averages 21 points and 7 rebounds over the next month, but the Sixers still struggle to crack the top four in the East without Embiid.