To become a top athlete requires time, commitment and carefully planned training. Optimum adaptation to training requires the careful balancing of stress and recovery. The student athlete has to balance all these demands with the additional requirements of an academic programme. This can bring unique stresses and challenges. This research aims to investigate the challenges of combining high-level sport with academic demands. Nine elite student athletes (three females, six males) took part in semi-structured interviews around how the student athletes balanced their training and sporting demands with the academic demands of their course of study. The interviews were transcribed verbatim and analysed using grounded theory. The results suggested that the athletes had each developed their own distinct approach towards training management. Most of the subjects had experienced setback in their study and athletic performance due to overtraining or burnout. The findings highlight the need to empower and educate not only the athlete but also the coach on the impact of overtraining. Key findings from this study were the need for open coach-athlete communication, in-depth planning and the need for adequate recovery.