The Australian tennis star's hopes of reaching the ATP Finals last four are dangling by a slender margin after a heartbreaking three-set loss to Lorenzo Musetti.
The world No 7 succumbed 7-5 3-6 7-5 after failing to serve out the match, keeping the Italian to remain in the tournament and now forcing the Australian needing to decisively defeat Taylor Fritz in his last group match to reach the semi-finals.
But facing Fritz in two days' time is the smallest of de Minaur's immediate concerns as the Sydney native concedes he must address the mental demons that threaten to cruel his career.
A loser of all six of his grand slam quarter-final appearances, the twenty-six-year-old was unable to disguise his anguish after suffering yet another crucial opportunity slipping away with his tournament fate in his own hands.
"I'm uncertain how many times I can handle a loss like this one," de Minaur said in Turin. "I must talk to my team and try to sort out these issues because these are challenges that can't keep happening."
"I mean, if I truly desire to be serious about taking the next step in my career, these matches, I can't lose them. I just can't. It feels like I've lost a lot of them this year. Most importantly, it's getting to a point where psychologically it's destroying me."
Characterizing his emotions as "very bleak", de Minaur bemoaned a series of final set collapses in 2025 and said he must find a way to win the close matches.
The Australia No 1's streak of devastating defeats include:
"I keep putting everything into these matches," de Minaur said. "Whenever the outcome isn't positive, it's hard to keep pushing through."
"This is an issue that if it isn't resolved, it's going to consume me completely. I need to get it sorted quickly rather than delayed."
De Minaur and Fritz are tied at five wins each in past meetings, though the sixth-ranked American emerged victorious in their matchup in this showpiece event last year.
The Australian's chances remain alive after Fritz experienced a 6-7 (2-7) 7-5 6-3 loss to Carlos Alcaraz that ensured the Spaniard would advance to the semi-finals as the victor of the Jimmy Connors group.
The world No 2's victory, having already knocked over de Minaur, put Alcaraz a single victory away of claiming the year-end top ranking from Jannik Sinner.
Even if he is defeated by Musetti in his last round-robin contest, Alcaraz will reclaim the world No 1 ranking except if Sinner, who beat Auger-Aliassime in his first match on Monday, goes unbeaten to retain his ATP Finals title.
"I'll attempt not to focus on it," said Alcaraz. "It's going to be a really big match for me. I will try not to let the anxiety play a negative role in the match. I will think about my objectives, about feeling much better than today."
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