Video-based mental programming (VBP) is a more direct intervention modality that accesses and uses visual processing to facilitate, especially motor and technical, performance; although it can also be used in attempts to increase motivation, emotional engagement, and attain individual zone of optimum functioning (IZOF) established levels of physiological reactivity. VBP can be viewed as a very direct mental training approach, one that circumvents esoteric and extraneous intervention procedures that are more difficult to assess in terms of efficiency and efficacy. It can also be used as a stress test, whereby an athlete’s underlying psychophysiology is monitored while watching his or her self-performance over the course of a complete game or match. Baseline heart rate variability (HRV) profiles should be compared with intervention-induced HRV to establish intervention efficiency. The chapter also presents a real case study to illustrate the VBP intervention process and an outcome associated with it.