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Puka Nacua rehab revelation sparks wild twist in Rams’ contract drama
Photo by David Jensen/Getty Images

Puka Nacua opens up about mental health progress ahead of 2024 season

Puka Nacua’s first comments of the offseason provided something far more important than any update you’d expect from a typical spring practice.

Nacua spoke openly about his journey, saying his rehab and weekly meetings have brought “great improvement” to his life.

He said he’s learned the value of seeking support, adding that it has helped him stay consistent since finishing a short stint in rehab earlier this year.

Since then, he’s participated in every offseason session. And with the help of team therapy and regular journaling, he seems to be handling things well.


Photo by Michael Owens/Getty Images

Puka Nacua’s 2024 offseason didn’t play out as the headlines might’ve suggested

Puka Nacua’s 2024 offseason didn’t play out as the headlines might’ve suggested. Before anyone was thinking about a contract dispute, he was in rehab – voluntarily – for substance use disorder and what he now calls “reckless” off-field behaviour. That experience changed his perspective on the future.

It was then that Nacua entered rehab for substance use, taking proactive steps before the lawsuit even became public. The timing of these incidents coincided with significant personal changes in his life as well.

Nacua has also downplayed concerns about missing practices while away, noting that being around the team daily was not something that would have helped him at the time. “I did my job,” he said this week. “I trained for football…The only thing I missed was sitting in meetings.”

Puka Nacua is heading into a season where his value on the field and personal stability will be talked about together, whether the Rams want that or not. His 2025 production was historic. He led the NFL with 129 receptions and finished second with 1,715 yards and 10 touchdowns. PFF graded him as the No. 1 receiver in football, both overall and in receiving, and he was targeted on a league-high 36.1 per cent of his routes.

That output came alongside Matthew Stafford’s first MVP season, on a team that lost the NFC Championship to Seattle. The Rams then used the No. 13 overall pick on Alabama’s Ty Simpson, the most surprising first-rounder of the 2026 draft, giving Stafford a successor while still trying to maximise a window that very much remains open.

How the Rams are approaching the situation

Heading into the last year of his rookie contract, Nacua is eligible for both an extension and a fifth-year option. Historically, general manager Les Snead has wrapped up major deals just before training camp. On top of that, Nacua plays a central role in the offence. Stafford’s trust in receivers comes from their reliability within the system, and Nacua earned his share of targets by consistently being where he needed to be.

When Nacua is dialled in, he gives Stafford a reliable high-volume option that helps control the pace of play. He excels on third downs, creates opportunities after catches, and keeps the passing game multi-dimensional. If that presence is missing, it puts more strain on the rest of the receiving corps and forces Stafford to find solutions later in plays.

It’s good to hear positive updates from rehab. But once the season starts, training camp, contract talks, game plans, and the usual challenges will matter more than what’s said in May. Snead’s history of finalising deals late in the summer, Simpson settling into the team quietly, and Nacua still dealing with ongoing legal issues are all still ahead.

The simplest route forward for the Rams follows what Nacua laid out: sticking to his new routines, letting the lawsuit run its course, and returning to a more typical football season.

This article first appeared on HITC and was syndicated with permission.

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