Toxic training: How to recognize the signs of an athlete in trouble

Toxic training: How to recognize the signs of an athlete in trouble

How to know when ‘healthy’ becomes dangerous

by Kim Travis, Healthcare Advocate

Rachael Steil was a cross country and track runner who found a small correlation between losing weight and running faster. She took that discovery and ran with it:

“I went from eating normal, regular, healthy meals to very regimented, restricted meals that left me hungry, but feeling excited because I associated this new way of eating with being a more successful runner. I wanted perfection and to find out how fast I could run, and would do anything to get there.”
– Rachel

Despite shin splints and painful stress fractures, Lindsey Hall went to the gym two times a day, sometimes three, and ran herself to exhaustion. In her early twenties, she became preoccupied with veganism and clean, raw eating:

“Everything was ‘bad.’ It evolved to a point where nothing I ate was acceptable.”
– Lindsey

Beth Beck was a high school tennis star. College tennis was within her reach but she had to get bigger, taller, stronger. She got bigger and stronger. She peaked at 4 feet, 11.5 inches. Nevertheless, Penn State came calling, but the dream faded fast:

“I had a chip on my shoulder about the whole tennis thing from go. I was the star. It was weird for me not to be the star. It didn’t help that tennis wasn’t even a little bit fun anymore, and my body hurt all the time from lifting weights, doing sprints and not taking care of myself in the least.”
– Beth

How winning can trigger a health crisis

Stories like these are not rare. Rachael, Lindsey and Beth, like many young women, and men, may feel powerful and accomplished, but in reality, they’re closer to injury and illness than health and wellness. In the U.S. and in many other countries, people like Rachael, Lindsey and Beth are encouraged to work harder, get stronger, lose more weight, be the best, win! Parents, coaches and trainers are often the ones who cheer them on and don’t see the situation for what it really is: a health crisis — at least not at first.

Eating disorders typically manifest due to a combination of biological, psychological and/or social issues. And, excessive exercise plays a role in both the development and maintenance of a variety of eating disorders.

Because the early signs of exercise addiction and eating disorders often mimic the behaviors of an individual who is following a strict, but healthy eating and fitness program, parents, coaches and trainers can easily miss the warning signs of exercise addiction and eating disorders. Furthermore, they may contribute to the problem because of their attitudes about weight, dieting and body image.

Heed the signs to guard against injury and illness

This infographic (linked and below), developed by clinicians at EDCare, was designed to educate parents, coaches, trainers and anyone who works in the fitness industry about the signs that an athlete or fitness enthusiast is closer to injury and illness than health and wellness. It also offers tips on how to encourage a healthy attitude about sport and fitness — and that includes:

  • Evaluating one’s own attitude about weight, dieting and body image
  • Deemphasizing the importance of weight
  • Resisting the urge to make comments, particularly derogatory comments, about weight

About Kim Travis


Kim is EDCare’s Director of Marketing and a Colorado native. She holds a Bachelor’s Degree in Organizational Leadership from CSU and has over 25 years of healthcare experience in marketing and operations. In her free time, Kim enjoys the outdoors and visiting the beautiful Rocky Mountains. She loves to garden, cook and most of all she enjoys spending time with her husband two daughters.



Diana has experienced eating disorders and recovery firsthand, with herself and her daughter. She co-founded The Diary Healer website with June Alexander and has written several blog posts based on her personal experiences in the hope that sharing her stories will give others a sense of community and connection, and give herself some perspective and healing along the way. If you would like to contact Diana, she can be reached at

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