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An Open Letter to Orthorexia

Sarah Madaus Student Contributor, Temple University
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Logan Beck Student Contributor, Temple University
This article is written by a student writer from the Her Campus at Temple chapter and does not reflect the views of Her Campus.
According to National Eating Disorders Awareness, orthorexia nervosa is defined as, “an 
 
unhealthy obsession with healthy eating.” I suffered and continue to suffer from this disorder, 
 
along with obsessive/compulsive tendencies when it comes to exercise. This is an open letter to 
 
my disease and for anyone who is suffering the same ordeal.
 
Hi, it’s me, one of your victims. A little over a year ago, you snuck into my life. Little by little, 
 
you consumed me until I could hardly recognize myself. It started with small things, like the 
 
thought you incessantly whispered in my head: “you’re fat; nobody wants a fat girl.” I began to 
 
believe you. I started looking into the mirror and my 150-pound athletic build was distorted into 
 
something unwanted, ugly, and hated. You pushed me to download MyFitnessPal and log my 
 
calories.  I didn’t think anything was wrong with me, but what seemed like an innocent habit 
 
turned into panic attacks. My anxiety took over whenever I ate more than my allotted 1,600 
 
calories. You whispered to me that what I was doing was healthy. I started to go to the gym for 
 
hours at a time, torturing myself on the elliptical until I could hardly breathe. I thought, why 
 
should I stop unless I’m going to faint, vomit, or die? 
 
Daily, I stripped myself of my sweaty gym clothes and stared into the mirror. My eyes were 
 
glossed over with the blinders you gave me– blinders that made it impossible to see my beauty. I 
 
laid almost naked on the floor, tears rolling down my face, and crippled by the belief that my 
 
body was disgusting. I cursed God for giving me an “unacceptable” body. 
 
You told me that I should hate food, but I’ve always loved it. My love for food   made the battle 
 
against you even harder. I cried when my mom made noodles as a side dish because I thought 
 
they would make me fat. I restricted my diet to such an extreme that I could not go to a single 
 
restaurant without having an anxiety attack. My thoughts were a landslide, they restricted me 
 
from happiness.
 
“The calories aren’t listed, the calories aren’t listed, the calories aren’t listed.”  
 
“How many carbs is in this? How much fat is in this? How much sugar is in this?”
 
“I look fat in this outfit, I look fat in this outfit, I look fat in this outfit.” 
 
“I don’t deserve to eat, I don’t deserve to eat.”
 
 “Do my parents notice? Do they know that something’s wrong with me?”
 
 “I can’t do this anymore.”
 
You came over me like a flood. There was no stopping you. You’re a relentless, controlling, all-
 
consuming disease. I thought you had taken away enough, but then you started to eat away at my 
 
happiness and my relationships. How selfish are you? I went to school with you hanging all over 
 
me. I was self-conscious in anything I wore. My skin and hair were dull, and I lost my energy 
 
and liveliness. When it was time for lunch, I pulled out the same thing I ate every day: half of a 
 
Luna bar, a small apple, and cut up vegetables. You told me that was enough—maybe even too 
 
much—until dinner. I stared at my friends enviously and judged them for what they were eating, 
 
because I thought my diet was the only right one. Why weren’t they eating fresh vegetables? 
 
Don’t they know that crackers are full of refined carbs? My boyfriend at the time didn’t 
 
understand you either. He didn’t understand why I hated myself even after he told me that I was 
 
beautiful. You tried to drive a wedge into our relationship, but he became my stronghold through 
 
it all. He held me while you tried to tear me away.
 
You controlled me until the night my mom found me. I’m so glad she did, because I wanted to 
 
die that night. I saw the pain in her eyes; I had been blind to it for months. She told me I needed 
 
help and I was hesitant because I didn’t think my problem was much of a problem at all. I didn’t 
 
notice the weight I lost, or how the restrictions were affecting my life until my mom said 
 
something. That day I took the first step in conquering you. I started going to therapy. After 
 
months, I started seeing myself without the blinders you gave me. I started allowing myself to be 
 
happy, even after I ate a serving of Ben & Jerry’s or my mom’s famous pesto pasta. I continued 
 
to exercise more than the average person, but I started a workout program that focused on 
 
becoming fit and healthy rather than just losing weight. I began congratulating myself for 
 
accomplishing small goals, rather than yelling at myself for one little slip-up. I felt the grip of 
 
your hands start to slip away. I felt freedom.
 
I’ve noticed that you’re a bit like a clingy ex-boyfriend; you just keep coming back. I take 
 
confidence in the fact that after months of treatment and a hellish battle against you, I don’t need 
 
you to be healthy. You made me unhealthy. I am perfectly beautiful the way I am– freshman 
 
fifteen and all. Sometimes you come back with a vengeance, and you consume me again for a 
 
bit. I think it’ll always be that way, but Orthorexia don’t you see that I am so much better off 
 
without you? I am stronger than you. I defeated you, and I can keep defeating you.
 
Sincerely,
 
Sarah Madaus 
 
P.S. I hope you’re watching me drink this hot chocolate right now. It is so good.
Temple University, 2019. Magazine journalist and editor, fitness instructor, health and wellness enthusiast. Proponent of lists, Jesus, and the Oxford comma. Will do anything for an iced oatmilk latte. Follow my journey: Twitter + Instagram: @sarah_madaus
Logan is a junior journalism major, and serves as Campus Correspondent.  She is also the proud president of Delta Phi Epsilon, Delta Nu, her sorority. Logan is typically super busy, but still dedicates hours to reading a Cosmo from front to back...twice. Logan loves all things social media, especially following puppy accounts on Instagram. Her dream is to break into the magazine industry and help empower other women to pursue their dreams, whatever that may be.