Looking in the mirror was torture for Hannah Crawford
By Clare Mullaney
It wasn’t until Hannah was staring at a half-eaten Greek salad that she admitted she had a problem.
It was her first night in the outpatient program at the Renfrew Center in Philadelphia, the United States’ first residential facility for the treatment of eating disorders. Before coming to Renfrew, Hannah Crawford, whose real name she prefers not be used, had been following a strict diet of two apples and seven pretzel sticks a day. She was, in effect, starving herself.
Of the two meal options offered that night, Hannah, a sophomore at Bryn Mawr College at the time, chose the Greek salad, believing it to be the “safer choice” and healthier selection. But to make up for the minimal calories offered by the lettuce and raw vegetables, the salad contained a few extra ingredients.
Petrified, Hannah gazed down at a hard-boiled egg, a half a cup of cottage cheese, a tablespoon of nuts, and whole pita bread.
She had 45 minutes to finish the salad along with a bowl of ice cream that was quickly melting.
Hannah was so nervous that she couldn’t stop shaking. “I could barely hold my fork to put food in my mouth,” she recalled.
Hannah had the urge to separate each of the items in her salad and eat them one at a time, but at Renfrew, any abnormal food rituals were prohibited. She couldn’t cut up her lettuce into tiny pieces or dissect the salad’s contents to make sure they weren’t contaminated.
By the end of the meal, Hannah had only eaten some of the salad. Before coming to Renfrew, she thought she could finish a meal if she wanted and that turning off the fears surrounding food would be easy.
It was so much harder than she imagined. “I was so overwhelmed by all the food,” she said.
An estimated one-half to nearly four percent of American women suffer from anorexia nervosa in their lifetime. According to the National Eating Disorders Association, anorexia is characterized by self-starvation and excessive weight loss. Individuals with anorexia typically weigh no more than 85 percent of their expected body weight.
Hannah’s story describes the journey of many of these women.
The beginning
In fifth grade she began to monitor what she was eating, but by the beginning of middle school her anorexia took hold of her. To help her cope with the anxiety of starting at a new school, she became determined to lose weight.
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