While I was sitting in the waiting room at the student health center I heard someone sneeze. Since I was the only one there, I yelled out awkwardly into the empty distance, “Bless you!” to which there was an immediate reply from somewhere down the hall, “Thanks!” It was a janitor, I later discovered as he turned the corner. We smiled at each other knowingly and he continued on his way.
I confess I am always a bit afraid of touching things in waiting rooms at doctor’s offices, hospitals, health centers. Any day is going to be the day I get staph infection in the crack of my elbow skin, I just know it. This September marks ten years since my mom has been sick, so I’ve frequented quite a few of these. Wear long pants. Rest the elbows/arms/hands on your lap, not on the arm rest. I’m the only person I know who sits in a waiting room like I’m standing at attention. But everyone is neurotic in some way or another, right? So be it; no MRSA for me. I hear squeaking on the freshly waxed linoleum. A nurse wearing crocs and a set of scrubs with baby ducks all over comes walking into the room with a clipboard in hand.
“Anna?” she calls, looking up at me.
“Yes,” I say.
“The nutritionist is ready for you,” I stand up, grab my purse, and I follow her in.
When I walk into the nutritionist’s office I am greeted by a woman in her late 40s, with long, light brown hair. She stands a mere 5 feet, 4 inches tall and is no bigger than a size 2. She holds out her hand to shake mine, all smiles.
“Hi, Anna. I’m Nancy,” I shake her hand and return the greeting. “What can I do for you?” she asks as we sit in our respective chairs. She pulls out a piece of paper with a pen-in-hand, ready to write my nutritional life out on a chart.
“I don’t know how to eat,” I say. If I’m going to do this, then I’m going to do this. So I began . . .
I started my first diet when I was 12 under my mother’s supervision. I was rounding into puberty, and as my body changed it became clear that, while I wasn’t a chubby kid, if we weren’t careful I was going to be a heavy teenager and likely an even heavier adult. I was around 5’3 already (I was 5’7 by the time I reached 14, and am now 5’8-5’9, depending on the Steak ‘n Shake I’m in), and I weighed around 135lbs. My mother did not have to do this with my older sister because my sister was athletic. I, however, was musical, and when most people doodled I wrote poems. I was the girl in middle school and high school who “had a lot of feelings.” Sports weren’t quite my thing. In the end I lost about ten pounds that summer, and so began the habit which has been maintained with encouragement ever since: chronic dieting.
Most of my male friends comment on how annoying it is when women talk about being on a diet, usually because they’re always on a diet. It bugs men, and rightfully so. But what men don’t realize about me at least, and I suspect many of my female friends, is that this is how I was taught to eat. So to chalk it up to simply “being worried about being fat” is to over-simplify a deeper issue. The issue being: eating has a ‘points system.’ We’re taught to calculate–count calories, fat grams, meals, hours since we’ve eaten, pounds–whatever it is!–and if the number is too high, we’ve “lost the game.” It’s a sensation of failure that I cannot begin to describe, because you only play it with yourself, and you play it every day.
When I was fourteen I went on another diet and lost another five pounds.

My sister, my cousins and me when we were kids. I'm on the far left. My sister is on the middle-right.
My freshman year of college things began to escalate. If you have read any of my previous posts you would know I’ve struggled with anxiety attacks for multiple reasons, and this was another. I began having spells where I would absolutely panic when I got dressed in the morning. I would begin pulling everything from my closet, put on one outfit, take it off, put on another–over and over until I’d exhausted everything in my wardrobe. Sometimes the anxiety would make me cry. I was failing and couldn’t handle it. Eventually I would settle on something frumpy and comfortable because if I didn’t I would be late to wherever I was going, and then I would leave and feel upset all day. For the entirety of my four years of college I remained within the same ten pounds, going up and down and up and down and up and down. All in all, I can divide the seasons of my life in pounds. Call out any year between the ages of 12 and today (I turn 23 on Wednesday), and I can tell you exactly how much I weighed.
In addition to all of this, when I was 13 my mother developed Diabetes, which is a food-related disease. Since then she’s also developed high cholesterol, high blood pressure, undergone several amputations, and in 2009 she had a heart attack. And in late 2010 my father had a heart attack of his own, and we almost lost him. There are heavy people on both sides of my family, including my mother’s aunt who passed away at over 300 pounds, and an uncle on my father’s side who was around 400 pounds when he passed away. My fear of gaining weight and eating incorrectly was about more than just weight-control. Illness seemed like this inevitable end looming over me that I could not escape.
Finally, toward the end of my senior year of college I realized that I’d gained about four or five pounds, and was the heaviest I’d ever been. I started going to the gym several days of the week, and “watching what I ate” (whatever that really means–well, it means more chronic dieting), but found that nothing was working. After two months of consistently working out and “being good,” I weighed the same. Suddenly, eating became stressful. Well, that is an understatement. Eating was an overwhelming feat. And I began to hate it, because every time I ate it I felt like I was only going to gain more weight, and no matter what I ate or how well I portioned, I had the feeling that I was “wrong.” I was “losing” at something that should be so simple, and I couldn’t figure out how to win.
No longer was the natural, necessary process of eating natural, and because it was necessary I resented it. I couldn’t do it right, and I dreaded feeling hungry because it meant facing my own fears and my feelings of failure at a normal human activity.
So, just a few weeks after I turned 22, I stopped eating. I did not stop eating because I thought it would make me thin or help me lose weight. Everyone knows you have to eat to lose weight. I stopped eating because I couldn’t do it anymore. I hated eating, I didn’t enjoy food anymore, and I couldn’t face feeling like a failure all the time. Not even the very closest people in my life knew, but it didn’t take very long for my mother to intervene and sign me up for WeightWatchers. She said it would help me eat and lose any weight I wanted in the process. I enjoyed it at first, though every time I would walk into the meetings, the crowd of overweight women in their 40s and 50s would always greet me with a smile and slight suspicion. But since the scales and graphs from WeightWatchers also insisted that I was overweight, I felt I belonged there. However, as the summer continued I realized how starving I really was, and soon gave up and went back to eating regularly, with chronic dieting here and there, but the anxiety factor mostly under control.
When I moved here to Durham, NC for my Masters program this last July, I established routine–did well for the first several months.
I felt good, I looked good, and I ate regularly and well. But in October I went to the “lady doctor” for an annual check-up, and when the doctor walked in the room, she looked at the chart, looked at me, and with a stern expression said:“You need to lose ten pounds. Do you exercise? You need to lose ten pounds.”
Throughout the examination, she kept insisting on it. She asked me what I ate, how often I exercised, etc., and at the end of the exam, she said it again, “Okay, I will see you next year, and without those ten pounds, right?”
Thanks a lot. In the process of trying to lose those ten pounds I have gained four. When the panic sessions started again while I got dressed and the chronic dieting got out of control I finally decided I’d had enough.
“. . . I measure portions by the portions of the people around me. I don’t know when it’s okay to be hungry and when it’s not, or how long after a meal I should eat again. I don’t feel like I’m allowed to be full. So I made an appointment with you because according to the lady doctor my BMI is 26 and it needs to be between 18 and 24 but I’ve gained four pounds trying to lose ten and I can’t seem to fix this in a healthy way and I hate eating and I don’t know how to eat and I don’t know how to overcome this and I’m miserable . . . and I’m so . . . tired.” Exhale.
By that point Nancy had stopped writing and was just looking at me.
And then she won my heart:
“Well, first of all, you should know that people make a big deal about everyone’s BMI being between 18 and 24, but we’re also finding that those with a BMI between 25 and 29 live longer. So your lady doctor is wrong. And in case you were wondering, you’re not fat. Secondly, how many points a day did WeightWatchers give you?”
“Twenty-five.”
Scribbling some math calculations on her pad, “Well, no wonder you were starving! That’s not nearly enough calories for a day. Here’s what we’re going to do . . .” We went through everything I eat in a day, all the things I like to eat–and want to eat–and how to get me off a chronic dieting way of life. “The goal is to teach you how to eat,” she said. “You will probably lose weight, but we’re going to stop caring about that. Deal?”
“Deal.”
She showed me charts, talked to me about what food tips I’d heard that were nonsense and what ones were worthwhile. She told me that walking is exercise, whether the internet believes it or not, and that I should stop feeling guilty about not making it to the gym. Instead, I am to take study breaks and walk across campus to the gym, and then turn around walk back (I like her sense of humor). She never told me that I was “wrong.” I didn’t feel pressured. Nancy is meatloaf and mashed potatoes–comforting and familiar. We then scheduled an appointment for the following week, and decided that until then I would just work on breakfast and walking.
It came easy, believe it or not, and I enjoyed the walks. After a few days breakfast became enjoyable, and actually relieving and freeing. The goal is not to change what I eat, but learn how to eat what I’m already eating, only properly, and to incorporate more foods, not fewer. I also tried to follow some of the other advice about other meals into lunch and dinner. I was trying not to treat this like another diet. Yet five days after the appointment I was writing a final paper at a friend’s house and a few of us decided to make a run to Whole Foods for dinner. There it was, the buffet (which costs an arm and a leg) filled with dinner choices. As I stood with my tray trying to decide what to grab, my heart started racing and my breathing quickened. I looked at my friend Laura, who was with us, and she saw the panic on my face. Then I smiled and said, “Thou shalt not make eating difficult. Thou shalt not make eating difficult,” though my hand was shaking, and I made my selections and got into a check-out line.
I went for my one-week check-up yesterday, and Nancy and I went over what worked, what didn’t, and where to go from here. I won’t be able to see her again until August because of my internship in Nashville this summer, so she gave me her email address and a pep-talk.
“This,” she said enthusiastically, “is going to be such an awesome summer for you. You’re beautiful. You’re young. You’re going to go to Nashville, and you’re going to have a good time, meet cool people, walk around the city, and you’re going to eat great food, and you’re going to enjoy it! Right?”
“Right.”
“Uh, uh. It’s gonna be awesome, right?!”
“It’s gonna be amazing!”
“Good!”
So here I am. Munching on whole grain crackers with cheese instead of Ritz. I just answered a text message saying “yes” to an invitation for frozen yogurt, and I don’t feel bad about it. I have a bit of a stretch ahead of me, and unlike most of my blogs I cannot tie this one up with a pretty bow at the end. But that’s okay because life doesn’t always have neat resolutions to the stories we write.
And this is the story of how, at the age of 23, I am learning to feed myself.
- Anna -
*Credit for this blog post is owed to two people: Anne Lamott, whose chapter “Hunger” in her book _Traveling Mercies_ gave me the courage to write this post. And my friend Stephanie, who showed me the chapter, and then made me the best grilled cheese sandwich and garlic green beans I’ve ever had.










