Amanda Sobhy, recognized as the most successful squash player in United States history, has detailed the complexities of her decade-long battle with bulimia nervosa, shedding light on the hidden pressures of elite athletics. Sobhy, who reached a career-high world ranking of number three, recently disclosed the specific mindfulness-based interventions and nutritional strategies that facilitated her recovery outside of traditional clinical settings. Her narrative highlights a significant gap in the sports industry: the intersection of high-performance expectations, the stigma of mental health, and the financial barriers to specialized care. By documenting her transition from a "high-functioning" athlete in denial to a vocal advocate for mental health, Sobhy provides a roadmap for addressing eating disorders within the professional sporting community. The Chronology of a Hidden Crisis Sobhy’s struggle began during her collegiate years at Harvard University, a period characterized by unparalleled athletic dominance. Between 2011 and 2015, Sobhy maintained a historic 62-0 record, losing only two games throughout her entire college career. However, beneath this external success, a disordered relationship with food and body image was taking root. Sobhy describes the period as being defined by an "invisible weight," a secret she maintained while transitioning into the professional squash circuit. In 2015, after graduating and turning professional, the pressures intensified. As she climbed the world rankings, the binge-purge cycle became a coping mechanism for the stresses of international travel, high-stakes competition, and the inherent isolation of the professional tour. For years, Sobhy avoided formal treatment, driven by a combination of denial and the fear that acknowledging her condition would compromise her identity as a high-performing athlete. A critical turning point occurred in the fall of 2018. Following a series of tournaments, Sobhy reached what she described as a breaking point, where the severity of her bulimia became unsustainable. Despite a desperate attempt to seek professional help, she encountered a common systemic barrier: her insurance did not cover specialized eating disorder therapy, and the out-of-pocket costs were prohibitive. This forced Sobhy to navigate a non-linear recovery process, relying on her existing coaching team to address the psychological and physiological roots of her disorder. The Psychological Framework: Mindfulness and Cognitive Shifts The recovery process was anchored by Sobhy’s work with holistic sports psychologist Amy Gross, whom she began seeing in 2015. Unlike traditional performance coaching, Gross’s approach focused on the internal psychological traits that fueled Sobhy’s disorder. Central to this was the identification of "perfectionism" and an "all-or-nothing mindset"—traits often rewarded in professional sports but destructive when applied to self-image and nutrition. Gross utilized mindfulness-based interventions to interrupt the "autopilot" nature of the binge-purge cycle. This involved: Nonjudgmental Observation: Learning to identify triggers, such as match losses or emotional dysregulation, without immediate self-condemnation. Cognitive Spacing: Creating a temporal gap between the urge to binge and the action itself, allowing for alternative coping mechanisms like journaling or breathwork. Self-Compassion Training: Replacing guilt and disgust with kindness, particularly following relapses, which Sobhy acknowledges were frequent during the early years of her recovery. By deconstructing the belief that a single "imperfect" day or a lost match defined her worth, Sobhy was able to tolerate the human fallibility that perfectionism previously disallowed. This shift proved pivotal in de-escalating the emotional volatility that often preceded her disordered behaviors. Nutritional Rehabilitation and the Rejection of Diet Culture Parallel to the psychological work was a total restructuring of Sobhy’s relationship with food, guided by sports dietitian Nyree Dardarian. Starting in 2017—a year also marked by Sobhy’s recovery from her first Achilles tendon rupture—Dardarian implemented a performance-based fueling strategy that explicitly rejected "diet culture." In the context of elite sports, where body composition is often scrutinized, Dardarian’s approach was counter-cultural. She eliminated labels such as "good" or "bad" foods and removed the concept of "cheat days." Instead, the focus was on sustainability and enjoyment. A key tool in this process was the "Life Calendar," which integrated training, travel, and social events. This allowed Sobhy to plan meals that supported her caloric needs while ensuring she felt in control. To manage the stresses of international competition in locations like Egypt or Malaysia, Sobhy and Dardarian collaborated remotely. Sobhy would share restaurant menus, and Dardarian would help her select options that felt supportive rather than overwhelming. This partnership also established consistent routines, such as a standardized pre-match meal of a peanut butter, banana, and honey sandwich—a ritual Sobhy maintains to this day. By normalizing the inclusion of desserts and social eating, Dardarian helped Sobhy transition from private binging to public, shared enjoyment of food. Supporting Data: Eating Disorders in Elite Athletics Sobhy’s experience is reflective of broader trends within the athletic community. According to data from the National Eating Disorders Association (NEDA), athletes are significantly more likely to develop disordered eating patterns than the general population. Research indicates that: Approximately 13.5% of athletes struggle with an eating disorder, with higher prevalence rates in "lean" sports where weight or aesthetics are perceived to impact performance. A study of Division I NCAA athletes found that over 30% of female athletes reported symptoms placing them at risk for anorexia nervosa. The "Female Athlete Triad"—a syndrome involving energy deficiency, menstrual dysfunction, and low bone mineral density—often overlaps with the behaviors Sobhy described. Sobhy’s case is particularly notable because she remained "high-functioning." This phenomenon often leads to a delay in diagnosis and treatment, as coaches and peers may overlook behavioral warning signs if the athlete continues to win. Sobhy’s success, including 22 PSA titles and multiple Pan American Games gold medals, served as a shield that kept her struggle hidden from the public eye for over a decade. Broader Impact and the 2028 Olympic Vision The decision to go public in the summer of 2021 was a milestone in Sobhy’s recovery, symbolized by an ankle tattoo of a bird with the word "free." Her disclosure coincided with a growing movement among elite athletes—including Simone Biles and Naomi Osaka—to prioritize mental health over competitive output. Sobhy’s advocacy comes at a critical time for the sport of squash. In 2023, it was announced that squash would make its Olympic debut at the LA28 Summer Games. As a leading figure in the sport and a member of the Professional Squash Association board, Sobhy’s transparency sets a precedent for how the sport handles athlete welfare as it moves toward the Olympic stage. Her involvement with the Squash & Education Alliance and her role as an ambassador for the US Squash Foundation further amplify her message. By aligning her story with National Eating Disorders Awareness Week and the theme "Every BODY Belongs," Sobhy challenges the stereotype of what an eating disorder "looks like." Her narrative emphasizes that these illnesses do not discriminate by fitness level, success, or background. Fact-Based Analysis of Implications The implications of Sobhy’s disclosure are twofold. First, it highlights the necessity for sports organizations to provide accessible, specialized mental health resources that are not dependent on an athlete’s personal insurance or financial status. The fact that a world-class athlete could not afford a single session of specialized therapy in 2018 points to a systemic failure in the support network for professional competitors. Second, Sobhy’s recovery model suggests that integrating mental health and nutritional support directly into the coaching team—rather than treating them as external, clinical add-ons—can be highly effective. By addressing the psychological traits of perfectionism and the physiological needs of fueling within the context of her sport, Sobhy’s team created a sustainable environment for long-term health. As Sobhy continues her comeback following a second Achilles rupture in late 2023, her focus remains on the LA28 Games. However, her legacy is now defined as much by her vulnerability and advocacy as by her titles. Her journey serves as a definitive statement that healing is possible even within the high-pressure vacuum of professional sports, and that "high-functioning" should not be a barrier to seeking help. Through her continued presence on the PSA Tour and her public platforms, Sobhy remains a primary example of how elite athletes can reclaim their narratives and foster a culture of transparency for the next generation of competitors. Post navigation Addressing the Adolescent Mental Health Crisis Strategies for Schools and Families to Combat Disordered Eating and Body Image Issues Navigating the Path to Full Recovery from Anorexia Nervosa Clinical Strategies and Lived Experience Insights