The Running Explained Podcast The Hidden Struggles of Endurance Athletes with Stephanie Roth-Goldberg
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Mar 5, 2026 Stephanie Roth Goldberg, psychotherapist and eating disorder specialist who is also a marathoner and mom, discusses the intersection of endurance running and disordered eating. Short talks cover how patterns start, how coaching and social media can push athletes toward harm, warning signs to watch for, and when to involve therapists or dietitians. Practical markers and recovery pathways are explored.
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Therapist Caseload Includes Pro And College Athletes
- Stephanie sees a range of clients from pros needing to remain in sport to recreational runners with stress fractures.
- She works with college athletes whose scholarships depend on playing and sometimes needs medical breaks while supporting continued participation.
Coach Observations Should Trigger Conversations
- Coaches should monitor athletes closely and ask follow-ups rather than only delivering programs.
- Notice signs like repeated forgetting to bring gels, unusual heart rates, or 'easy' runs feeling hard and ask what else is going on.
Performance Doesn’t Mean You’re Healthy
- High performance can coexist with serious disordered thinking, so don't equate PRs with wellbeing.
- Stephanie notes athletes may perform for a time but show life 'cracks' like relationship or concentration problems.