Moments before she got the news on that fall Seattle day in 2010, Megan Goethals felt trapped. She was confined within the four walls of her psychiatrist's office, within her own body, within her own mind.
Then the crushing blow was dealt.
Goethals -- one of the country's most-decorated high school runners the year before, one of the University of Washington's biggest recruits ever, regardless of sport -- had caused so much damage to her body that her days as a runner were likely over.
Crushed by what her psychiatrist told her, the college freshman burst into tears.
"I kind of already knew it," Goethals said, remembering she feared the worst that day.