Dr. Marianne-Land: An Eating Disorder Recovery Podcast
Dr. Marianne Miller, an eating disorder therapist and binge eating coach, hosts this podcast exploring the ins and outs of eating disorder recovery. The show covers topics such as anorexia, bulimia, binge eating disorder, ARFID, and body image issues. Guests share personal stories, tips, and strategies to help listeners on their recovery journey. The podcast also addresses self-love, self-compassion, LGBTQ+ issues, anti-fat bias, and weight-neutral fitness.
Episodes
What to Expect From ARFID Treatment: A Neurodivergent-Affirming, Sensory-Attuned, Trauma-Informed Approach
If the idea of ARFID treatment feels just as overwhelming as ARFID itself, you're not alone. Many people avoid seeking help because they worry treatment will involve pressure, forced food exposures, or having their sensory experiences dismissed.
In this episode of Dr. Marianne-Land, Dr. Marianne Miller explains what neurodivergent-affirming ARFID treatmentactually looks like. She discusses why und
Anorexia & Bulimia Recovery: 5 Ways to Manage Eating Overwhelm in Long-Term Eating Disorders
If eating still feels overwhelming after years of living with anorexia or bulimia, you're not alone. Long-term eating disorders often make every meal feel mentally, emotionally, and physically exhausting, even when you're deeply committed to recovery. In this episode of Dr. Marianne-Land, eating disorder therapist Dr. Marianne Miller shares five practical, compassionate strategies to help reduce e
Late-Diagnosed Autism & ADHD: Why So Many Girls Get Missed With Jamie Roberts, LMFT @neurodivergenttherapist
Why do so many autistic and ADHD girls grow up believing they're simply "too much," anxious, or broken? In this episode, I sit down with licensed marriage and family therapist, author, and neurodiversity advocate Jamie Roberts @neurodivergenttherapist to talk about why autism and ADHD so often go undiagnosed in girls, how masking hides neurodivergence, and what changes when people finally receive
Why Eating Feels Impossible: Sensory Overload, Trauma, ARFID, & Food Restriction
Have you ever looked at a plate of food, known you needed to eat, and still felt like your brain and body simply couldn't do it?
Many people assume this experience reflects a lack of willpower or motivation. In reality, sensory overload, trauma, ARFID, and food restriction can all make eating feel genuinely inaccessible. When your nervous system stays in survival mode, even choosing, preparing, an
ADHD & Binge Eating: Why You Feel Like a Bottomless Pit (And Why Traditional CBT Often Fails)
Why do some people with ADHD feel like no amount of food is ever enough? Why can you finish a satisfying meal and still find yourself searching the pantry, thinking about dessert, or feeling like something is missing?
In this solo episode of Dr. Marianne-Land, I explore the often-overlooked connection between ADHD and binge eating disorder (BED). I explain why many ADHDers describe feeling like a
What If You're Not Broken? Neurodivergence, Sanism, Eating Disorders, & Radical Acceptance With Shira Collings @threadandthreshold.therapy
What happens when you stop viewing yourself through a pathology lens and start seeing your differences as part of your identity instead of evidence that something is wrong with you?
In this thought-provoking conversation, I sit down with Shira Collings, LPC, a neurodiversity-affirming, fat-affirming, LGBTQIA+ affirming, disability justice-aligned therapist, to explore neurodivergence as a social i
Is ARFID Lifelong? What We Know About Recovery, Treatment, & Hope
Have you ever wondered whether ARFID is something a person lives with forever? It's one of the most common questions people ask after an ARFID diagnosis, yet the answer is rarely as straightforward as people hope. Adults with ARFID, parents of children with ARFID, and even clinicians often want to know what recovery really looks like, whether meaningful change is possible, and how neurodivergence
Family Food Rules & Body Image Issues: How Diet Culture Gets Passed Down Through Generations
Have you ever wondered where your beliefs about food, weight, and body image actually came from?
Many people assume their eating disorder, body dissatisfaction, or disordered eating patterns developed entirely from personal experiences. In reality, family food rules, generational diet culture, and inherited beliefs about bodies often shape our relationship with food long before we recognize what's
Body Image, TikTok, & Eating Disorder Prevention With Jenny Tomei @askjenup
What happens when children struggle with body image and restrictive eating?
In this conversation, I welcome back eating disorder advocate, educator, and JenUp founder Jenny Tomei @askjenup to discuss a troubling trend she is seeing in schools across the UK. Children as young as elementary school age are making comments about each other's bodies, judging what peers eat at lunch, and absorbing diet
Night Eating Syndrome: How Restriction & Masking Fuel Nighttime Eating
Do you spend the entire day feeling in control around food, only to find yourself eating far more than expected at night? If nighttime eating leaves you feeling confused, ashamed, or convinced that you lack willpower, this episode may offer a different perspective.
Many people with Night Eating Syndrome focus on what happens after dinner without realizing that the story often begins much earlier.
When Your Eating Disorder Becomes Your Identity: Anorexia Recovery & Finding Yourself Again
What happens when anorexia no longer feels like something you struggle with and starts feeling like who you are?
Many people with long-term anorexia, so-called "atypical" anorexia, and restrictive eating disorders fear recovery for reasons that go far beyond food. They worry about losing structure, purpose, safety, achievement, or even their sense of self. In this episode, I explore the powerful c
After 14 Years of Binge Eating: What Finally Helped Me Heal (With Deb Elbaz)
Can you recover from binge eating disorder after years, or even decades, of struggling?
In this inspiring episode, I sit down with a longtime friend and recovery coach to discuss her personal binge eating recovery journey. After living in the binge eating cycle for 14 years, she found a path to lasting freedom and has been binge-free since 2002. She shares how binge eating remained hidden from eve
When an Eating Disorder Feels Lifelong: Finding Hope Beyond Full Recovery Narratives
What happens when eating disorder recovery does not look neat, linear, or complete? In this episode of the Dr. Marianne-Land podcast, Dr. Marianne Miller explores the emotional reality of living with a chronic eating disorder, including long-term anorexia, bulimia, binge eating disorder, ARFID, and restrictive eating disorders that persist for years or decades. This conversation examines the grief
When You Have a Restrictive Eating Disorder Like Anorexia or ARFID: How To Manage Nervous System Overwhelm
What happens when eating disorder recovery starts colliding with nervous system overwhelm? In this episode of the Dr. Marianne-Land podcast, Dr. Marianne Miller explores one of the most confusing parts of restrictive eating disorder recovery: learning how to tell the difference between genuine nervous system dysregulation and eating disorder avoidance disguised as self-protection.
Many people with
CONTENT CAUTION: Eating Disorders & Trauma Recovery With Debbie Saroufim: When Healing Brings Buried Pain to the Surface
If you’ve done years of eating disorder recovery work and suddenly find old trauma surfacing, you are not alone. In this deeply honest conversation, Dr. Marianne Miller and Debbie Saroufim explore the complicated overlap between eating disorders, trauma recovery, body image, nervous system responses, and healing after survival mode. They discuss why trauma can emerge later in recovery, how eating
Anorexia in Higher-Weight Bodies: Hidden Restriction, Misdiagnosis, & What Gets Missed
Why do so many people with anorexia go undiagnosed simply because of their body size? In this episode of the Dr. Marianne-Land podcast, eating disorder therapist Dr. Marianne Miller explores anorexia in higher-weight bodies, restrictive eating disorders, weight bias in healthcare, and the dangerous myths surrounding “atypical anorexia.” This conversation unpacks how restrictive eating can become n
You’re High-Functioning. You’re Still Struggling With Food: The Eating Disorders No One Sees.
You show up. You succeed. You keep functioning. Meanwhile, food, eating, body image, or restrictive behaviors may quietly consume an enormous amount of mental and emotional energy. In this episode of the Dr. Marianne-Land podcast, Dr. Marianne Miller explores the hidden reality of high-functioning eating disorders and why so many people get overlooked simply because they appear “fine” from the out
Eating Disorders in 2026: ARFID, Diet Culture, Identity, & the Pressure to Be Thin With Lisa Jimenez, LMHC
What happens when diet culture gets louder, ARFID awareness grows, social media becomes therapy language, and the pressure to be thin starts shaping everyday life again? In this episode of The Dr. Marianne-Land Podcast, I sit down with Lisa Jimenez (@lisajimeneztherapy) for a deeply honest conversation about what eating disorder therapists are actually seeing in 2026. We talk about the resurgence
OCD & Eating Disorders: Why Food Rules, Rituals, & “Not Feeling Right” Take Over
Do you feel like eating has to happen a certain way or your anxiety spirals? Do food rules, rituals, or intrusive thoughts take over your day in ways that feel exhausting but impossible to stop? In this episode of The Dr. Marianne-Land Podcast, Dr. Marianne Miller explores the complex overlap between OCD and eating disorders, including how compulsions, “just-right” feelings, anxiety, sensory sensi
Does Rejection Ruin Your Whole Day? Here's One Reason Why: RSD, ADHD, & Eating Disorders
Does one awkward interaction, unanswered text, or small piece of feedback ruin your entire day? You may not be “too sensitive.” You may be experiencing Rejection Sensitive Dysphoria (RSD), especially if you also live with ADHD or an eating disorder. In this episode, Dr. Marianne explores why rejection can feel emotionally and physically painful, why shame spirals happen so quickly, and how emotion
Late-Diagnosed Autism, ADHD, & “Neurohybridity”: Why Some People Never Fit One Label With Dr. Emma Offord @divergentlives
What happens when you relate to parts of autism, ADHD, giftedness, sensory sensitivity, masking, and trauma, but never fully fit into one diagnosis or label?
In this timely conversation, Dr. Marianne Miller sits down with neuro-affirming clinical psychologist Dr. Emma Offord to explore “neurohybridity,” a term Emma developed to describe the fluid, overlapping, and mosaic-like nature of neurodiverg
ARFID Doesn’t Have to Look Extreme to Be Real: The Overlooked Middle Ground
When Safe Foods Stop Working: ARFID Plateaus, Burnout, & What Helps on Apple & Spotify.
ARFID Explained: What It Feels Like, Why It’s Misunderstood, & What Helps on Apple & Spotify.
Why Sensory-Attuned Care Matters More Than Exposure in ARFID Treatment on Apple & Spotify.
Complexities of Treating ARFID: How a Neurodivergent-Affirming, Sensory-Attuned Approach Works on Apple &am
Autistic Adults Who Struggle to Eat: POTS, Eating Disorders & What Helps
If eating feels impossible, like your body shuts down, pushes back, or feels worse after you try, this episode explains why. For many autistic adults, eating challenges are shaped by POTS, nervous system differences, and misunderstood patterns that often get labeled as eating disorders. Here’s what’s actually happening and small steps that can help.
What POTS Is and Why It Changes Eating
POTS, or
If Everyone Is Getting Smaller, This Might Be Why: GLP-1s, Tradwives, & Eating Disorder Pressure With Anne Richardson @theeatingdisordernutritionist
It feels like everyone around you is getting smaller. This conversation will change how you understand why.
In this episode of the podcast, Dr. Marianne Miller sits down with eating disorder nutritionist Anne Richardson @theeatingdisordernutritionist to unpack what’s really driving the current push toward thinness. From GLP-1 medications like Ozempic to the rise of tradwife content to the constant
Why Eating Feels So Chaotic With ADHD: Binge Eating, Bulimia, & Executive Function Challenges
If eating feels chaotic, unpredictable, or hard to keep up with, especially with ADHD, there are real reasons for that. This episode breaks down why eating can feel all over the place, not because you are doing something wrong, but because your brain is being asked to manage a process that depends heavily on executive functioning, timing, and regulation across the entire day.
In this solo episode,
When Your Autistic Child Has ARFID & Anorexia: Signs, Misdiagnosis, & What to Do Next
If your autistic child’s eating feels more complex than anyone seems to understand, this episode may put words to what you’ve been seeing. Because when ARFID and anorexia overlap in autistic kids, the signs often get missed, misunderstood, or explained away in ways that don’t actually help. And when that happens, families can feel stuck, blamed, or pushed into approaches that increase distress ins
“Debating” Jillian Michaels: Body Positivity, Eating Disorders & What You Didn’t See on Jubilee With Edie Stark, LCSW @ediestarktherapy
You saw the clip. You saw the reactions. But you didn’t see what actually happened.
In this episode of Dr. Marianne Land, I sit down with eating disorder therapist and fat-positive advocate Edie Stark @ediestarktherapy to unpack what it was really like to be placed in a highly edited, high-pressure “debate” with Jillian Michaels. This conversation pulls back the curtain on how media formats shape
Long-Term Anorexia & Restrictive Eating: 5 Strategies That Actually Help
Long-term anorexia and restrictive eating are often missed, misunderstood, or minimized—especially when they don’t match the stereotype. Anorexia can occur in all body sizes, yet many people in larger or mid-sized bodies go undiagnosed or unsupported for years. If restriction has been part of your life for a long time, this episode offers a different path forward—one that centers harm reduction, f
What Is Mechanical Eating? Pros, Cons, & How It Can Work When Eating Feels Hard (ARFID, Binge Eating, Restriction)
If eating feels inconsistent, overwhelming, or like something you are constantly negotiating with, mechanical eating might be the tool you have heard about but are not sure how to use. In this episode, I break down what mechanical eating actually is, the pros and cons, and why it can help when eating feels hard, especially if you are navigating ARFID, binge eating, anorexia, or restrictive eating
ADHD & Bulimia: Dopamine, Impulsivity, & the Hidden Link to Binge Eating With Kirsten Book, PMHNP-BC
If you have ADHD and struggle with bulimia or binge eating, it may not be about willpower at all. It may be about dopamine, impulsivity, and a nervous system that has been trying to regulate itself the only way it knows how.
In this episode of the podcast, I sit down with psychiatric nurse practitioner Kirsten Book to unpack the often-missed connection between ADHD and eating disorders. We move be
Why You Can’t Stop Body Checking: Anxiety, Eating Disorders, Autism, & What Actually Helps
If you feel stuck in constant body checking, repeatedly scanning, measuring, or monitoring your body throughout the day, you are not alone and there is a real reason this pattern is so hard to break. Body checking is not about vanity or lack of willpower. It is a nervous system response shaped by anxiety, eating disorders, sensory processing, and a culture that teaches you to constantly evaluate y
Harm Reduction for Eating Disorders: How Lived Experience Shapes Recovery, Support, & Long-Term Healing
What if eating disorder recovery didn’t have to be all-or-nothing to be real, valid, and life-changing?
If traditional eating disorder recovery models have ever felt too rigid, too fast, or disconnected from your real life, this episode offers a different way forward. In this solo episode, I explore how harm reduction for eating disorders creates space for sustainable, real-world healing, and why
Eating Disorders in Midlife: Ageism, Body Image, & the Pressure to Stay Thin & Young With Deb Benfield, RDN @agingbodyliberation
Eating disorders in midlife are increasing, yet they are often missed, misunderstood, or dismissed as “normal” aging concerns. During midlife, many people notice a sudden intensification of food struggles, body dissatisfaction, and eating disorder symptoms such as restriction, binge eating, or food anxiety. This is not random. It is the result of a powerful intersection between ageism, diet cultur
PDA, ARFID, & Food Avoidance: Why “Just Eat” Doesn’t Work & What to Do Instead
When eating feels like a demand, everything changes. For people with a Pervasive Drive for Autonomy (PDA) profile, especially those navigating ARFID (Avoidant/Restrictive Food Intake Disorder), pressure around food can quickly backfire. What may look like refusal or lack of motivation is often a nervous system response to perceived threat. In this episode, Dr. Marianne explores why common advice l
Chronic Eating Disorders: Why Some Anorexia & Bulimia Become Long-Term
Not all eating disorders follow a short or linear recovery path. For many people, anorexia and bulimia become long-term, shifting over time rather than disappearing. In this episode, Dr. Marianne explores why eating disorders become chronic, how symptoms can wax and wane across life stages, and what this means for recovery, support, and understanding your nervous system.
This episode offers a deep
Nutrition Myths Exposed: Protein Obsession, Processed Foods, & Eating Disorder Recovery With Kathleen Meehan, RD @therdnutritionist
What happens when nutrition advice becomes loud, simplified, and everywhere you turn? In this episode, Dr. Marianne welcomes back Kathleen Meehan, RD (@therdnutritionist), an anti-diet, fat-positive dietitian, to unpack the current wave of nutrition myths shaping how people think about food, health, and eating disorder recovery. From protein obsession to processed food panic, this conversat
Why High Achievers Can Develop Anorexia & Bulimia: Perfectionism, Control, & Hidden Struggles
High achievers are often seen as disciplined, driven, and successful. But behind that external competence, many people are navigating intense internal pressure, perfectionism, and a deep disconnection from their bodies. In this episode, Dr. Marianne explores why high achievers are more vulnerable to eating disorders like anorexia and bulimia, and how these patterns are often hidden in plain sight.
What Is PCOS & Why Is It Linked to Eating Disorders? Hormones, Hunger, & Insulin Resistance Explained
If you have PCOS and feel constantly hungry, deal with strong food cravings, or struggle with binge eating, you are not imagining it. PCOS can directly affect hunger, cravings, and eating patterns through insulin resistance and hormone imbalance. In this episode, Dr. Marianne explains the real link between PCOS and eating disorders so you can understand what is happening in your body without blame
Lived Experience of ARFID in Autistics & ADHDers: Sensory Survival & Misunderstandings With Dr. Panicha McGuire, LMFT, RPT
What if what gets labeled as “picky eating” is actually a complex, sensory-based eating disorder shaped by neurodivergence, culture, and access to resources?
In this episode, I’m joined by Dr. Panicha McGuire, a licensed therapist and founder of Living Lotus Therapy, who shares her lived experience with ARFID alongside her clinical work with neurodivergent clients. Together, we explore how ARFID s
When Safe Foods Stop Working: ARFID Plateaus, Burnout, & What Helps
What does it mean when your safe foods suddenly stop working? If you live with ARFID (Avoidant Restrictive Food Intake Disorder), this experience can feel confusing, scary, and isolating. A food that felt reliable can suddenly feel impossible, leaving you wondering if your eating challenges are getting worse or if you are doing something wrong.
In this episode of Dr. Marianne-Land, Dr. Marianne ex
Why You Fear Food: Diet Culture & Food Anxiety in Eating Disorder Recovery
If eating feels stressful, overwhelming, or even scary, you are not alone. Fear of food is incredibly common, especially for people navigating eating disorder recovery or trying to unlearn years of diet culture messaging. What often gets labeled as “lack of willpower” is actually something much deeper. It is learned fear.
In this episode, Dr. Marianne explores how fear of food develops, why it fee
Autism, ADHD, & Eating Disorders: Recovery, Sensory Needs, & Late Diagnosis With Margo White, CPN @margo_wholebodynutrition
What if the eating challenges you have struggled with were never just about food? In this deeply validating and expansive conversation, Dr. Marianne sits down with Margo White, CPN, to explore the intersection of autism, ADHD, and eating disorders through a neurodivergent-affirming lens. Margo shares her lived experience of being late-identified as autistic and ADHD, and how years of unmet needs,
Restrictive Eating in Midlife: Why Eating Disorders Can Begin After 30, 40, 50
Most people still believe eating disorders only begin in adolescence or early adulthood. But restrictive eating can develop later in life, and midlife can be a particularly vulnerable time. Changes in the body, new health conditions, medications, major life transitions, and cultural pressure around aging can all shape someone’s relationship with food.
In this episode of Dr. Marianne-Land, Dr. Mari
Family Dynamics & Eating Disorders: How Early Relationships Shape Disordered Eating
Many people in eating disorder recovery eventually wonder how their early environment may have shaped their relationship with food. Questions about family dynamics and eating disorders often come up in therapy, especially when someone is trying to understand why certain patterns around food, body image, and control feel so deeply ingrained.
Eating disorders such as anorexia, bulimia, binge eating
Harm Reduction for Long-Term Eating Disorders: Peer Support, Healing, & Hope With Johanna Scoglio, M.Ed., M.B.A.
What happens when traditional recovery messaging does not fit someone’s lived reality? For many people living with long-term eating disorders, the expectation of full recovery can feel overwhelming, unrealistic, or even invalidating. In these situations, harm reduction for eating disorders offers another path forward, one that centers dignity, autonomy, safety, and compassion.
In this episode of t
Fear of Uncertainty in Eating Disorder Recovery: Why It Feels So Terrifying + 5 Practical Skills That Help
Eating disorder recovery can feel frightening for reasons that go far deeper than food, weight, or body image. One of the most powerful drivers of eating disorder behaviors is fear of uncertainty. When recovery removes rigid rules and predictable routines, the nervous system can interpret that loss of certainty as danger.
In this episode, Dr. Marianne explores how fear of uncertainty operates unde
GI Issues in Eating Disorder Recovery: Why Bloating, Constipation, & Stomach Pain Happen & How Healing Is Possible
If eating disorder recovery has made your stomach feel worse instead of better, you are not alone. Many people experience bloating, constipation, reflux, stomach pain, and fullness during recovery. These symptoms can feel frightening and discouraging, especially when they show up after you start nourishing your body more consistently.
In this solo episode, Dr. Marianne Miller, LMFT, explains why g
“I Feel Huge” vs What I’m Actually Feeling: Translating Body Distress Into Emotions With Amy Ornelas, RDN
Have you ever had the experience of suddenly feeling huge in your body, even though nothing about your body has actually changed? That moment of intense body distress is incredibly common in eating disorder recovery. But what if that feeling is not really about body size at all?
In this episode of Dr. Marianne-Land, Dr. Marianne Miller is joined by Amy Ornelas, RDN, an eating disorder dietitian, y
Why Weight Stigma Harms Everyone: Anti-Fat Bias in Health, Mental Health, & Eating Disorder Recovery
Weight stigma affects far more than body size. It shapes healthcare, mental health treatment, and eating disorder recovery for people across all bodies. In this solo episode, eating disorder therapist Dr. Marianne Miller, LMFT, examines how anti-fat bias operates inside medical systems, mental health care, and everyday cultural messages about bodies.
Weight stigma does not only harm people in larg
Beyond Anorexia: The Truth About Long-Term Restrictive Eating
Many people believe restrictive eating is easy to recognize. They picture dramatic weight loss, visible food refusal, or a body that clearly signals medical danger. In reality, restrictive eating often develops quietly and exists on a wide spectrum that includes subtle undereating, ARFID, atypical anorexia, and chronic long-term restriction.
In this solo episode, Dr. Marianne Miller explores the r
Autism, ADHD, & Food Sensory Issues: Navigating Eating Challenges With Patrick Casale
Why do some people with autism, ADHD, or AuDHD rely on the same safe foods every day, while certain textures or smells make eating feel impossible? In this episode, therapist and AuDHD advocate Patrick Casale shares how food sensory issues, texture aversion, and safe foods shape eating patterns for many neurodivergent adults.
In this conversation, Dr. Marianne Miller speaks with Patrick about his
Chronic Binge Eating Disorder: Why It Persists & What Real Recovery Looks Like
Chronic binge eating disorder is not a failure of willpower. It is a nervous system pattern shaped by restriction, shame, trauma, and unmet needs.
In this solo episode, Dr. Marianne Miller explores why binge eating becomes chronic, how dieting and food scarcity fuel the cycle, and what real recovery actually looks like for adults living with long-term binge eating disorder. If you feel stuck in th
Mechanical Eating in Lifelong Eating Disorder Recovery: Benefits, Limits, & Who It Helps Most
Mechanical eating refers to eating on a consistent schedule, usually every three to four hours, regardless of hunger cues. It is commonly introduced in early eating disorder treatment to stabilize nourishment and interrupt restriction or binge cycles.
In this episode, Dr. Marianne explains how mechanical eating creates physiological rhythm in a body that has experienced disruption. Eating disorder
Resilience Skills for Body Image & Disordered Eating: Cultivating Confidence With Rachelle Heinemann, LMHC, LPC
Confidence is not about loving how you look. It is about resilience, safety, and agency in eating disorder recovery.
In this thoughtful and grounded conversation, Dr. Marianne Miller sits down with therapist, educator, and podcast host Rachelle Heinemann, LMHC, LPC @raquelleheinemann, to explore the deeper emotional and relational layers beneath body image distress and disordered eating.
Rather th
Why Eating Disorder Recovery Can Stall Even When You’re Doing Everything Right
Many people enter eating disorder recovery believing that effort guarantees progress. Follow the meal plan. Use the coping skills. Stay consistent. When recovery still feels stuck, shame often follows. This episode explores a different truth. Recovery can stall even when you are doing everything right, and stalled progress usually reflects misalignment rather than failure.
Dr. Marianne examines th
Why Eating Disorders in Black Women Are Missed: What "The Pitt" Shows About ER Care & Medical Weight Bias
In this solo episode, Dr. Marianne Miller explores how the Emmy-winning and Golden Globe–winning medical drama The Pitt portrays eating disorders, emergency medicine, and bias in ways that feel both culturally meaningful and clinically relevant. She reflects on how the show separates two critical themes across seasons: the medical system’s tendency to miss eating disorders in Black women, and the
“Stuck” Isn’t Lazy: Inertia in ADHD, Autism, & Eating Disorder Recovery With Stacie Fanelli, LCSW
ADHD, autism, and eating disorders through the lens of inertia. What if feeling stuck is not laziness, resistance, or lack of motivation?
In this conversation, Dr. Marianne Miller speaks with ADHD and neurodivergent-affirming therapist Stacie Fanelli, LCSW, @edadhd_therapist, about how autistic inertia, ADHD hyperfocus, and executive functioning differences shape restriction, bingeing, and symptom
Why Eating Still Breaks Down for Neurodivergent People With Long-Term Eating Disorders
Why does eating still feel impossible for neurodivergent people with long-term eating disorders, even after insight, treatment, and real effort?
In this episode, Dr. Marianne Miller explores the hidden sensory, executive functioning, and nervous system friction that causes eating to keep breaking down in daily life. This conversation moves beyond motivation, fear foods, and traditional recovery ad
Anorexia & Night Eating Syndrome: Why Restriction Fuels Night Eating & What Helps
Night eating can feel confusing, distressing, and isolating for people living with anorexia, especially when restriction shapes daytime eating. Many adults limit food during the day and then experience intense hunger, urgency to eat, or automatic eating at night. This pattern often creates shame and the belief that recovery is failing.
In this episode, Dr. Marianne Miller explains why anorexia and
Anorexia in Higher-Weight Bodies: Rethinking “Atypical Anorexia” & the Restrictive Eating Spectrum With Dr. Jennifer Gaudiani, MD @gaudianiclinic
What if anorexia is being missed simply because of body size? In this powerful and deeply validating conversation, I sit down with eating disorder physician Dr. Jennifer Gaudiani, MD @gaudianiclinic to explore why the term “atypical anorexia” can obscure real medical risk, delay diagnosis, and reinforce weight stigma across healthcare systems. We discuss what has changed since the first edition of
Self-Criticism in Eating Disorder Recovery: Why the Inner Voice Gets Louder & How to Respond
When self-criticism ramps up during eating disorder recovery, it can feel confusing or discouraging, especially when behaviors are beginning to change. This episode explores why that intensification is often part of the healing process rather than a sign that recovery is going wrong.
In this solo episode, Dr. Marianne Miller explains why the inner critical voice often gets louder as eating disorde
Anorexia & Bulimia After 40: Understanding Midlife Recovery & Change
Eating disorder recovery in midlife often looks very different than recovery earlier in life. For many adults over 40, anorexia and bulimia are not new struggles but long standing patterns shaped by decades of survival, responsibility, and adaptation. This episode explores why recovery after 40 requires a different lens and why difficulty healing is not a personal failure.
In this solo episode, Dr
Eating Disorder Recovery With Chronic Illness: When Restriction Is Prescribed, Not Chosen With Vanessa Connelly, RD @grainandgreen.kidneys
When you live with a chronic illness, food restriction is often framed as “medical,” “necessary,” or “just being responsible.” But for many people, especially those with eating disorder histories, that kind of guidance doesn’t support health. It fuels fear, shame, isolation, and disordered eating patterns that are hard to unwind.
In this episode, Dr. Marianne is joined by Vanessa Connolly, a regis
ARFID in Adults: Why It’s Missed, Misdiagnosed, & Often Treated Too Late
Avoidant Restrictive Food Intake Disorder does not end in childhood. Many adults live for years, even decades, with ARFID that goes unnamed, misunderstood, or incorrectly treated. In this solo episode, Dr. Marianne Miller explores why ARFID in adults is so often missed, how misdiagnosis shapes harmful care pathways, and what adult-appropriate support actually requires.
This conversation centers ad
Wanting Recovery AND Fearing It: How Dialectical Thinking Supports Chronic Eating Disorder Recovery
Living with a chronic eating disorder often means wanting recovery and fearing it at the same time. Many people feel torn between change and safety, hope and grief, relief and loss. This solo episode explores why that ambivalence is not a failure, but a meaningful part of chronic eating disorder recovery.
In this episode, Dr. Marianne Miller explains how dialectical thinking from DBT supports peop
Eating Disorders & ADHD: Neurodivergent-Affirming Recovery With Taylor Ashley, RP @taylorashleytherapy
Why do eating disorders and ADHD so often overlap, and why does standard eating disorder treatment frequently fail neurodivergent people?
In this episode of Dr. Marianne-Land, I’m joined by Taylor Ashley @taylorashleytherapy, Registered Psychotherapist based in Guelph, Ontario, who specializes in eating disorders, ADHD, trauma, body image, and neurodivergence. Taylor brings both professional exper
Chronic Eating Disorders in 2026: What Hope Can Actually Look Like
What does hope really mean when an eating disorder has lasted for years or decades? In 2026, many people with chronic eating disorders feel left out of recovery conversations that prioritize fast change, early intervention, and visible transformation. This episode offers a different framework. One that respects long-term patterns, nervous system survival, neurodivergence, and harm reduction.
This
Egosyntonic vs Egodystonic Eating Disorder Behaviors in Neurodivergent People: Where’s the Line?
Not all eating disorder behaviors feel distressing. For many neurodivergent people, certain eating patterns can feel calming, organizing, or regulating rather than intrusive or unwanted. This solo episode explores the often misunderstood difference between egosyntonic and egodystonic eating disorder behaviors, with a specific focus on neurodivergent experiences.
Dr. Marianne Miller breaks down why
Anti-Fat Bias in Healthcare & Chronic Illness: Healing Body Image in a Marginalized Body With Ivy Felicia @iamivyfelicia
What happens when medical care reduces a whole human being to a number on a scale? In this episode of Dr. Marianne-Land, I’m joined by Ivy Felicia, Body Relationship Coach and founder of Luxuriant Life, for a deeply grounding conversation about anti-fat bias in healthcare, chronic illness, and what it actually takes to build peace with your body in a system that often causes harm.
Ivy shares her l
When You Feel the Urge to Binge, Purge, Restrict: A Supportive Message
If you are in an activated state right now, this episode meets you where you are. You do not need to make decisions or figure anything out while you listen. The focus is on calming the body first, not fixing the behavior.
Dr. Marianne guides you through simple, accessible grounding and nervous system regulation that can help reduce urgency without judgment or pressure. This episode is designed to
When PDA Drives ARFID: Understanding Food Refusal, Control, & Safety
When ARFID is shaped by a PDA profile, eating challenges are not simply about sensory preferences, fear foods, or appetite. PDA, or a pervasive drive for autonomy, means the nervous system experiences demands as threats. Even gentle encouragement around eating can trigger shutdown, panic, or refusal. In this episode, Dr. Marianne Miller explains why PDA fundamentally changes how ARFID shows up and
“Slips” in Eating Disorder Recovery in 2026: Why Setbacks Are Part of Progress, Not Failure (With Mallary Tenore Tarpley, MFA)
What if eating disorder recovery was not defined by a clean, linear arc, but by honesty, self-compassion, and forward movement even when setbacks happen? In this January 2026 conversation, Dr. Marianne Miller welcomes back journalist, author, and professor Mallary Tenore Tarpley, MFA, to reflect on how readers have responded to her book SLIP: Life in the Middle of Eating Disorder Recovery, and how
If Recovery Feels Unsafe Right Now: A Guided Moment for Eating Disorder Recovery Fear
This brief guided episode is designed for moments when eating disorder recovery feels unsafe, overwhelming, or frightening. It is meant to be listened to when fear spikes, urges intensify, or doubt about recovery takes over.
Rather than offering education or advice, this guided moment focuses on nervous system support. Dr. Marianne gently names why fear can surge when eating disorder behaviors loo
Eating Disorders as Safety Systems: Why Letting Go Can Trigger Fear
Why does eating disorder recovery sometimes feel more frightening after change has already begun? In this solo episode, Dr. Marianne Miller explores a critical but rarely discussed phase of eating disorder recovery: the point where behaviors start to loosen, yet fear, panic, and urges intensify instead of easing.
This episode reframes eating disorders not as irrational habits to eliminate, but as
Low Heart Rate in Athletes: When “Fit” Can Signal REDS or an Eating Disorder With Dr. Megan Hellner & Dr. Katherine Hill, MD (AthleatMD)
What does a low heart rate really mean in athletes? When is it a normal adaptation to training, and when is it a sign that something is medically wrong?
In this interview, Dr. Marianne Miller speaks with Megan Hellner, RD and Katherine Hill, MD, co-founders of AthleatMD, about one of the most misunderstood issues in athlete health. Together, they unpack how low heart rate, underfueling, and perfor
Why Some Eating Disorders Don’t Resolve: Understanding Chronic Patterns & What Actually Supports Change
Why do some eating disorders continue for years or even decades, despite treatment, effort, and a strong desire for change? Long-standing eating disorders are often misunderstood as personal failure or lack of motivation. In reality, persistence usually reflects unmet needs, nervous system strain, and environments that have not supported safety or regulation.
What “Chronic” Really Means in Eating
When Eating Feels Unreal: Dissociation, Trauma, & the Hidden Side of Eating Disorders
Why does eating sometimes feel distant, foggy, or unreal? Why do meals happen on autopilot, with little connection to hunger, fullness, or satisfaction?
In this solo episode, Dr. Marianne Miller explores the often overlooked role of dissociation in eating disorders, especially when trauma and nervous system overwhelm are present. Many people experience eating as disconnected or numb, yet rarely re
Navigating Nutrition in Long-Term Eating Disorders With Jaren Soloff, RD @wholewomennutrition
What changes when an eating disorder has been part of someone’s life for 10, 20, 30, even 40+ years? In this conversation, I’m joined again by my friend and longtime collaborator Jaren Soloff, RD, IBCLC, the founder of Whole Women Nutrition. Together, we talk about why nutrition work looks different in long-term eating disorders, and why the starting point is almost always the same: safety.
Jaren
The Hidden Pain of Midlife Anorexia: Why Coping Breaks Down & What Heals
Anorexia does not disappear with age, and midlife is often when its deeper pain becomes impossible to ignore. In this solo episode, Dr. Marianne Miller explores why anorexia can resurface or intensify in midlife, especially when long-standing coping strategies stop working and the nervous system reaches its limits. This conversation names what so many people experience quietly: hormonal shifts, bu
When Eating Disorders Involve Self-Harm: Breaking the Cycle & Rebuilding Safety
Have you ever wondered whether your eating disorder behaviors have shifted from coping and self-regulation into self-harm?
In this solo episode, Dr. Marianne Miller explores the overlap between eating disorders and self-harm and explains how eating disorder behaviors can gradually become harmful even when they begin as attempts to cope. She examines eating disorder recovery through a trauma-inform
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