Dr. Marianne-Land: An Eating Disorder Recovery Podcast

mariannemillerphd
  • 5.0 (29)
  • Mental Health
  • Weekly

Welcome to this mental health and eating disorder podcast by Dr. Marianne Miller, who is an eating disorder therapist and binge eating and ARFID course creator. In this podcast, Dr. Marianne explores the ins and outs of eating disorder recovery. It’s a top podcast for people struggling with anorexia, bulimia, binge eating disorder, ARFID (avoidant restrictive food intake disorder), and any sort of distressed eating. We discuss topics like neurodiversity and eating disorders, self-compassion in eating disorder recovery, lived experience of eating disorders, LGBTQ+ and eating disorders, as well as anti-fat bias, weight-neutral fitness, muscularity-oriented issues, and body image. Dr. Marianne has been an eating disorder therapist for 13 years and has created a course on ARFID and selective eating, as well as a membership to help you recover from binge eating disorder and bulimia. Dr. Marianne has been in mental health for 28 years. Dr. Marianne is neurodivergent and works with a lot of neurodivergent folks. She has fully recovered from an eating disorder that lasted 25 years, and she wants to share her experience, knowledge, and recovery joy with you! Her interview episodes with top eating disorder professionals drop on Tuesdays. You can also tune in on Fridays when Dr. Marianne’s SOLO episodes that come out. You’ll hear personal stories, tips, and strategies to help you in your eating disorder recovery journey. If you’re struggling with food, eating, body image, and mental health, this podcast is for you!

  1. 18h ago

    How to Stop Binge Eating Without Dieting or Restricting Food

    How to Stop Binge Eating Without Dieting or Restricting Food Struggling to stop binge eating without falling back into dieting, food restriction, or rigid food rules? The binge-restrict cycle can make binge eating worse, even when you're trying to regain control over your eating. But binge eating recovery doesn't have to involve weight loss, deprivation, or more food rules. In this solo episode of Dr. Marianne-Land, eating disorder therapist Dr. Marianne explains how to reduce binge eating without dieting, why physical and psychological restriction can fuel binge eating episodes, and how a Health at Every Size (HAES) approach supports sustainable recovery. Learn why binge eating often decreases gradually, how to recognize meaningful progress, and why self-compassion is essential to breaking the binge-restrict cycle. WHY RESTRICTING FOOD CAN MAKE BINGE EATING WORSE Food restriction isn't always intentional. Skipping meals, avoiding certain foods, eating too little, or struggling with ADHD-related executive functioning can leave your body inadequately nourished. Psychological restriction, including labeling foods as bad or forbidden, can also intensify cravings and binge eating urges. Dr. Marianne explains how consistent nourishment, food flexibility, and mechanical eating can help reduce binge eating without creating another set of restrictive rules. HOW TO BREAK THE BINGE-RESTRICT CYCLE Trying to compensate after binge eating by skipping meals, exercising excessively, or restricting food can perpetuate the cycle. Binge eating recovery involves learning to nourish yourself consistently, including after a binge episode. Rather than focusing on controlling food intake, Dr. Marianne discusses how to address the underlying biological, emotional, and sensory factors that contribute to binge eating. HEALTH AT EVERY SIZE (HAES) AND BINGE EATING RECOVERY A Health at Every Size approach shifts the focus away from weight loss and toward reducing and eventually eliminating binge eating episodes, supporting adequate nourishment, and improving your relationship with food. This weight-neutral approach is especially important for people in larger bodies who experience pressure to diet, even when food restriction contributes to their binge eating. WHY BINGE EATING RECOVERY TAKES TIME Stopping binge eating rarely happens overnight. As recovery progresses, binge eating episodes may gradually become less frequent, involve smaller amounts of food, or feel less intense. Eventually, episodes may stop altogether. Dr. Marianne explains why reducing the frequency and intensity of binge eating represents meaningful progress, even when episodes haven't completely stopped. Recovery isn't linear, and setbacks don't erase the changes you've made. SELF-COMPASSION AND EMOTIONAL REGULATION IN BINGE EATING RECOVERY Binge eating can provide emotional comfort, sensory regulation, stimulation, or relief from distress. This can be particularly relevant for autistic people and ADHDers who experience sensory overwhelm, executive functioning challenges, or difficulty recognizing hunger cues. Instead of responding to binge eating with shame or punishment, learn how curiosity, emotional regulation, and self-compassion can support long-term recovery. Being patient with yourself is part of the process, not something you have to earn after binge eating stops. WORK WITH DR. MARIANNE Dr. Marianne is an eating disorder therapist with nearly 30 years of experience in mental health. She provides weight-neutral, neurodivergent-affirming, trauma-informed therapy for binge eating disorder, bulimia, anorexia, and ARFID. Binge Eating Disorder Therapy: Available via telehealth throughout California and Washington, D.C., and in person in the San Diego area. Binge Eating Recovery Membership: Explore Dr. Marianne's self-paced membership for support with binge eating recovery, emotional regulation, and developing a more compassionate relationship with food. Visit drmariannemiller.com to learn more about therapy, coaching, and binge eating recovery resources. Remember: You can work toward stopping binge eating without dieting, restricting food, or pursuing weight loss. Recovery takes time, and self-compassion is an essential part of lasting change.

  2. 1d ago

    Binge Eating Recovery in the GLP-1 Era: Finding Food Freedom With Toni Rudd, RD

    Binge eating recovery can feel challenging when weight loss messages surround you. Registered dietitian Toni Rudd joins Dr. Marianne to discuss finding food freedom, navigating body image struggles, and healing your relationship with food amid growing pressure to take GLP-1 medications for weight loss. Drawing on their professional and personal experiences, Toni and Dr. Marianne discuss how a non-diet approach can support recovery from binge eating while helping you build a life with less food guilt and more room for what matters. BINGE EATING, FOOD NOISE & THE RESTRICTION CYCLE Toni explains why her approach begins with eating regularly and eating enough. The conversation addresses binge eating shame, secretive eating, and the exhausting cycle of dieting and restriction. Food freedom includes greater flexibility, trusting yourself around food, and spending less mental energy questioning what you eat. BODY IMAGE & WEIGHT LOSS PRESSURE How do you work toward body acceptance when people around you are pursuing weight loss? Toni and Dr. Marianne discuss social comparison, social media boundaries, and separating your self-worth from the number on the scale. Body neutrality can offer a place to begin, even when loving your body feels out of reach. GLP-1 MEDICATIONS & EATING DISORDER SUPPORT The conversation considers eating disorder screening, nutrition support, and medical monitoring for people taking GLP-1 medications. Toni shares concerns about access without adequate assessment while acknowledging the benefits she has seen in diabetes care. They also discuss the emotional pull of weight loss promises when you struggle with binge eating or body dissatisfaction. WHAT FOOD FREEDOM CAN LOOK LIKE Recovery takes time and unlearning. Toni and Dr. Marianne reflect on having more space for relationships, enjoying shared meals, and being present without constant calculations about food or exercise. They share why moving away from restriction can create possibilities beyond the scale. ABOUT TONI RUDD Toni Rudd is a UK registered dietitian who specializes in eating disorders, particularly binge eating. Based in Manila, she offers virtual support to clients internationally. Her compassionate, non-diet approach helps people improve their relationship with food and work toward body acceptance. Connect with Toni on Instagram: @the.binge.dietitian Connect with Toni on her website: https://www.thebingedietitian.com/ RELATED EPISODES WITH TONI Food Neutrality & Binge Eating Recovery: Apple & Spotify ADHD & Binge Eating Disorder: Apple & Spotify. Reasons Behind Binge Eating & What To Do After a Binge: Apple & Spotify WORK WITH DR. MARIANNE Dr. Marianne offers eating disorder therapy in California, including in-person support in San Diego, plus virtual coaching worldwide. Learn about support for binge eating, bulimia, anorexia, and ARFID at drmariannemiller.com. For neurodivergent-affirming, sensory-attuned education for adults, parents, and providers, visit the ARFID & Selective Eating Course. CONTENT NOTES Includes discussion of binge eating, restrictive eating, eating disorder histories, body dissatisfaction, weight loss pressure, and GLP-1 medications. This conversation provides education and does not replace individualized medical, nutrition, or mental health care.

  3. 5d ago

    Why Doesn’t Intuitive Eating Work for Me? ADHD, Autism, & Eating Disorder Recovery

    Intuitive eating can feel frustrating when hunger cues are unclear, meals slip your mind, or sensory needs make food difficult to tolerate. In this solo episode of Dr. Marianne-Land, Dr. Marianne discusses why “just listen to your body” may leave autistic people and ADHDers needing more practical support during eating disorder recovery. Why Intuitive Eating Can Feel Difficult With ADHD & Autism Recognizing hunger and responding to it involve different skills. ADHD executive functioning challenges can make remembering meals, choosing food, and starting preparation difficult. For autistic people, sensory sensitivities and interoception differences can complicate identifying hunger, fullness, and foods that feel manageable. Dr. Marianne explains how these experiences can affect eating without making them a personal failure. Hunger & Fullness Cues in Eating Disorder Recovery Recovery from anorexia, bulimia, binge eating disorder, or ARFID may require support beyond internal cues. Low appetite, early fullness, and difficulty recognizing hunger can make consistent nourishment challenging. Learn why hunger and fullness provide only part of the picture, and how a treatment team can help you meet your nutritional needs. Mechanical Eating, Meal Structure & Neurodivergent Support Mechanical eating uses planned eating times and structure to support nourishment when internal cues aren’t enough. Flexible routines, familiar meals, accessible snacks, and reminders can reduce the work involved in eating. Needing ongoing structure or sensory accommodations does not make your recovery less meaningful. Support can respect your autonomy while helping you eat adequately. Who This Episode Is For This conversation is for autistic adults, ADHDers, people with ARFID, and anyone who feels discouraged by intuitive eating during eating disorder recovery. Providers and loved ones will also find language for understanding eating challenges and offering practical support. Work With Dr. Marianne Dr. Marianne offers neurodivergent-affirming, sensory-attuned eating disorder therapy in California and Washington, D.C., including support for ARFID, binge eating, anorexia, and bulimia. Visit DrMarianneMiller.com to learn about working together. For adults, parents, and providers seeking a deeper understanding of ARFID, visit the ARFID & Selective Eating Course. Follow @drmariannemiller on Instagram and subscribe to Dr. Marianne-Land for more conversations about autism, ADHD, and eating disorder recovery.

  4. 6d ago

    “I Can’t Waste Food”: ARFID, Binge Eating, & the Pressure to Finish Everything

    Food waste guilt can make eating feel like an obligation. When you have ARFID or binge eating disorder, the pressure to clean your plate may intersect with sensory sensitivities, scarcity fears, family food rules, and anxiety about grocery costs. Dr. Marianne discusses making peace with throwing away food while supporting nourishment, autonomy, and eating disorder recovery. With a neurodivergent-affirming approach, she considers how autism and ADHD can complicate leftovers, food preparation, and the expectation to finish everything. ARFID, Sensory Sensitivities, & Food Waste Guilt A familiar food can become difficult to eat when its texture, temperature, or smell changes. For someone with avoidant/restrictive food intake disorder, discarding that food may bring up shame about money or frustration with their sensory needs. Learn how shifting the question to “What would help me eat now?” can support access to food without adding pressure. Binge Eating & the Pressure to Clean Your Plate Thoughts like “I need to finish this before it goes bad” or “I won’t be allowed to eat this tomorrow” can make food decisions feel urgent. Dr. Marianne examines food waste guilt, restrictive food rules, and permission to save food for later. She also explains why eating past comfortable fullness does not automatically mean someone has binge eating disorder. Food Scarcity, Family Rules, & Eating Disorder Recovery Childhood messages about gratitude, money, and finishing every bite can remain powerful in adulthood. Current food insecurity also deserves practical support. Hear ways to identify the fear beneath the guilt and respond with greater self-compassion. ADHD, Autism, & Practical Food Support Visible leftovers, accessible safe foods, freezing portions, and convenient packaging may make food management easier. The focus stays on accommodations that fit your sensory needs, executive functioning, budget, and capacity. Permission to discard food does not create a requirement to leave food behind. Adequate nourishment and your individual recovery needs remain central. Work With Dr. Marianne Dr. Marianne offers eating disorder therapy, including ARFID and binge eating disorder support, in California and Washington, D.C., with in-person appointments in San Diego and virtual coaching available worldwide. Visit DrMarianneMiller.com to learn more. For adults with ARFID, parents, caregivers, and providers, the ARFID and Selective Eating Course offers neurodivergent-affirming, sensory-attuned education. Follow Dr. Marianne on Instagram @drmariannemiller and follow Dr. Marianne-Land on Apple Podcasts for more conversations about ARFID, binge eating, autism, ADHD, and eating disorder recovery.

  5. Oct 27

    Struggling to Eat in a Larger Body: What People Don’t See

    Living in a larger body doesn’t mean eating comes easily. Sensory issues with food, difficulty recognizing hunger, and the executive functioning demands of preparing meals can make eating challenging. Anti-fat bias can leave those struggles unseen or dismissed. Dr. Marianne brings her perspective as an eating disorder therapist, a fat autistic woman, and someone with lived experience of eating disorders and recovery to this conversation about body size, autism, ADHD, and food struggles. Autism, Sensory Issues With Food, and Body Size Food textures, smells, temperatures, and unpredictable ingredients can make eating overwhelming for autistic people in any body size. Familiar brands, packaged foods, and repeated meals can provide predictability. Learn why sensory needs deserve respect and how pressure to eliminate accessible foods can make eating harder. ADHD and Executive Functioning Challenges With Eating Meal planning, grocery shopping, remembering to eat, and preparing food involve multiple executive functioning skills. ADHD can make it difficult to start cooking, shift away from a task, or choose a meal. Being in a larger body doesn’t make those barriers disappear. Weight Stigma and Unrecognized Eating Struggles Assumptions about weight can prevent people from receiving support for restrictive eating, ARFID, and other eating difficulties. Dr. Marianne discusses how anti-fat bias adds shame and why providers and loved ones need to ask about someone’s experience rather than make assumptions based on appearance. Neurodivergent-Affirming Support for Eating Making eating more accessible may involve convenient meals, sensory accommodations, fewer preparation steps, and practical support. Hear ways to communicate your needs, set boundaries around food commentary, and build eating routines that fit your autistic or ADHD brain. Eating Disorder Therapy and ARFID Resources Dr. Marianne offers neurodivergent-affirming, weight-neutral eating disorder therapy in California and Washington, D.C. Visit DrMarianneMiller.com to learn about support for eating disorders, ARFID, and eating challenges. For sensory-attuned education for adults, parents, and providers, visit the ARFID and Selective Eating Course. Follow @drmariannemiller on Instagram. Share this episode with someone who wants to better understand autism, ADHD, and struggling to eat in a larger body.

  6. Oct 26

    What Makes Eating Disorder Therapy Work? Connection & Trust With Melissa Spann, PhD

    Eating disorder recovery needs trust, connection, and care that sees the whole person. Dr. Melissa Spann joins Dr. Marianne to discuss why the therapeutic relationship matters in eating disorder treatment and body image therapy, alongside nutrition support, medical stabilization, and evidence-based interventions. Drawing from nearly 25 years in the eating disorder field, Dr. Spann shares insights from her book, Building and Maintaining Authentic Relationships in Eating Disorders and Body Image Therapy. Together, they discuss therapist authenticity, feeling seen in treatment, and how weight stigma can undermine recovery. WHY CONNECTION MATTERS IN EATING DISORDER RECOVERY The therapeutic alliance is the collaborative relationship between a clinician and the person receiving care. Dr. Spann explains why a treatment manual cannot replace presence, attunement, and trust. How a therapist listens, responds, and connects shapes the experience of eating disorder therapy. Dr. Marianne and Dr. Spann also discuss “common factors,” the elements that different therapy approaches share, and why those relational foundations deserve attention alongside specific treatment techniques. EVIDENCE-BASED TREATMENT AND THE PERSON RECEIVING CARE Eating disorder treatment often emphasizes measurable outcomes, including nutritional and medical stabilization. Those needs matter, and so does the person experiencing treatment. The conversation considers how clinicians can use approaches such as family-based treatment and cognitive behavioral therapy while staying responsive to individual needs. Dr. Spann reflects on the pressures of higher levels of care and the importance of maintaining human connection within structured programs. WEIGHT STIGMA AND BODY IMAGE THERAPY Weight bias can appear within eating disorder care, including treatment team conversations, family expectations, and inaccessible spaces. Dr. Spann and Dr. Marianne discuss how anti-fat bias affects both clients and clinicians, and why addressing it belongs in conversations about authentic, respectful care. They also address the challenges of supporting young people when parents fear weight gain, and why eating disorder recovery requires examining the messages families receive about body size. AUTHENTICITY AND FEELING SEEN IN THERAPY Showing up authentically creates room for honest conversations about shame, identity, and vulnerability. Dr. Marianne shares reflections on autistic and ADHD masking, expectations to please others, and practicing as a therapist in a larger body. A trusting therapeutic relationship can also offer a starting point for recognizing and building safer connections beyond therapy. ABOUT DR. MELISSA SPANN Melissa Spann, PhD, MBA, is a certified eating disorder specialist, clinical supervisor, educator, and healthcare leader specializing in complex eating disorders, trauma, and adolescent development. She serves as an adjunct professor at the University of Miami. Her book, Building and Maintaining Authentic Relationships in Eating Disorders and Body Image Therapy, addresses the relational foundations of clinical care. WORK WITH DR. MARIANNE Dr. Marianne is an eating disorder therapist with nearly 30 years of experience as a therapist. She offers neurodivergent-affirming, trauma-informed, weight-neutral therapy in California and Washington, D.C., including in-person appointments in San Diego. Visit drmariannemiller.com to learn about eating disorder therapy, global coaching, and parent consultation. Her ARFID & Selective Eating Course offers self-paced education for adults, parents, caregivers, and providers. CONTENT CAUTIONS This episode includes discussion of eating disorders, weight stigma, anti-fat discrimination, parental comments about body size, treatment experiences, and brief references to GLP-1 medications and “food noise.”

  7. Oct 22

    ARFID & Feeling Like a Burden: How to Ask for What You Need

    Feeling like a burden can make asking for ARFID support harder than staying silent. Dr. Marianne discusses food anxiety, shame, and the fear of drawing attention to your eating needs, with practical language for requesting safe foods and setting boundaries. ARFID, Food Anxiety, & Feeling Like a Burden Living with avoidant/restrictive food intake disorder can mean checking restaurant menus, planning around familiar foods, and anticipating comments about your plate. Past criticism or pressure may make asking for accommodations feel vulnerable. Dr. Marianne addresses how guilt can lead you to hide your needs, even when that means going without food you can eat. Autism, ADHD, & Hiding Your Food Needs For autistic people and ADHDers, ARFID self-advocacy may connect with a longer history of masking sensory needs and trying to avoid inconveniencing others. Learn how these experiences can shape your willingness to request support and why needing a different approach to eating deserves understanding. How to Ask for Safe Foods & ARFID Accommodations Hear practical scripts for choosing a restaurant, requesting a specific food or preparation, and bringing familiar foods to gatherings. Dr. Marianne also shares ways to communicate through text or with help from a trusted person when speaking in the moment feels difficult. Setting Boundaries Around Food Comments Support can include less attention to your eating. Learn how to ask others to stop commenting on your plate, decline pressure to try foods, and respond when someone keeps questioning your needs. Clear requests can help you stay connected while protecting your privacy. Who This ARFID Podcast Is For Adults and teens with ARFID, autistic people, ADHDers, parents, partners, caregivers, and providers will find language for more supportive conversations about food. Content includes food-related criticism, shame, social eating anxiety, and difficulty accessing enough food. ARFID Support & Resources Learn more about Dr. Marianne’s neurodivergent-affirming, sensory-attuned, trauma-informed ARFID and Selective Eating course. Adults with ARFID, parents and caregivers, and providers will benefit. For eating disorder therapy in California and Washington, D.C., visit drmariannemiller.com. Follow @drmariannemiller on Instagram. This episode provides education and does not replace individualized care. If eating difficulties regularly prevent you from getting enough food or fluids, seek medical and ARFID-informed support. Related ARFID Podcast Episodes 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. ARFID, PDA, and Autonomy: Why Pressure Makes Eating Harder on Apple & Spotify. Complexities of Treating ARFID: How a Neurodivergent-Affirming, Sensory-Attuned Approach Works on Apple & Spotify.

  8. Oct 21

    Chronic Eating Disorder Recovery: 5 Small Steps to Support Your Body & Mind

    Long-term eating disorder recovery can feel exhausting, especially when you wonder whether your body and mind can still heal. Dr. Marianne shares five small steps to support physical and emotional well-being while making room for uncertainty, ongoing symptoms, and individualized care. Chronic Eating Disorder Recovery: Finding Hope After Years of Struggling Years of living with anorexia, bulimia, binge eating disorder, or ARFID do not determine your future. Dr. Marianne offers a compassionate, weight-neutral perspective on healing, acknowledging that some complications require ongoing treatment and that meaningful progress can take different forms. Five Small Steps to Support Your Body & Mind Learn how to ask for medical support, make eating more predictable, reduce daily overload, understand the functions of eating disorder behaviors, and recognize specific signs of progress. These manageable starting points can complement a treatment plan without turning recovery into another performance standard. Autism, ADHD & Accessible Eating Disorder Support Sensory overwhelm, executive functioning challenges, and unclear hunger cues can make eating harder. Dr. Marianne discusses mechanical eating, familiar foods, convenience foods, and accommodations that help autistic people and ADHDers make nourishment more accessible. Understanding Eating Disorder Behaviors Without Shame Restriction, binge eating, and purging may serve different functions, including temporary relief, comfort, or certainty. Understanding what happens before an urge can help you identify nutritional, emotional, sensory, and relational needs with your treatment team. Recognizing Progress in Long-Term Eating Disorder Recovery Asking for help sooner, accepting meal support, or returning to your care plan after a difficult day can represent meaningful change. Persistent symptoms still deserve attention, even as you acknowledge improvements in daily functioning and quality of life. Content Cautions & Medical Safety Includes discussion of chronic eating disorders, restriction, binge eating, purging, and physical symptoms. Educational content does not replace individualized treatment. Increasing nutrition after significant restriction may require medical supervision. Related Episodes Anorexia & Binge Eating: The Binge-Restrict Cycle in Long-Term Eating Disorder Recovery on Apple & Spotify. Beyond Anorexia: The Truth About Long-Term Restrictive Eating on Apple & Spotify. Anorexia & Bulimia Recovery: 5 Ways to Manage Eating Overwhelm in Long-Term Eating Disorders on Apple & Spotify. Eating Disorder Therapy & ARFID Resources Dr. Marianne offers eating disorder therapy in California and Washington, D.C. Her neurodivergent-affirming ARFID and Selective Eating course provides education for adults, parents, caregivers, and providers. Learn more at DrMarianneMiller.com and find the course at DrMarianneMiller.com/arfid. Follow @drmariannemiller on Instagram.

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About

Welcome to this mental health and eating disorder podcast by Dr. Marianne Miller, who is an eating disorder therapist and binge eating and ARFID course creator. In this podcast, Dr. Marianne explores the ins and outs of eating disorder recovery. It’s a top podcast for people struggling with anorexia, bulimia, binge eating disorder, ARFID (avoidant restrictive food intake disorder), and any sort of distressed eating. We discuss topics like neurodiversity and eating disorders, self-compassion in eating disorder recovery, lived experience of eating disorders, LGBTQ+ and eating disorders, as well as anti-fat bias, weight-neutral fitness, muscularity-oriented issues, and body image. Dr. Marianne has been an eating disorder therapist for 13 years and has created a course on ARFID and selective eating, as well as a membership to help you recover from binge eating disorder and bulimia. Dr. Marianne has been in mental health for 28 years. Dr. Marianne is neurodivergent and works with a lot of neurodivergent folks. She has fully recovered from an eating disorder that lasted 25 years, and she wants to share her experience, knowledge, and recovery joy with you! Her interview episodes with top eating disorder professionals drop on Tuesdays. You can also tune in on Fridays when Dr. Marianne’s SOLO episodes that come out. You’ll hear personal stories, tips, and strategies to help you in your eating disorder recovery journey. If you’re struggling with food, eating, body image, and mental health, this podcast is for you!

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