Dr. Marianne-Land: An Eating Disorder Recovery Podcast

For too long, eating disorders have been falsely framed as illnesses that only affect white, thin, affluent girls. This narrow stereotype erases countless people's experiences and blocks them from diagnosis and treatment. In this episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, Dr. Marianne Miller dismantles this damaging myth and explores the liberation truth: eating disorders affect every race, gender, body size, religion, and ability. Yet bias in healthcare, anti-fat bias, racism, ableism, cissexism, and cultural stigma keep many people unseen and untreated. Content Caution: This episode includes discussion of eating disorders, misdiagnosis, systemic bias, and marginalized identities. Please take care while listening and pause if you need to. In This Episode, You'll Learn: How eating disorders impact BIPOC, LGBTQIA+, fat, neurodivergent, disabled, and faith-based communities Why biased diagnostic criteria exclude those who don't fit the stereotype How systemic oppression drives misdiagnosis and denial of care Why ARFID is often overlooked in neurodivergent adults, fat bodies, and marginalized identities What a liberation-focused, inclusive, and neurodivergent-affirming approach to care looks like If you have ever felt unseen in eating disorder spaces or dismissed because you didn't “look sick enough,” this episode validates your experience and calls for a more equitable path to recovery. Check Out Related Episodes: Why Thinness Still Equals “Goodness”: Exposing the Morality Behind Wellness, MAHA, & Christian Diet Culture on Apple & Spotify. The Hidden Risks of Non-Specialized Eating Disorder Treatment with Edie Stark, LCSW, @ediestarktherapy on Apple & Spotify. Breaking Free: Body Liberation After Binge Eating Disorder with Sophia Apostol @fatjoy.life on Apple & Spotify. Body Acceptance, Size Diversity, & Body Liberation on Apple & Spotify. ✨ Learn More About ARFID Support If ARFID is part of your story—or someone you love—I created a self-paced ARFID and Selective Eating Coursedesigned for adults with ARFID, parents, and professionals. It's neurodivergent-affirming, trauma-informed, and sensory-attuned. Check it out here: www.drmariannemiller.com/arfid INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND? Follow me on Instagram @drmariannemiller Look into my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership. Check out my blog. Want more information? Email me at hello@mariannemiller.com

ARFID is not just a childhood diagnosis. In this episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, I am joined by registered dietitian Caroline (Callie) Holbrook, RD, to discuss what Avoidant/Restrictive Food Intake Disorder looks like in adults and how to navigate food and nutrition in ways that feel safe and supportive. Callie shares her expertise in working with adults with ARFID, highlighting how it often intersects with neurodivergence, sensory sensitivities, and the pressures of adult life such as relationships, work events, travel, and meal planning. We also talk about how shame develops around food, the impact of wellness culture, and why rigid nutritional rules can make ARFID even harder to manage. Content Caution: This episode includes discussions of eating disorders, food-related anxiety, shame, and nutrition planning. Please take care while listening and step away if needed. What We Cover in This Episode: How ARFID presents differently in adults compared to children The role of shame and social pressures in adult ARFID Strategies for building safe foods lists and reducing overwhelm Why processed foods can be a helpful and low-stress option Collaborative, neurodivergent-affirming approaches to nutrition Addressing sensory sensitivities, executive functioning challenges, and interoception Why progress may mean building energy intake and problem-solving around meals instead of immediately trying new foods This episode emphasizes flexibility, autonomy, and creating supportive environments for eating, including practical tips such as adjusting lighting, using sound regulation tools, and using distractions during meals. Why This Episode Matters: Adults with ARFID often feel misunderstood and pressured to eat in ways that do not align with their needs. This episode validates adult ARFID experiences and offers real-life strategies to navigate food safely and respectfully. About Caroline "Callie" Holbrook, RD: Callie is a Registered Dietitian based in San Diego, California. Originally from Alabama, she relocated across the country four years ago. Callie has extensive experience working in various levels of eating disorder treatment, including residential, partial hospitalization, intensive outpatient, and outpatient care. She has long been passionate about the field of eating disorders and has valued every step of her professional journey. Callie recently opened her own private practice in San Diego, specializing in eating disorders, ARFID/selective eating, and Intuitive Eating. She also provides nutrition counseling for individuals seeking a weight-neutral approach to diabetes care. Listen to Related Episodes: ARFID & Nutrition with Callie Holbrook, RD on Apple & Spotify. Living with Adult ARFID: Relationship Challenges No One Talks About on Apple & Spotify. Complexities of Treating ARFID: How a Neurodivergent-Affirming, Sensory-Attuned Approach Works on Apple & Spotify. Stuck on Empty: Autistic Inertia, ARFID & the Struggle to Eat on Apple & Spotify. ARFID in Adults vs ARFID in Children on Apple & Spotify. Resources and Links: Connect with Caroline Holbrook, RD: www.holbrookrd.com Email Caroline: www.drmariannemiller.com Take the Next Step If you want in-depth tools for understanding and supporting ARFID in yourself or someone you love, check out my ARFID and Selective Eating Course. This self-paced course covers ARFID research, sensory sensitivities, neurodivergence, and practical strategies for everyday life.

Eating disorders are not just about food. They often begin as survival strategies...ways to manage overwhelming emotions, cope with trauma, or create a sense of control in a world that feels unpredictable. In this powerful episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, I sit down with Amy Ornelas, RD (@amyornelasrd), an eating disorder dietitian and somatic therapist, to explore what recovery really looks like beyond behaviors. We discuss how eating disorders often develop as protective mechanisms, why nervous system healing is essential for deeper emotional work, and how somatic therapy helps bridge the gap between body and mind. Amy shares her professional expertise, her personal journey of recovery, and how her own healing has deepened her ability to guide others. Content concerns: This episode discusses eating disorders, trauma, and recovery. This episode also dives into: How eating disorders can be rooted in trauma, sensitivity, or neurodivergence Why recovery happens in layers, not in a straight line The role of nervous system regulation and somatic therapy in healing The importance of safe therapeutic relationships in uncovering deeper wounds Why lasting recovery is about more than “just eating” Amy and I also discuss our own experiences with vulnerability, relationships, and how healing from eating disorders often involves re-learning safety, connection, and authenticity over time. If you've ever felt frustrated by the idea of a “quick fix” in recovery or wondered why healing feels so complex, this episode will validate your experience and help you see recovery as a layered, lifelong journey of coming home to yourself. ABOUT AMY ORNELAS, RD   Amy is an eating disorders specialist, yoga teacher, and intuitive practitioner. She is trained in somatic therapy. Amy works with individuals, families, and groups. She has been in the eating disorder field for 18 years.   Her own eating disorder recovery really sparked her desire to help others fully heal from diet culture and body image struggles.   She lives and practices in San Diego, California. She is able to work virtually with people in many states across the USA.   Contact Amy via Instagram @amyornelasrd Check out her website https://www.i-heart-nutrition.com/ Email Amy at amy@i-heart-nutrition.com   Check out past episodes when Amy was a guest! On Eating Disorders in Midlife & Our Personal Recovery Stories via Apple or Spotify. On Atypical Anorexia via Apple or Spotify On Eating Disorder Recovery, Higher Level of Care, & Renourishment via Apple or Spotify On Reconnecting With Your Body in Eating Disorder Recovery via Apple or Spotify On Trauma, Eating Disorders, & Levels of Care via Apple or Spotify. INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND? Follow me on Instagram @drmariannemiller Check out my virtual, self-paced ARFID and Selective Eating course Learn about my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership. Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, 15-minute phone consultation HERE or via my website, and I'll get you to where you need to be! Check out my blog. Want more information? Email me at hello@mariannemiller.com  

In this essential solo episode, Dr. Marianne challenges the narrow and harmful narrative that eating disorders primarily affect girls and women. She explores how toxic masculinity shapes, and often hides, disordered eating and body shame in boys and men. Backed by recent research, this episode unpacks how muscle dysmorphia, bingeing, and restriction are frequently dismissed as “normal” male behaviors, even when they reflect deep emotional pain. Dr. Marianne offers a liberation-focused framework for understanding the unique barriers boys and men face in getting help, and how we can dismantle the systems that reinforce silence, shame, and suffering. CONTENT CAUTION:This episode includes discussion of eating disorder behaviors, muscle dysmorphia, trauma, and toxic masculinity. Please take care while listening. WHAT YOU'LL LEARN IN THIS EPISODE: How toxic masculinity discourages emotional expression and reinforces disordered eating Why boys and men with eating disorders are often undiagnosed or misdiagnosed What muscle dysmorphia is and how it manifests in teen boys and adult men How social media trends like “looksmaxxing” fuel body obsession and psychological distress The role of trauma, emotional suppression, and performance culture in male ED experiences How clinicians, caregivers, and educators can support male-identified folks through a liberationist lens What affirming, emotionally honest healing can look like outside of gendered expectations LISTEN TO OTHER EPISODES ABOUT MEN, MUSCULARITY, & EATING DISORDERS: Men, Muscularity, Exercise, & Eating Disorder Stigmas with George Mycock, MSc @myo_minds on Apple & Spotify. Muscularity-Oriented Issues, Men, & Eating Disorders with MyoMinds' George Mycock, MSc on Apple & Spotify. Men, Eating Disorders, & Body Image with Jonny Landels, Certified Nutritionist & Personal Trainer on Apple & Spotify. RESOURCES & LINKS: Work with Dr. Marianne: www.drmariannemiller.com Follow on Instagram: @drmariannemiller RATE & REVIEW: If this episode spoke to you, please consider leaving a 5-star review and sharing it with your community. Your support helps amplify these critical conversations and brings liberation-based eating disorder care to more people. INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND? Follow me on Instagram @drmariannemiller Check out my virtual, self-paced ARFID and Selective Eating course Look into my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership. Check out my blog. Want more information? Email me at hello@mariannemiller.com

What happens when someone is both neurodivergent and fat in a world that punishes difference? In this solo episode, Dr. Marianne unpacks how fatphobia and ableism intersect to create barriers in medical care, mental health treatment, and everyday life for people with ADHD, autism, PDA, and other forms of neurodivergence. She explores why fat liberation and neurodivergent rights must go hand-in-hand, and how body justice is essential—not optional—in eating disorder recovery, therapy, and community care. From sensory needs and executive functioning to the pressure to mask and shrink, this episode offers a powerful call to unlearn bias and build liberatory spaces where all bodies and minds are treated with dignity. Whether you're a fat neurodivergent person, a therapist, or someone committed to anti-oppressive care, this conversation is for you. CONTENT CAUTIONS: In this episode, Dr. Marianne discusses anti-fat bias, ableism, disordered eating, masking, and systemic oppression in medical and mental health settings. Please care for yourself as needed. WHAT YOU'LL LEARN IN THIS EPISODE: Why fat liberation is essential to neurodivergent-affirming care How anti-fat bias and ableism reinforce each other in ADHD and autism communities What executive dysfunction, sensory needs, and masking have to do with food and body shame Why fat neurodivergent people are underdiagnosed and often dismissed by providers What therapists and support people can do to stop reinforcing stigma How to practice body autonomy and community care outside of diet culture and compliance

In this raw and emotionally charged solo episode, Dr. Marianne unpacks why thinness continues to be equated with goodness in mainstream culture. Drawing on the New York Times opinion piece The Unrepentant Return of Christian Diet Culture by Jessica Grose, Dr. Marianne explores how weight loss is still moralized through religious teachings, wellness trends, and political rhetoric. This episode critically examines the resurgence of Christian diet culture, the backlash against weight-loss medications like Ozempic, and the deeper implications of the Make America Healthy Again (MAHA) campaign led by Robert F. Kennedy Jr. Dr. Marianne reveals how these systems are not just about health, but about control, obedience, and purity. She discusses how thinness is still framed as a sign of self-discipline and spiritual worth, while fatness is treated as failure or sin. Using a liberationist lens, Dr. Marianne also highlights the historical roots of fatphobia in white supremacy, referencing Dr. Sabrina Strings' groundbreaking book Fearing the Black Body: The Racial Origins of Fat Phobia. This episode challenges listeners to question how religion, politics, and public health are deeply entangled in oppressive narratives about bodies and morality. For neurodivergent people, those raised in religiously rigid environments, and anyone recovering from body shame, this conversation offers both validation and a call to resistance. You may want to listen in short segments, especially if you're prone to sensory overload or religious trauma responses. CONTENT CAUTIONS: In this episode, Dr. Marianne discusses anti-fat bias, Christian purity and wellness culture, diet culture, disordered eating, white supremacy, and weight-loss medications. Please take care while listening and pause as needed. WHAT YOU'LL LEARN IN THIS EPISODE: How Christian diet culture can moralize thinness and spiritualizes weight loss Why Ozempic and similar medications are being rejected by some conservative groups The political motives and fatphobic messaging behind MAHA How alt-right Christian nationalism reinforces thinness as virtue The white supremacist roots of fatphobia, based on Dr. Sabrina Strings' research Why these systems disproportionately harm fat, neurodivergent, disabled, and BIPOC individuals What it means to reclaim body autonomy in a culture that demands control RELATED EPISODES: How Diet Culture & Purity Culture Fuel Eating Disorders: Unpacking the Trauma Behind the Rules with Cassie Krajewski, LCSW @inneratlastherapy on Apple & Spotify. When Faith Hurts: Religious Trauma & Eating Disorders in Neurodivergent Communities with Victoria Leon, LCSW, on Apple & Spotify. Breaking Up With Diet Culture with Dr. Lisa Folden, @healthyphit on Apple & Spotify. WORK WITH DR. MARIANNE: Dr. Marianne offers therapy to individuals in California, Texas, and Washington, D.C., specializing in eating disorders, ARFID, body image healing, religious trauma, and fat liberation. She is neurodivergent-affirming and is LGBTQIAA+ affirming. Learn more or inquire about working together at drmariannemiller.com. INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND? Follow me on Instagram @drmariannemiller Check out my virtual, self-paced ARFID and Selective Eating course Look into my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership. Check out my blog. Want more information? Email me at hello@mariannemiller.com

Diet culture thrives in isolation. It tells us we must heal alone, control ourselves into wellness, and avoid burdening others with our food struggles. But what if true recovery depends not on control, but on connection? In this solo episode, Dr. Marianne explores how co-regulation—the experience of nervous system safety in relationship—can be a radical force for healing. She explains how eating disorders often develop in the absence of relational safety and why diet culture reinforces disconnection and shame. Through the lens of nervous system science, trauma-informed care, and body liberation, this episode centers the power of healing in community. Dr. Marianne also shares why co-regulation can look different for neurodivergent people, especially those with PDA (Pervasive Drive for Autonomy). You'll learn how autonomy and co-regulation are not opposites, and how spacious, consent-based connection can be life-changing in recovery. Whether you are navigating ARFID, anorexia, bulimia, binge eating, or a complex relationship with food and body, this episode offers a compassionate, liberation-oriented approach to healing that honors your boundaries, your needs, and your nervous system. WHAT YOU'LL LEARN IN THIS EPISODE: Why diet culture depends on disconnection and control How eating disorders often emerge from a lack of safe, attuned relationships What co-regulation is and why it supports sustainable recovery How co-regulation can be tailored for neurodivergent folks, including those with PDA Why autonomy and connection are both essential for healing Ways to build nervous system safety in recovery without pressure or compliance How community-based healing challenges shame, perfectionism, and diet culture LISTEN TO RELATED EPISODES: Stuck on Empty: Autistic Inertia, ARFID & the Struggle to Eat on Apple & Spotify. PDA & Eating Disorders: Why the Pervasive Drive for Autonomy Matters in Recovery on Apple & Spotify. Recovering Again: Navigating Eating Disorders After a Late Neurodivergent Diagnosis (Part 1) with Stacie Fanelli, LCSW @edadhd_therapist on Apple & Spotify. Recovering Again: Navigating Eating Disorders After a Late Neurodivergent Diagnosis (Part 2) with Stacie Fanelli, LCSW @edadhd_therapist on Apple & Spotify. MENTIONED IN THIS EPISODE: Looking for therapy with Dr. Marianne? She offers trauma-informed eating disorder therapy in California, Texas, and Washington, D.C. Learn more or reach out at drmariannemiller.com Supporting someone with ARFID or navigating it yourself? Explore the self-paced ARFID and Selective Eating course, grounded in sensory-attuned, neurodivergent-affirming care: drmariannemiller.com/arfid CONTENT CAUTIONS: This episode includes discussion of eating disorders, food trauma, PDA, and sensory distress. Please listen with care and pause if needed. Subscribe to Dr. Marianne-Land wherever you get your podcasts. If today's episode resonated with you, consider rating and reviewing the show. Sharing it with others helps bring these conversations to more people who need them. INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND? Follow me on Instagram @drmariannemiller Check out my virtual, self-paced ARFID and Selective Eating course Look into my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership. Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, 15-minute phone consultation HERE or via my website, and I'll get you to where you need to be! Check out my blog. Want more information? Email me at hello@mariannemiller.com

TikTok claims to have banned “SkinnyTok,” but disordered eating content continues to thrive under rebranded hashtags, edited images, and wellness culture language. In this eye-opening episode of Dr. Marianne-Land, Dr. Marianne Miller is joined by eating disorder prevention advocate and educator Jen Tomei (@askjenup) to unpack the rise of SkinnyTok and its harmful influence on teens and adults alike. Jen, founder of the Jenup Community in the UK, shares firsthand experiences of discovering disturbing content on TikTok—even after reporting and flagging videos, the algorithm continued pushing them. Together, she and Dr. Marianne draw chilling parallels to the pro-ana forums of the early 2000s, and explore how new forms of tech—including AI-edited bodies—are further distorting body image online. They also examine how neurodivergent teens, who are often more vulnerable to extreme thinking and sensory overload, may be especially impacted by these trends. Plus, they critique the rise of weight loss drugs like Ozempic and their potential to normalize restriction—even in pediatric settings. WHAT YOU'LL LEARN IN THIS EPISODE: Why SkinnyTok still exists despite being technically banned How TikTok's algorithm can push disordered content—even without user interaction What “pro-ana” and “thinspo” culture looks like in 2025 The physiological damage caused by overexercise and undereating How social media is shaping disordered eating culture in schools globally The link between ADHD, cortisol, and disordered eating behaviors How weight loss drugs like Ozempic may impact teens' mental and physical health Why media literacy and early intervention in schools are urgently needed CONTENT CAUTIONS: This episode includes discussion of disordered eating, anorexia, pro-eating disorder content, social media harm, and weight loss medications including Ozempic and Zepbound. MEET OUR GUEST: Jen Tomei is the founder of Jenup.com, a UK-based organization providing school workshops on eating disorder prevention, body image, and self-esteem. A survivor of an eating disorder and a late-diagnosed ADHD adult, Jen brings both lived experience and professional insight into the complex intersection of neurodivergence, mental health, and diet culture.

In this solo episode, Dr. Marianne Miller, LMFT, breaks down the reality of atypical anorexia and challenges the damaging myth that only thin people struggle with restrictive eating. Despite the name, atypical anorexia is far from rare—and for many people in mid-sized and fat bodies, it goes undetected, misdiagnosed, or even encouraged by medical providers because of weight stigma. Dr. Marianne explores why restriction is deeply harmful regardless of body size, and shares research showing that at least 50% of people who meet anorexia criteria are not in bodies typically identified as anorexic. She also explains how neurodivergence—including autism, ADHD, and OCD traits—can interact with restriction, and why sensory-attuned, neurodivergent-affirming, and trauma-informed care is essential. If you've ever felt like you weren't “sick enough” to deserve support, this episode is here to offer clarity, validation, and the reminder that you are already worthy of care. WHAT YOU'LL LEARN IN THIS EPISODE: What atypical anorexia actually means and why the name is misleading The percentage of people with anorexia who are not underweight The effects of weight stigma in delaying eating disorder diagnosis and treatment How restriction harms people in every body size The connection between neurodivergence and restrictive eating Why restriction “counts” even if you haven't lost weight How healing begins with naming the disorder and receiving affirming care CONTENT CAUTIONS: This episode includes discussion of restrictive eating, weight stigma, medical complications, and BMI. Please listen with care and take breaks if needed. CHECK OUT OTHER PODCAST EPISODES ON ATYPICAL ANOREXIA: Atypical Anorexia with Amy Ornelas, RD on Apple or Spotify. Atypical Anorexia: Mental & Physical Health Risks, Plus How the Term is Controversial on Apple or Spotify. What Is Atypical Anorexia? Challenging Weight Bias in Eating Disorder Treatment with Emma Townsin, RD @food.life.freedom on Apple or Spotify. WORK WITH DR. MARIANNE: If you're struggling with restriction, food obsession, or atypical anorexia and are seeking affirming, experienced support, Dr. Marianne offers therapy in California, Texas, and Washington, D.C. Her approach is weight-inclusive, neurodivergent-affirming, and trauma-informed. Get started here:

Still feeling stuck in recovery, even after therapy, nutrition work, or intuitive eating? You are not alone. In this solo episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, Dr. Marianne Miller explores a common but often overlooked reason why recovery can feel incomplete: the possibility of living with more than one eating disorder at the same time. Through a trauma-informed and neurodivergent-affirming lens, Dr. Marianne unpacks how symptoms from anorexia, ARFID, bulimia, binge eating disorder, and orthorexia can overlap. She explains why traditional treatment models often miss the full picture and offers insights for those whose food struggles are complex, ongoing, and still misunderstood. This episode offers clarity, encouragement, and real solutions for those who have been feeling unseen in recovery. CONTENT CAUTIONS: This episode includes discussion of the following topics: Eating disorder behaviors including restriction, bingeing, purging, and food avoidance Co-occurring and misdiagnosed eating disorders Sensory aversions and food-related trauma Weight stigma and systemic bias in diagnosis Neurodivergent experiences related to eating Please care for yourself while listening. Take breaks as needed and return when you feel ready. WHAT YOU'LL LEARN IN THIS EPISODE: Why multiple eating disorders can exist at the same time How eating disorder symptoms often overlap or shift over time Examples of combinations like ARFID with anorexia, or binge eating with orthorexia The ways neurodivergence, trauma, and marginalization impact eating behavior Why traditional recovery approaches may not work for everyone What it means to build a recovery model that supports your full lived experience Encouragement for those who feel like their recovery has stalled or isn't working How to seek care that addresses the full picture rather than one diagnosis MENTIONED IN THIS EPISODE:

In this soul-nourishing and deeply insightful episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, Dr. Marianne Miller sits down with fat liberationist author and activist Amanda Martinez Beck to unpack what it really means to live with diabetes in a fat body—especially in a medical system steeped in anti-fat bias. Amanda shares her personal journey of being diagnosed with type 2 diabetes while navigating eating disorder recovery, medical gaslighting, and societal pressure around weight loss drugs like Ozempic. She reflects on how reclaiming the word “fat,” grounding her activism in faith and philosophy, and building fat community have supported her in choosing self-trust over shame. You'll hear about her healing journey, her shift from size dignity to fat liberation, and her vision of a world designed with fat people in mind. In this episode, we explore: Why diabetes stigma in fat bodies is so dangerous—and so common The liberating power of community with other fat people How Amanda's beliefs as a Christian and a philosopher shape her body politics Her experience with Ozempic, including what led her to stop taking it The emotional toll of medical fatphobia—and how she found a weight-inclusive doctor The birth of her substack series Nozempic Mondays, a haven for people resisting GLP-1 pressure If you've ever felt dismissed by providers, pressured to shrink your body for “health,” or like your needs in a fat body are invisible—this episode is for you. You are not alone. You deserve care that honors your whole self. CONTENT CAUTIONS: Discussion of weight loss, eating disorders, diabetes, Ozempic, and medical trauma. GUEST BIO: Amanda Martinez Beck is a fat author, disability advocate, and fat liberationist whose work centers on embodiment, faith, and justice. She writes The Fat Dispatch on Substack and is the author of Lovely: How I Learned to Embrace the Body God Gave Me and More of You: The Fat Girl's Field Guide to the Modern World. She also hosts Nozempic Mondays, a resource for people navigating GLP-1 medications in weight-stigmatizing environments. CONNECT WITH AMANDA: Substack: thefatdispatch.com Instagram: @thefatdispatch Threads: @thefatdispatch WORK WITH DR. MARIANNE: Dr. Marianne Miller is a licensed eating disorder therapist offering therapy in California, Texas, and Washington, D.C., and ARFID consulting worldwide. She specializes in helping neurodivergent and humans of all shapes and sizes heal their relationship with food, bodies, and eating. Learn more at www.drmariannemiller.com OTHER EPISODES ON BODY LIBERATION THAT YOU MIGHT LIKE: Body Liberation, Intersectionality, & Soul Work with @liberatiwellness Leslie Jordan Garcia, MPH, PT on Apple & Spotify. Body Acceptance, Size Diversity, & Body Liberation on Apple & Spotify. Breaking Free: Body Liberation After Binge Eating Disorder with Sophia Apostol @fatjoy.life on Apple & Spotify. INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND? Follow me on Instagram @drmariannemiller Check out my virtual, self-paced ARFID and Selective Eating course Look into my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership. Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, 15-minute phone consultation HERE or via my website, and I'll get you to where you need to be! Check out my blog. Want more information? Email me at hello@mariannemiller.com

Struggling to tell the difference between OCD and ARFID—or wondering if you or your client might be dealing with both? You're not alone. In this episode of Dr. Marianne-Land, Dr. Marianne explores the nuanced relationship between Obsessive-Compulsive Disorder (OCD) and Avoidant/Restrictive Food Intake Disorder (ARFID)—two conditions that often overlap and require very different support. Learn how to differentiate between OCD rituals and ARFID food avoidance, what misdiagnosis of OCD in ARFID can look like (especially in neurodivergent individuals), and how these conditions show up differently in children versus adults. You'll also hear how nervous system regulation and sensory attunement play a central role in supporting sustainable recovery. Whether you're a therapist, caregiver, or neurodivergent person navigating food fears, this episode offers a validating, trauma-informed, and practical perspective on complex eating presentations.

Struggling with bulimia in your 30s, 40s, 50s, or beyond? You're not alone. In this solo episode, Dr. Marianne Miller explores what bulimia can look like in midlife, why the internal chaos may actually intensify with age, and how to approach healing without shame. We dig into the unique emotional and physiological challenges of recovering from bulimia later in life, including how hormonal shifts, grief, caregiving roles, and long-term masking can impact eating behaviors. Dr. Marianne also unpacks how neurodivergence—especially autism, ADHD, and PDA—can intersect with bulimia symptoms, intensifying binge-purge cycles and making traditional recovery models inaccessible or even harmful. You'll learn why your body's responses make sense, how to regulate your nervous system with neurodivergent-affirming strategies, and what it actually takes to move toward healing—on your terms. WHAT WE COVER IN THIS EPISODE Why bulimia often resurfaces or intensifies in midlife How midlife stress, identity shifts, and cultural stigma contribute to internal chaos The link between bulimia, sensory overwhelm, and emotional regulation How neurodivergent traits like executive dysfunction, masking, and interoceptive challenges affect eating behaviors Why shame-based approaches don't work—and what actually helps Practical, compassionate tools for managing binge urges, purging, and nervous system dysregulation Why recovery in midlife is not only possible—but deeply liberating THIS EPISODE IS FOR YOU IF... You feel stuck in a binge-purge cycle despite years of effort You're neurodivergent and traditional ED treatment hasn't helped You've been quietly struggling with bulimia in midlife and feel alone in it You want recovery tools that are sensory-attuned, autonomy-affirming, and realistic

In this powerful conversation, Dr. Marianne welcomes back body image coach and anti-diet educator Debbie Saroufim for a candid discussion about what happens when weight loss triggers eating disorder thoughts—even in solid recovery. Debbie opens up about how recent stress and anxiety have impacted her appetite and body, and how unsolicited weight-related comments from others can be both activating and isolating. Together, we unpack why even “positive” feedback about weight loss can be harmful, how body changes can feel destabilizing, and what it means to hold complex emotions without slipping back into disordered behaviors. We also talk about: The problem with equating weight loss with wellness How eating disorder thoughts can show up years into recovery The myth of a “correct” body image or recovery experience Perimenopause, changing bodies, and the grief that can follow Why body neutrality may offer more freedom than forced body positivity Mindfulness, fart metaphors (yay!), and how to let thoughts pass without bottling them up Whether you're in recovery, supporting someone who is, or navigating your own relationship with body changes, this episode offers honesty, compassion, and tools to help you stay grounded.

In this solo episode, Dr. Marianne Miller explores the powerful and often overlooked connection between masking neurodivergence and eating disorders. If you've ever felt like you're performing just to get through the day—suppressing your sensory needs, camouflaging your communication style, or overriding your body's cues to fit societal expectations—this episode will resonate deeply. Dr. Marianne breaks down what masking looks like in autistic and neurodivergent individuals, including social, sensory, emotional, and cognitive masking, and how these patterns can lead to or exacerbate disordered eating behaviors like restriction, bingeing, and compulsive exercise. She also explains the systemic pressures—including ableism, fatphobia, and white supremacy—that reinforce masking, and how this contributes to burnout, identity confusion, and food-related distress. Most important, Dr. Marianne offers a compassionate look at what it means to unmask as part of eating disorder recovery. You'll learn how reclaiming your sensory needs, autonomy, and embodied preferences can help you heal—not by becoming someone else, but by honoring exactly who you are.

Autistic individuals are significantly more likely to experience eating disorders—but the signs often go unrecognized, and traditional treatment models frequently fall short. In this solo episode, Dr. Marianne explains the unique ways eating disorders show up in autistic people, why those struggles are often misunderstood, and what kind of support actually helps. You'll learn about the sensory, emotional, and social dimensions of disordered eating in autistic individuals, the high rates of ARFID and anorexia in this population, and why interoception, masking, and shutdowns often complicate recovery. Most importantly, this episode explores the power of neurodivergent-affirming, trauma-informed care—care that adapts to the client rather than forcing the client to adapt to the system. Whether you're autistic, suspect you might be, or support someone who is, this episode offers validation, clarity, and a path forward that doesn't rely on shame or compliance.

What happens when eating disorder care is offered by clinicians with no specialized training? In this vital conversation, Dr. Marianne sits down with Edie Stark, LCSW (@ediestarktherapy), founder of Stark Therapy Group, to unpack the real—and often hidden—dangers of receiving eating disorder treatment from generalist therapists or corporate telehealth platforms like BetterHelp. They explore why working with an eating disorder specialist matters, how disordered eating can be overlooked or misdiagnosed in non-specialized care, and the serious risks of inaccurate, unethical, or even harmful treatment. Edie also breaks down how to find high-quality, fat-positive, neurodivergent-affirming eating disorder care, even when access feels limited. Whether you're searching for your own recovery support or you're a clinician trying to do better, this episode is a must-listen. WHAT WE COVER IN THIS EPISODE The rise of venture-capitalist “therapy tech” companies and how they commodify mental health Ethical concerns and client horror stories from non-specialized care platforms Why generalist therapists are often unequipped to treat eating disorders safely What makes someone a true eating disorder specialist Why weight-loss goals should never be a treatment focus for ED clinicians Red flags to look for on therapist websites How to ask the right questions when looking for an eating disorder therapist The importance of training, supervision, and collaborative care teams The unique risks of misdiagnosis for fat, neurodivergent, BIPOC, and male clients Where and how to find safe, inclusive, evidence-based care

What happens when your eating disorder doesn't just affect your plate—but every relationship in your life? In this solo episode, Dr. Marianne explores the hidden struggles of living with Avoidant/Restrictive Food Intake Disorder (ARFID) as an adult. From dating and long-term partnerships to parenting, friendships, and work dynamics, adult ARFID can create chronic stress, disconnection, and grief—especially in a world that misunderstands sensory needs and neurodivergent eating. You'll hear how ARFID shows up in romantic relationships, what it's like to parent while navigating your own food limitations, and why shame and social exclusion are such common parts of the adult ARFID experience. Dr. Marianne also shares a powerful lived-experience story and affirms that your food needs are not broken—and your relationships canbe built around what truly supports you. Whether you're living with adult ARFID or supporting someone who is, this episode offers validation, insight, and a trauma-informed, neurodivergent-affirming perspective on how ARFID impacts connection.

Movement can be one of the most confusing and emotionally charged topics in eating disorder recovery. In this solo episode, Dr. Marianne answers some of the most common questions about exercise and recovery: When is it safe to move again? What if movement was part of your eating disorder—or what if it was your only way to self-regulate? What if you're scared of returning to exercise because of past trauma or fear of judgment? You'll hear practical, trauma-informed, and neurodivergent-affirming guidance on how to rebuild a relationship with movement that's rooted in safety, consent, and care—not pressure or punishment. Whether you're in early recovery or re-evaluating movement years later, this episode offers clarity, compassion, and real-world support for finding your own path. ✨ If you're looking for a non-punishing, neurodivergent-friendly approach to recovery, check out Dr. Marianne's binge eating recovery membership: https://www.drmariannemiller.com/binge-eating-101-class-1 LISTEN TO OTHER EPISODES ON MOVEMENT & FITNESS Fitness Culture, Body Image, & Joyful Movement with @thoughtfullyfueled Lisa Schrader, RD on Apple & Spotify. A Bulimia Recovery Story + How Weight-Neutral Fitness Can Help Eating Disorder Recovery with Abbey Griffith @claritydecatur on Apple & Spotify. Just say NO to dieting: A Weight-Neutral Approach to Fitness with Kim Hagle @radiantvitalitywellness on Apple & Spotify. INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND? Follow me on Instagram @drmariannemiller Check out my virtual, self-paced ARFID and Selective Eating course Look into my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership. Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, 15-minute phone consultation HERE or via my website, and I'll get you to where you need to be! Check out my blog. Want more information? Email me at hello@mariannemiller.com  

What does true food freedom really look like—and why is it so hard to recognize when you're stuck in quasi-recovery? In this episode of Dr. Marianne-Land, I sit down with Dr. Lara Zibarras (@drlarazib), psychologist, eating disorder recovery coach, and the voice behind The Food Freedom Psychologist. Lara shares her powerful lived experience with bulimia, orthorexia, and the trap of “wellness culture” that masqueraded as health—but kept her stuck in restriction for years. Together, we explore the societal pressures that shape eating disorders across the lifespan, including postpartum body image expectations, the lure of perfectionism, and the explosion of weight stigma online. We also unpack how mindset shifts—like moving away from all-or-nothing thinking and embracing flexibility—can be a critical part of recovery. Whether you're healing from disordered eating, supporting a loved one, or questioning the messages you've received about your body, this episode offers real talk, compassion, and insight. ABOUT DR. LARA Dr. Lara Zibarras is a Psychologist and Eating Disorder Recovery Coach, a.k.a The Food Freedom Psychologist. After spending her 20s and 30s battling food anxieties and disordered eating, finding food freedom was life-changing. Now, Lara is on a mission to help women break free from chaotic, out-of-control eating patterns to feel confident around food and in their bodies. She uses a powerful blend of psychology, mindset work and nutrition science to support her clients in making mindful food choices and building body acceptance.   Dr. Lara is located in the UK and mostly work with women in the UK. In addition, she provides coaching via Zoom and has international clients.   CONTACT & FOLLOW DR. LARA Instagram: https://www.instagram.com/drlarazib/ Website: https://drlarazib.com/ Email: lara@drlarazib.com YouTube: https://www.youtube.com/@DrLaraZib   LISTEN TO OTHER EPISODES ON ORTHOREXIA & EATING DISORDERS ACROSS THE LIFE SPAN. Orthorexia Uncovered: Causes, Challenges, & Pathways to Healing on Apple & Spotify. An Orthorexia Recovery Story With Sabrina Magnan, @sabrina.magnan.health on Apple & Spotify. Why is Anorexia Showing Up in Midlife? You're Not Imagining It on Apple & Spotify. INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND? Follow me on Instagram @drmariannemiller Check out my virtual, self-paced ARFID and Selective Eating course Learn about my self-paced, virtual, anti-diet subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership. Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, 15-minute phone consultation HERE or via my website, and I'll get you to where you need to be! Check out my blog. Want more information? Email me at hello@mariannemiller.com

Why do binge eating urges feel so overwhelming—and what do they actually mean? In this solo episode of Dr. Marianne-Land, Dr. Marianne Miller, PhD and eating disorder therapist, explores the real reasons behind binge eating urges and offers compassionate, neurodivergent-affirming strategies to manage them without shame. You'll learn why binge urges aren't about a lack of willpower or self-control. Instead, they're often the result of unmet needs—like food deprivation, emotional disconnection, sensory overwhelm, or nervous system dysregulation. Dr. Marianne explains how these urges show up in neurodivergent bodies and offers practical tools to respond with care, not punishment. Whether you're navigating binge eating disorder, struggling with food shame, or simply want support that understands your brain and body, this episode offers a validating and supportive framework for recovery.

What happens when your recovery journey needs a reboot—not because you relapsed, but because you learned something life-changing about your brain? In this second part of my deep conversation with Stacie Fanelli, LCSW, we explore what eating disorder recovery looks like after a late diagnosis of autism and/or ADHD (AuDHD). We talk about the grief, relief, and radical reframing that can come when you realize your past recovery strategies weren't failures—they just weren't made for your neurotype. Together, we unpack the nuances of recovery that often get overlooked:

What happens when your eating disorder recovery path no longer fits—because you finally discover you're neurodivergent? In Part 1 of this rich and validating conversation, Dr. Marianne is joined by Stacie Fanelli, LCSW (@edadhd_therapist), a neurodiversity-affirming therapist who specializes in eating disorders, ADHD, and autism. Together, they unpack the layered emotional terrain of realizing you're neurodivergent after you've already done a round (or more) of eating disorder treatment. This episode explores why so many late-diagnosed AuDHD folks experience grief, betrayal, and burnout in recovery settings—and what it means to reclaim recovery on your own terms. Stacie shares her own story of late identification, how it reshaped her clinical lens, and why compliance-based care can feel like safety while quietly reinforcing masking. If you've ever wondered whether traditional recovery frameworks truly work for neurodivergent brains, this episode offers both clarity and comfort.

What if your “resistance” in eating disorder recovery isn't resistance at all—but a deeply wired need for safety, control, and agency? In this solo episode, Dr. Marianne explores the intersection of PDA (Pervasive Drive for Autonomy) and eating disorders, especially in neurodivergent individuals navigating ARFID, anorexia, bulimia, or binge eating disorder. While traditional eating disorder treatment often emphasizes structure and compliance, these approaches can backfire for folks with a strong drive for autonomy. We unpack what PDA actually is (hint: it's not defiance), how it shows up in treatment spaces, and why honoring autonomy through co-regulation, collaboration, and consent can open the door to more sustainable recovery. You'll also learn how internalized demands, sensory sensitivities, and trauma histories shape eating behaviors—and what truly affirming, flexible support looks like. Whether you're a clinician, caregiver, or someone in recovery, this conversation offers insight into neurodivergent-affirming, autonomy-respecting care that centers safety instead of compliance.

Why is ADHD so often overlooked in eating disorder treatment—and how can that gap cause more harm than healing? In this solo episode, Dr. Marianne explores the connection between ADHD and eating disorders, highlighting why traditional treatment approaches often fall short for neurodivergent individuals. You'll learn how executive dysfunction, impulsivity, time blindness, and sensory sensitivities can all shape eating patterns—and why behaviors like binge eating, erratic meal timing, or food rigidity may reflect nervous system needs, not a lack of willpower. If you've struggled with meal consistency, emotional eating, or feeling unseen in standard recovery spaces, this episode offers insight and validation. Discover how neurodivergent-affirming and sensory-attuned eating disorder recoverycan help you reconnect with food in ways that actually support your brain and body.

How do diet culture and purity culture work together to shape—and shame—our relationships with food, body, and self? In this thought-provoking episode, Dr. Marianne is joined by Cassie Krajewski, LCSW (@inneratlastherapy), to unpack the trauma that often hides beneath the surface of “clean eating” and “moral” behavior. They explore how religious teachings, modesty expectations, and diet rules can become deeply intertwined, reinforcing eating disorder patterns and disconnecting people from their own needs. Whether you've experienced religious trauma, struggled with body image, or felt trapped in all-or-nothing thinking, this episode offers validation and insight. ABOUT CASSIE Cassie is known for her authenticity, warmth, and compassion, which shows up in her work as a business, owner, therapist, consultant, and podcaster. As the founder of Inner Atlas, Cassie is passionate about helping people heal from the impacts of trauma and disembodiment. Cassie's personal history and healing experiences drove her to pursue a career in social work. Her training emphasized the importance of context, culture, and systems upon mental health. This lead to her dream of opening a practice centered on anti-oppressive, holistic, and trauma-responsive care. Her professional experiences inform her understanding that working with the body's inherent wisdom takes clients further, faster. She is rooted in the belief that she is not a guru but a guide. ‍ Outside of her clinical work, Cassie is actively involved in mentoring and teaching other therapists. Her approachable nature and deep empathy ensure that her practice remains a space where clients and colleagues from all walks of life feel seen, heard, and valued. FOLLOW AND CONTACT CASSIE IG: https://www.instagram.com/inneratlastherapy/ E-mail: hello@inneratlastherapy.com Website: https://www.inneratlastherapy.com CHECK OUT OTHER EPISODES ON DIET CULTURE! Let's Talk Recovery: Ditching Diet Culture & Crushing Eating Disorder Thoughts on Apple & Spotify. Just Say NO to Dieting: A Weight-Neutral Approach to Fitness on Apple & Spotify. The Diet/Wellness Industry, Accessibility, & Diet Culture on Apple & Spotify. INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND? Follow me on Instagram @drmariannemiller Check out my virtual, self-paced ARFID and Selective Eating course Look into my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership. Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, 15-minute phone consultation HERE or via my website, and I'll get you to where you need to be! Check out my blog. Want more information? Email me at hello@mariannemiller.com

In this solo episode, Dr. Marianne explores how the growing popularity of GLP-1 medications like Ozempic, Wegovy, Zepbound, and Mounjaro is reshaping the body diversity movement. As weight loss drugs become more widely used and celebrated, messages of fat liberation and weight-inclusive care are being challenged in new and complex ways. Dr. Marianne discusses the cultural effects of GLP-1s, the pressure many people feel to conform to changing body ideals, and what this means for fat humans, eating disorder recovery, and those committed to body autonomy. This episode offers a compassionate and honest look at the grief, confusion, and questions arising in this new era. If you're navigating the intersection of weight stigma, eating disorders, and the rise of GLP-1 medications, this conversation will help you feel grounded, supported, and less alone.

Anorexia isn't just a teen or young adult diagnosis. For many people, it's resurfacing or emerging for the first time in their 30s, 40s, 50s, and beyond. In this solo episode, Dr. Marianne explores the resurgence of anorexia in midlife through a neurodivergent-affirming, trauma-informed, and sensory-attuned lens. We unpack why these restrictive patterns may return (or appear for the first time), how anorexia often presents differently later in life, and what kind of support can actually help. Whether you are navigating body image distress, a changing identity, hormonal shifts, grief, or caregiving burnout—this conversation will help you feel seen, validated, and not alone.

How does secondary traumatic stress (STS) affect eating disorder providers, and how can we care for ourselves without bypassing the realities of burnout, exhaustion, and systemic overwhelm? Dr. Marianne sits down with Dr. Danielle Hiestand, LMFT (@drdaniellehiestand), to unpack the intersection of STS, vicarious trauma, burnout, and disordered eating in helping professionals. Whether you're a therapist, dietitian, coach, or caregiver working in high-empathy roles, this episode explores how chronic exposure to others' pain can show up somatically, emotionally, and in our relationships with food and body. Dr. Hiestand shares research insights and lived-experience wisdom on setting sustainable boundaries, navigating ethical self-care, and creating healing spaces that also protect the healer.

In this solo episode, Dr. Marianne unpacks Night Eating Syndrome (NES): what it is, how it differs from binge eating disorder, and why it so often emerges or intensifies in your 30s, 40s, and 50s. From hormonal shifts to chronic stress, neurodivergence, caregiving burnout, and sensory overload, we explore the deeper reasons behind nighttime eating patterns—and why they're not a sign of failure. Whether you're struggling to sleep without eating, feeling ashamed about late-night food rituals, or just trying to understand your body better, this episode offers shame-free insight and compassionate support.

What does it really mean to respect someone's autonomy in eating disorder treatment—and where's the line between support and control? In this solo episode, Dr. Marianne explores the difference between autonomy-affirming care and more authoritative, top-down approaches. She shares why this matters so much for neurodivergent people, who are often pushed into treatment styles that ignore their needs, sensory experiences, or communication differences. Whether you're a provider wanting to offer more collaborative care or someone in recovery who's felt misunderstood or pressured by treatment before—this conversation offers validation, insight, and new ways to think about healing. ✨ Learn more about this approach in Dr. Marianne's ARFID and Selective Eating Course at drmariannemiller.com/arfid. CHECK OUT OTHER EPISODES ON NEURODIVERSITY & EATING DISORDERS! > On when eating disorder care is NOT neurodivergent-affirming via Apple and Spotify. > On navigating ADHD, eating disorders, and sensory sensitivities via Apple and Spotify. > On overexercising, ADHD, and eating disorders via Apple and Spotify. > On personal neurodivergent stories via Apple and Spotify.   INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND? Follow me on Instagram @drmariannemiller Check out my virtual, self-paced ARFID and Selective Eating course Look into my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership. Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, 15-minute phone consultation HERE or via my website, and I'll get you to where you need to be! Check out my blog. Want more information? Email me at hello@mariannemiller.com

What does stress actually do to our bodies and brains—and how does that intersect with queerness and eating disorders? In this conversation, I'm joined by therapist and educator Winter Groeschl (they/them), who brings both clinical insight and lived experience to the complex realities of being queer in a world that often pathologizes our identities. We explore how chronic stress—especially from anti-LGBTQIA+ environments—can shape nervous system responses, affect eating patterns, and lead to trauma adaptations that are so often misdiagnosed or misunderstood. Winter also shares their thoughts on what truly affirming care looks like and how providers can stop doing harm to queer humans in treatment. Whether you're a queer person navigating recovery, or a clinician looking to offer more inclusive care, this episode offers both validation and practical takeaways. ABOUT WINTER GROESCHL, NCC, LPC Winter is passionate about providing care and support for those facing substance use disorders, eating disorders, depression, anxiety, trauma, and more. They utilize an integration of modalities and inclusive approaches with their clients, pulling from ACT, mindfulness-based approaches, DBT/CBT, polyvagal theory, Compassion Focused therapy, and Client Centered modalities.   Winter said, "As a human who is in recovery from my own eating disorders, it has been an honor and privilege to help others navigate their own journey, whatever that looks like, through therapy."   Winter is located and practices in Arizona, in the United States.   You can contact and follow Winter through the following links: Instagram @eatingdisorderrevealed Website https://eatingdisorderrevealed.com/revealed-team Listen to other episodes with Winter Groeschl, NCC, LPC: Navigating Social Media in Eating Disorder Recovery & How to Stay True to Your Values: Apple & Spotify LGBTQIA+, the Coming Out Process, & Eating Disorders: Apple & Spotify LGBTQIA+ & Eating Disorders: Apple & Spotify INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND? Follow me on Instagram @drmariannemiller Check out my virtual, self-paced ARFID and Selective Eating course Look into my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership. Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, individual 15-minute phone consultation via my website, and I'll get you to where you need to be! Check out my blog. Want more information? Email me at hello@mariannemiller.com

In this solo episode of Dr. Marianne-Land, we're exploring Body Dysmorphic Disorder (BDD)—a mental health condition that often hides in plain sight. BDD isn't just about disliking how you look; it's a deeply distressing experience where perceived flaws in appearance become all-consuming. For many, it leads to rituals like mirror checking, avoiding social situations, or even seeking cosmetic procedures—none of which ease the internal pain for long. We'll unpack how BDD shows up, how it differs from eating disorders like anorexia and bulimia, and why it's so often misdiagnosed—especially in fat folks, neurodivergent people, and those with trauma histories. This episode offers clarity, compassion, and concrete ways to begin untangling appearance-based distress.

What happens when a “healthy” habit becomes harmful? In this powerful interview, Dr. Marianne sits down with intuitive eating coach Sabrina Magnan (@sabrina.magnan.health) to talk about the hidden world of exercise addiction—how it starts, why it's so often praised, and what it actually feels like to break free from it. Sabrina shares her personal journey of feeling trapped in a cycle of overexercising and disordered eating, and how she began healing her relationship with movement, food, and her body. Together, we unpack why exercise addiction often goes unnoticed (and even encouraged), how it can overlap with binge eating and restriction cycles, and what sustainable, compassionate recovery can look like. If you've ever felt guilty for resting, obsessed with burning calories, or panicked at the thought of skipping a workout—this conversation is for you.

What happens when you're deep into recovery—but food still feels confusing, overwhelming, or downright scary?In this solo episode, Dr. Marianne explores how traits of ARFID (Avoidant/Restrictive Food Intake Disorder) can show up in people recovering from anorexia, bulimia, and binge eating disorder—sometimes for the very first time. If you've ever felt stuck with “safe foods,” noticed heightened sensory sensitivity, or found yourself afraid of eating certain foods (even after doing years of recovery work), you're not alone. These lingering challenges might not be relapse—they could be ARFID traits that were always there, just hidden behind more familiar eating disorder patterns. Tune in for: Key differences between ARFID and other eating disorders How neurodivergence and sensory sensitivities can play a role Why it's common for ARFID symptoms to emerge or become more visible in recovery What compassionate, trauma-informed support can look like

In this eye-opening episode of Dr. Marianne-Land, I'm joined by Anne Richardson, RD (@theeatingdisordernutritionist), to talk about the disturbing return of the super skinny ideal—and how this 90s-era body trend is resurfacing in modern media and pop culture. From TikTok to fashion runways, the thin ideal is back, fueling body dissatisfaction, disordered eating, and a dangerous normalization of extreme thinness. We dive into how the super skinny body standard is impacting people in eating disorder recovery, especially those healing from anorexia, bulimia, binge eating disorder, and ARFID. Anne brings her expertise as an eating disorder dietitian to unpack how fatphobia, anti-fat bias, and the glamorization of weight loss continue to harm people of all sizes—especially neurodivergent and marginalized folks. This conversation challenges the toxic messages of diet culture and body dysmorphia, while offering hope, clarity, and strategies for body image resilience. If you've noticed the wave of 90s nostalgia bringing back triggering beauty ideals, this episode is a must-listen.

What happens when the medical system sees your body as the problem before you even speak? In this solo episode, Dr. Marianne shares her recent experience navigating healthcare as a fat, neurodivergent woman—and the toll of being met with medical gaslighting, invalidation, and bias at every turn. From sensory overload in clinical settings to the exhaustion of advocating for basic care, this episode explores the intersection of fatphobia, ableism, and chronic pain in medical spaces. If you've ever felt unseen or blamed in a doctor's office, you're not imagining it—and you're not alone.

Religious trauma is real—and for neurodivergent folks, it can leave especially deep marks on body image, food, and self-worth. In this powerful episode, I'm joined by Victoria Leon, ASW (@victoriarleon), a therapist who specializes in supporting people healing from religious trauma and eating disorders. We explore how faith communities can reinforce shame, control, and compliance—and how that intersects with masking, sensory sensitivities, and the drive to “be good” that so many neurodivergent people carry. Whether you're deconstructing, disentangling from toxic theology, or trying to reclaim a safe relationship with food and your body, this episode offers validation, insight, and a path toward gentler healing. ✨ CW for discussions of religious trauma, disordered eating, and spiritual abuse.

Let's be real: having safe foods in eating disorder recovery doesn't mean you're failing—it often means you're surviving, adapting, and doing exactly what your body needs. In this solo episode, Dr. Marianne Miller, licensed eating disorder therapist, fat liberationist, and neurodivergent human, is busting the myth that safe foods are always disordered. We'll talk about why safe foods exist (hint: it's not just "being rigid"), how they support nervous system regulation, and why shaming safe eating patterns—especially for folks with ARFID, sensory sensitivities, and trauma histories—does way more harm than good. If you've ever felt guilty for sticking to foods that feel manageable, this episode is your permission slip to honor what helps you stay grounded. ✨ Want more tools to support a neurodivergent-affirming, sensory-attuned, trauma-informed path to recovery? Come check out Dr. Marianne's self-paced online course: ARFID & Selective Eating: A Neurodivergent-Affirming, Sensory-Attuned, Trauma-Informed Approach It's packed with practical strategies for therapists, dietitians, adults with ARFID, and parents supporting selective eaters—no shame, no rushing, just real healing. CHECK OUT OTHER EPISODES ON NEURODIVERSITY & EATING DISORDERS! > On when eating disorder care is NOT neurodivergent-affirming via Apple and Spotify. > On navigating ADHD, eating disorders, and sensory sensitivities via Apple and Spotify. > On overexercising, ADHD, and eating disorders via Apple and Spotify. > On personal neurodivergent stories via Apple and Spotify.   INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND? Follow me on Instagram @drmariannemiller Check out my virtual, self-paced ARFID and Selective Eating course In the US, UK, Canada, or Australia? Chat with me about my online binge eating program that provides 1:1 virtual coaching support and online curriculum. It is called the Elite Binge Eating Recovery Method. Need a place to start? Check out my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership. Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, 15-minute phone consultation HERE or via my website, and I'll get you to where you need to be! Check out my blog. Want more information? Email me at hello@mariannemiller.com  

Have you ever been told you're “too much”? Too sensitive, too emotional, too everything?

Let's be real: there's nothing atypical about “atypical anorexia.” In fact, it's one of the most common eating disorder presentations—and yet it's still misunderstood, misdiagnosed, and too often ignored. In this episode, I'm joined by Registered Dietitian and eating disorder specialist Emma Townsin (@food.life.freedom) to break down what atypical anorexia actually is, why the name is a problem, and how weight stigma keeps so many people from getting the care they deserve. We talk about what happens when restrictive eating shows up in people who don't fit the “textbook” thin ideal, how BMI gatekeeping plays out in treatment settings, and what needs to change in how we diagnose and support people across all body sizes. This one's for anyone who's ever been told they're “not sick enough”—and for every provider ready to challenge that harmful narrative. ABOUT EMMA TOWNSIN, RD Emma supports her clients to take the stress out of food. Emma's unique method focuses on reframing how you think about food, building connection with your body and feeling confident in your food choices. So, instead of food controlling you, food supports you to live the life you want. Combining her skills as a Registered Dietitian and Certified Intuitive Eating Counsellor, Emma supports people experiencing stressful eating such as binge eating or uncomfortable emotional eating and those who want to feel good around food after long term dieting. Emma lives and works in London, England. She is a Specialist Eating Disorder Dietitian and Certified Intuitive Eating Counsellor. Her practice name is Food Life Freedom. CONTACT EMMA Website: www.foodlifefreedom.com Email: emma@foodlifefreedom.com IG: @food.life.freedom FB: Food Life Freedom CHECK OUT ANOTHER INTERVIEW EPISODE WITH EMMA, PLUS TWO MORE ON ATYPICAL ANOREXIA! Why Diets Don't Work and How to Change Our Relationships With Food With Emma Townsin, RD on Apple & Spotify Atypical Anorexia: Mental & Physical Health Risks, Plus How the Term is Controversial on Apple & Spotify Atypical Anorexia With Amy Ornelas, RD on Apple & Spotify INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND? Follow me on Instagram @drmariannemiller Check out my virtual, self-paced ARFID and Selective Eating course Learn more about my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership. Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, 15-minute phone consultation HERE or via my website, and I'll get you to where you need to be! Check out my blog. Want more information? Email me at hello@mariannemiller.com

What's it really like to have lived experience with both bulimia and binge eating disorder (BED)? In this powerful episode, Dr. Marianne is joined by Registered Nutritional Practitioner Milda Zolubaite (@nutrition.path), who specializes in working with eating disorders. She shares her personal story of navigating life with co-occurring bulimia and BED. From the emotional chaos of swinging between restriction and compulsion to the mental toll of hiding such struggles, Milda brings raw honesty and deep insight. We talk about how diet culture can fuel the idealization of thinness, making it even harder to recognize and treat complex eating disorder patterns. Whether you're a provider, in recovery yourself, or just looking to better understand the lived realities of bulimia and BED, this episode will leave you feeling informed and inspired.

Why do so many traditional ARFID treatments feel like they're missing the mark? (Spoiler: they kind of are.) In this solo episode, Dr. Marianne breaks down the real-life complexities of treating ARFID—especially when neurodivergence, sensory overwhelm, and nervous system shutdown are part of the picture. If you've ever felt like “just try a bite” isn't cutting it, you're not imagining things. We're talking about a different way forward: one that's neurodivergent-affirming, sensory-attuned, and rooted in regulation—not pressure. You'll hear how honoring someone's body, brain, and boundaries leads to more sustainable, shame-free support—and what progress actually looks like when we stop trying to force it. This one's for therapists, caregivers, and anyone who's tired of cookie-cutter advice that doesn't reflect the lived reality of ARFID. Tune in to explore how we can meet people where they are—and build safety from the inside out.

Ever felt like recovery is just... a lot? Like your brain and body are turning the volume all the way up—on hunger, on emotions, on body awareness—and you can't find the damn volume knob? You're not alone. In this solo episode, we're talking about what it means when recovery feels overstimulating, especially for folks who are neurodivergent or sensitive to sensory input. I'll walk you through how our nervous systems process all this noise—and how tools from polyvagal theory can help you feel more grounded, safe, and regulated as you heal. If your recovery feels chaotic, intense, or just plain loud, this one's for you.

Let's talk real about kidney-friendly diets—without the fear-mongering. In this episode, Dr. Marianne welcomes Vanessa Connelly, RD (@grainandgreen.kidneys), for a candid conversation about what it actually means to eat in a kidney-supportive way—without triggering disordered eating patterns. Vanessa shares how she helps folks navigate complex medical nutrition guidance with compassion, nuance, and zero shame. Whether you're living with chronic kidney disease, supporting a loved one, or just curious about how diet culture shows up in medical spaces, this episode is a must-listen. ABOUT VANESSA CONNELLY, RD Vanessa is a registered dietitian nutritionist and board certified kidney nutrition specialist with over 20 years experience working with folks who have chronic kidney disease. She is a South Carolina living Maryland native who has helped hundreds of clients with CKD slow down or prevent dialysis without giving up their favorite foods. Her passion is to help people understand how eating the right foods can truly help preserve and protect kidney function. She's about ditching the stress and helping you thrive with CKD one bite at a time. Vanessa graduated from the University of Maryland at College Park and attended the Medical University of South Carolina to complete the requirements of the Dietetic Internship. When not working you can find Vanessa busy living life with her husband and two kiddos, listening to true crime podcasts or enjoying a workout. CONTACT VANESSA IG: @grainandgreen.kidneys TikTok: @grainandgreen.kidneys Website: www.grainsandgreenkidneys.com Email: vanessa@grainsandgreenkidneys.com CHECK OUT MORE EPISODES ON HEALTH & NUTRITION:   > Diabetes, Accessibility, and Eating Disorders on Apple or Spotify. > Ableism & Common Myths About Diabetes on Apple or Spotify.   INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND? Follow me on Instagram @drmariannemiller Join my $99/month Dr. Marianne-Land's Binge Eating Recovery Membership Program Live in the UK, US, or Canada? Sign up for 1:1 binge eating recovery coaching via my Elite Binge Eating Recovery Method  Live in California, Texas, or Washington, D.C. and interested in eating disorder therapy with me? Sign up for a free, individual 15-minute phone consultation via my website, and I'll get you to where you need to be! Check out my blog. Want more information? Email me at hello@mariannemiller.com

Food is supposed to sustain us—but when you're chronically ill, even the act of eating can feel like an uphill battle. I've lived with chronic back pain for 21 years, and I know firsthand how pain, fatigue, and unpredictable symptoms can completely reshape your relationship with food. In this solo episode, I'm diving into the emotional, physical, and psychological toll of eating while managing chronic conditions like fibromyalgia, POTS, PCOS, and chronic fatigue syndrome. The mental and emotional weight of food decisions, social pressure, and grief around eating is very real. When food becomes linked with pain, restriction, or a way of coping, disordered eating patterns can easily take hold—often without us even realizing it. That's why it's so important to understand your needs and ask for accommodations. Asking for help is not a weakness—it's a deeply necessary act of care in a world that often misunderstands chronic illness. If you've ever felt dismissed, overwhelmed, or just plain exhausted by the effort it takes to nourish yourself, this episode is for you. IN THIS EPISODE, YOU WILL LEARN ABOUT... How chronic illness can make eating physically and emotionally challenging—from symptoms like nausea and pain to fatigue and side effects from medication. The mental and emotional toll of food decisions, social pressure, and grief around eating is very real. How disordered eating patterns can develop when food becomes linked with pain, restriction, or coping. How flexibility, self-compassion, and doing what works for your body are key. How my personal experience living with chronic back pain for 21 years and how it affected my relationship with food. Listen to another SOLO episode, in which I talk about my overall eating disorder recovery journey (listen via Apple or Spotify).  Hear other SOLO and interview episodes on Anorexia, Bulimia, & Binge Eating Disorder: > On anorexia via Apple or Spotify > On bulimia via Apple or Spotify > On binge eating disorder via Apple or Spotify   INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND? Follow me on Instagram @drmariannemiller Check out my virtual, self-paced ARFID and Selective Eating course In the US, UK, Canada, or Australia? Chat with me about my online binge eating program that provides 1:1 virtual coaching support and online curriculum. It is called the Elite Binge Eating Recovery Method. Need a place to start? Check out my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership. Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, 15-minute phone consultation HERE or via my website, and I'll get you to where you need to be! Check out my blog. Want more information? Email me at hello@mariannemiller.com

Perimenopause: the hormonal plot twist no one warned us about. But did you know it can shake up your gut health and your relationship with food? In this episode, I'm joined by Marcelle Rose (@marcellerosenutrition), a Registered Nutritional Therapist and author of who's here to break down how gut changes during perimenopause can show up in sneaky ways—and how that connects with eating disorders and recovery. We're talking bloat, brain fog, digestive drama, and why it's not all in your head. If you've ever wondered why your body feels different in midlife—or you work with folks going through it—this one's packed with insight, validation, and practical wisdom. IN THIS EPISODE, YOU'LL LEARN... How hormonal shifts during perimenopause impact gut health Why digestive issues can flare up (or start!) in midlife The surprising ways gut health and eating disorders intersect How Marcelle supports clients navigating perimenopause and recovery Why symptoms like bloating, brain fog, and food sensitivities are common—and valid Practical strategies for supporting your gut without restriction or obsession The importance of a compassionate, individualized approach to nutrition ABOUT MARCELLE Marcelle specializes in helping women overcome binge eating, bulimia, emotional eating, and restrictive eating patterns. She empowers her clients to heal their relationship with food and their body, free themselves from relentless critical thoughts, and ultimately reclaim their life. As a BANT (British Association for Nutrition & Lifestyle Medicine) Registered Nutritionist and Coach, Marcelle also has specialist training in eating disorders and behaviour change. She provides consultations to clients both nationally and internationally. Marcelle's new book, The Binge Freedom Method: 4 Pillars to Beating Emotional Eating for Good, has just come out! CHECK OUT MARCELLE'S NEW BOOK! The Binge Freedom Method: https://marcellerosenutrition.co.uk/BFM FOLLOW AND CONNECT WITH MARCELLE Instagram: http://www.Instagram.com/marcellerosenutrition Website: https://marcellerosenutrition.co.uk/ LISTEN TO ANOTHER EPISODE WITH MARCELLE > Disordered Eating in Midlife: Stress, Life Changes, & Perimenopause on Apple & Spotify. LISTEN TO OTHER EPISODES ON EATING DISORDERS & MIDLIFE > Welcome to the Jungle: Eating Disorders in Midlife & Our Personal Recovery Stories With Amy Ornelas, RD on Apple & Spotify. > Breakthroughs, Eating Disorders in Midlife, & Bulimia With Harriet Frew, MSc on Apple & Spotify. > Perimenopause & Eating Disorder Recovery With Dr. Jenn Salib Huber, RN, ND on Apple & Spotify.

Ever feel like you're starring in a one-person play called Totally Fine, I Swear? Masking in recovery is real—faking confidence around food, forcing yourself to eat like everyone else, or pretending things aren't harder than they actually are. And for neurodivergent folks, masking isn't just a habit—it's survival. Many autistic and ADHDers learn early on to camouflage their struggles, and that absolutely carries over into eating disorder recovery. In this solo episode, we're getting real about why we mask, how it messes with healing, and what unmasking can actually look like (spoiler: it's not about forcing yourself to “just be authentic” overnight). If you've ever felt like recovery is a performance, let's shake off the script and talk about what's actually going on. Listen to another SOLO episode, in which I talk about my overall eating disorder recovery journey (listen via Apple or Spotify).  CHECK OUT OTHER EPISODES ON NEURODIVERSITY & EATING DISORDERS! Rejection Sensitivity Disorder (RSD) & Eating Disorders: The Emotional Toll of Feeling "Too Much" on Apple & Spotify. When Eating Disorder Care is NOT Neurodivergent-Affirming on Apple & Spotify. Navigating ADHD, Eating Disorders, and Sensory Sensitivities on Apple & Spotify. Overexercising, ADHD, and Eating Disorders on Apple & Spotify. Personal Neurodivergent Stories on Apple & Spotify. INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND? Follow me on Instagram @drmariannemiller Check out my virtual, self-paced ARFID and Selective Eating course In the US, UK, Canada, or Australia? Chat with me about my online binge eating program that provides 1:1 virtual coaching support and online curriculum. It is called the Elite Binge Eating Recovery Method. Need a place to start? Check out my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership. Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, 15-minute phone consultation HERE or via my website, and I'll get you to where you need to be! Check out my blog. Want more information? Email me at hello@mariannemiller.com

If you're on a GLP-1 medication, you might have noticed that hunger isn't showing up the way it used to. But just because your appetite has hit the snooze button doesn't mean your body doesn't need nourishment! So how do you make sure you're getting enough food when eating feels more like a chore than a craving? In this episode, I'm joined by Maria Mendoza, RD (@mendoza.nutrition), to talk all things GLP-1 and nutrition. We're diving into why nutrition still matters, how to keep your body fueled without relying on hunger cues, and practical strategies for making meals work for you—no force-feeding required. Tune in for expert insights, realistic tips, and a fresh take on what it really means to take care of your body while on a GLP-1. ABOUT MARIA MENDOZA, RD Maria is a Registered Dietitian and Certified Diabetes Care and Education Specialist, who owns a group dietitian practice in Austin, TX. She joins clients on their journey as they make peace with food as well as their body. She uses the HAES®️ framework to meet individuals of all ages where they are and help them mend their relationship with food.   Maria discovered their passion for working with individuals struggling with eating disorders while at a group practice. She is deeply committed to supporting clients on their unique journeys, recognizing that each path has its own challenges, yet shares common threads. Maria finds fulfillment in walking alongside clients as they gain insight and learn to view food and their relationship with it in a new, healthier way.   Maria lives and practices in Austin, Texas. She can work with clients through Texas as well as Arizona, California, Colorado, Michigan, Vermont and Virginia.   CONTACT AND FOLLOW MARIA Website: www.mendozanutrition.com Instagram: @mendoza.nutrition   CHECK OUT ANOTHER EPISODE WITH MARIA! Orthorexia, HAES, and Eating Disorders on Apple and Spotify   INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND? Follow me on Instagram @drmariannemiller Check out my NEW, virtual, self-paced ARFID and Selective Eating course In the US, UK, Canada, or Australia? Chat with me about my online binge eating program that provides 1:1 virtual coaching support and online curriculum. It is called the Elite Binge Eating Recovery Method. Need a place to start? Check out my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership. Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, 15-minute phone consultation HERE or via my website, and I'll get you to where you need to be! Check out my blog. Want more information? Email me at hello@mariannemiller.com

Is it "clean eating" or low-key restriction? A self-care routine or just a new way to obsess over food? In this solo episode, I'm unpacking the sneaky ways disordered eating hides in wellness culture — from elimination diets to gut health trends and everything in between. If you've ever found yourself wondering, "Is this actually good for me, or am I just chasing control?" — this one's for you. We'll explore: ✨ How diet culture thrives in wellness spaces ✨ The subtle signs of disordered eating disguised as "health" ✨ What to do when wellness culture is doing more harm than good LISTEN TO OTHER EPISODES ON DIET CULTURE AND MORE! Breaking Up With Diet Culture on Apple & Spotify. Anti-Fat Bias & Diet Culture in Our Schools and Our Society on Apple & Spotify. Just Say NO to Dieting: A Weight-Neutral Approach to Fitness on Apple & Spotify. The Diet/Wellness Industry, Accessibility, & Diet Culture on Apple & Spotify. INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND? Follow me on Instagram @drmariannemiller Check out my virtual, self-paced ARFID and Selective Eating course In the US, UK, Canada, or Australia? Chat with me about my online binge eating program that provides 1:1 virtual coaching support and online curriculum. It is called the Elite Binge Eating Recovery Method. Need a place to start? Check out my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership. Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, 15-minute phone consultation HERE or via my website, and I'll get you to where you need to be! Check out my blog. Want more information? Email me at hello@mariannemiller.com