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Hi Friends,In our latest podcast episode, we're doing something we don't often do. We're actually talking about nutrition. We're dietitians after all and we do enjoy the science of nutrition, but we also know that the child nutrition information out there can be overwhelming and stressful for parents. So, we're all about keeping nutrition information simple.If you've ever found yourself worrying (or wondering) whether or not your child is getting enough of the nutrients they need, this episode is for you. In this episode, we chat about:* A simple formula for putting together meals and snacks that will include the nutrients your child needs.* What to do if your child won't eat any fruits or vegetables* Why parents don't need to give children nutrition information* The importance of empowering kids around foodMentioned in this episode* Our membership: Take the Frenzy Out of Feeding* Blog post: The Berry's Journey: Learning Where Food Comes From* Instagram post by The Curious Nutritionist * Pinney Davenport Nutrition, PLLC* Lutz Alexander & Associates Nutrition TherapyWarmly,Elizabeth & AnnaWhat do you worry about when it comes to your child's nutrition?TranscriptEpisode 103: Nutrition Made SimpleElizabeth: Hi, Anna.Anna: Hi, Elizabeth. It's good to see you.Elizabeth: Good to see you, too. I'm excited to talk about nutrition today. We're dietitians—let's actually talk about nutrition for once!Anna: I know, imagine that! So often we're talking about parenting and how to approach food, but today we're going to dive a little deeper into nutrition. But our goal is to keep it simple.Elizabeth: Exactly. And as a reminder to our listeners, what we've been doing in our latest episodes is highlighting topics from each of the 12 modules in our membership, Take the Frenzy Out of Feeding. We're giving people a sneak peek and hopefully sharing some helpful info along the way.Anna: Yes! There's so much nutrition information out there for parents—so much parenting advice about nutrition. What do you think are the pros and cons of focusing on the nutritional content of food when preparing meals?Elizabeth: I'll agree that there's just an overwhelming amount of information. And we create content for parents, right? But ours is designed to challenge a lot of that confusing, or honestly, often incorrect info. We want to help parents feel less stressed, not more.Anna: Totally. That's what we do with Sunny Side Up and in our practices. So, for the pros: focusing on nutrition can help kids get the nutrients they need. I hesitate to use the word “balanced,” but yes, balanced meals that meet their needs.Elizabeth: Right, but not balanced in a diet culture sense—just well-rounded. The downside is that it can feel overwhelming for parents. Worrying about every meal, every snack, every bite—too much of one thing, not enough of another—it creates a lot of stress.And kids pick up on that stress, which affects the feeding dynamic. I remember when my kids were babies, I stressed over giving them only organic food and making as much of it myself as I could, especially with my first. I got over that with my second.Anna: Exactly. So yes, it's good to be mindful of nutrition, but not to the point where it causes stress or anxiety. Totally agree. So let's talk strategies—how can we simplify nutrition in a way that's empowering instead of fear-based?Elizabeth: What we teach in our membership and what we teach clients is to build meals with three simple components: a protein, a carbohydrate, and a produce. That's it. Keep it simple. An example could be eggs, toast with butter, and fruit. Or BBQ chicken, sweet potatoes, and broccoli. This is directly from our meal and snack formula in the membership.Anna: Yes, and once you offer those components, your job is done. It's not your job to make sure it all goes into your child's body. Over time, kids will get what they need. And of course, there are exceptions—like ARFID or other issues—and that's when individual support from a dietitian can help.Elizabeth: But for most families, zooming out and thinking about nutrition over the course of a week—rather than each meal—is a game changer. Like one day they eat a ton of broccoli, and then they don't touch another veggie for three days. That's totally normal. Nutrients are found in a wide range of foods, not just one.Anna: The nutrients in broccoli are in lots of other foods Elizabeth: Yes! Like Vitamin C —it's in fruit, veggies, and even some grains. That's the complexity of nutrition we're trying to simplify and decrease stress.Anna: We also use a snack formula: two items—usually a protein or dairy, and a carb or produce. Examples: cheese and crackers, yogurt and fruit, cookies and milk.Elizabeth: And we often say, think of snacks as mini meals. That mindset really helps parents simplify things.Anna: If you're offering meals with 3 components and snacks with 2, think of how many opportunities your child has to be exposed to different foods in a week, even if they don't eat them every time.Elizabeth: Right. Exposure is key. If a child doesn't eat any veggies but does eat fruit, they're still getting a lot of those nutrients. Just keep offering and modeling.Anna: If a parents says, “but what if my child eats no fruits or vegetables?”Elizabeth: If that's truly the case, than offer a multivitamin. To the parent whose child eats fruits and not vegetables, I would say there are a lot of the same nutrients in fruits and vegetables. And to keep offering the vegetables. And look for low-pressure exposures. Like the blog post you wrote about berry picking. Take them to the farmer's market, let them help wash greens, unpack groceries, or taste samples. No pressure—just presence.Elizabeth: My younger daughter didn't eat green beans for years. Now she does. It takes time, and that's normal. Some kids need professional support, but many just need time.Anna: Absolutely. We often see kids labeled as “picky” who naturally grow out of it as they hit middle school or high school.Elizabeth: Let's shift gears. When we talk about nutrition, it's easy to fall into labeling foods as “good” or “bad,” “healthy” or “unhealthy.” And now we've got euphemisms like “red light/green light” foods. Why do we avoid that?Anna: Because it's confusing to kids and moralizes food. And every family defines “healthy” differently. Plus, kids are concrete thinkers. Even teens can get stuck in all-or-nothing thinking.Elizabeth: Yes! A kid hears “cake is bad” and wonders why you're serving it. “Am I bad for liking this?” It's not helpful—it creates shame and confusion.Anna: And even “nutrient education” can be unhelpful if it's not developmentally appropriate. I remember being terrified as a kid that if I didn't eat carrots, my eyesight would suffer. That's not empowerment. That's fear.Elizabeth: Exactly. The best way to teach kids is by modeling—offering a variety of foods consistently over time. They learn through what we do, not what we say.Anna: And when kids hit the independence stage—high school, college—they'll explore food in their own way. You can still model, offer, and support, but they'll find their own path.Elizabeth: That brings us to a great post I saw recently—something like: “Empower, don't shame. Teach, don't terrify.” That's it.Anna: Yes! I think it was from The Curious Nutritionist. We'll link to it. It perfectly captures our philosophy.Elizabeth: Empowering kids around food is eating disorder prevention. It's helping them trust their bodies and navigate the world confidently.Anna: That word—empower—is everything. If a child feels secure and confident around food, they'll be able to handle any situation. No fear, no shame.Elizabeth: It's what we want for the parents, too, to feel confident and calm. And if today's episode was just a taste, pun intended, there's more in our membership. The Nutrition Made Simple module goes deeper with the goal of empowering—not overwhelming—you.Anna: So good to chat, Elizabeth.Elizabeth: Same here, Anna. Until next time! This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit snutrition.substack.com
Exam Room Nutrition: Nutrition Education for Health Professionals
That “picky eater” might not grow out of it. And that patient obsessed with “clean eating”? It might be something deeper.Today, we're joined by eating disorder dietitian Johnna to challenge everything you thought you knew about disordered eating. You'll learn:The subtle red flags of disordered eating you might be overlooking during routine visitsHow to ask better questions to uncover what's really going on with your patient's eating habitsA crash course on ARFID—how it differs from picky eating and why it's often misdiagnosedWhat eating disorder treatment actually looks like after the referral—and why full recovery isn't one-size-fits-allHow to reframe “healthy eating” in a way that helps instead of harmsWhere to find dietitians who specialize in eating disorders If you've ever thought “something just feels off” with a patient's nutrition or weight trajectory—this episode will give you the language, tools, and confidence to intervene earlier and refer smarter.Listen to Episode 41: Silent Battles nextResources mentioned:NEDAHealthprofs.comEating Recovery CenterConnect with JohnnaAny Questions? Send Me a MessageSupport the showConnect with Colleen:InstagramLinkedInSign up for my FREE Newsletter - Nutrition hot-topics delivered to your inbox each week. Disclaimer: This podcast is a collection of ideas, strategies, and opinions of the author(s). Its goal is to provide useful information on each of the topics shared within. It is not intended to provide medical, health, or professional consultation or to diagnosis-specific weight or feeding challenges. The author(s) advises the reader to always consult with appropriate health, medical, and professional consultants for support for individual children and family situations. The author(s) do not take responsibility for the personal or other risks, loss, or liability incurred as a direct or indirect consequence of the application or use of information provided. All opinions stated in this podcast are my own and do not reflect the opinions of my employer.
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.
ARFID and pediatric feeding disorders take center stage this week on The Untethered Podcast.Hallie welcomes pediatric feeding expert Melanie Potock, MA, CCC-SLP, to discuss the connection between ARFID (Avoidant Restrictive Food Intake Disorder), pediatric feeding disorders (PFD), and childhood anxiety.Melanie, a licensed speech-language pathologist and internationally recognized author, breaks down how anxiety plays a central role in many feeding challenges—and how understanding this connection can help families and professionals create meaningful progress.Whether you're a parent navigating extreme picky eating or a professional working with feeding clients, this episode offers practical, compassionate strategies to reduce anxiety, build trust, and promote lasting change.If this episode resonates with you, take a screenshot while you're listening, post it to your Instagram Stories, and tag Hallie @halliebulkin and Melanie @mymunchbug_melaniepotockIn this episode, you'll learn:✔️ What differentiates picky eating from ARFID and PFD✔️ How anxiety influences feeding behavior and progress✔️ Ways to reduce anxiety for both children and parents✔️ Why parent coaching is essential in feeding therapy✔️ How autism spectrum disorder intersects with feeding challenges✔️ The power of a transdisciplinary treatment model✔️ Tools and strategies for making mealtimes less stressfulWhether you're a parent, therapist, or educator, this episode provides a roadmap to better understanding and supporting children with complex feeding needs.LINKSGet to know Melanie Potock on Instagram: https://www.instagram.com/mymunchbug_melaniepotock/Check out her website: https://mymunchbug.com/Be part of our Myo Fam! Join us inside The Myo Membership: www.themyomembership.comBecome a Certified Myofunctional Therapist™ (CMT®). Enroll here: www.themyomethod.comReady to turn your "myo eyes" on? Join our webinar: https://www.feedthepeds.com/myo-webinarDownload a Free F.A.S.T. Myo Screening Packet Here: FastMyoScreening.comFind a myofunctional therapist: www.themyodirectory.comConnect with Hallie on Instagram, Facebook & LinkedINHaven't left a review yet? Click here and thank you, as always, for being a listener! Want to watch more of the episode? Click here Hosted on Acast. See acast.com/privacy for more information.
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.
Is your child a picky eater, or is it something more serious — and how can you tell? Avoidant/restrictive food intake disorder (ARFID) goes far beyond food preferences. It's driven by deep-seated fears of choking, vomiting, or other anxieties that can lead to dangerous nutritional deficiencies. In this episode, Gabe Howard sits down with ADAA member expert Dr. Jacqueline Sperling, a clinical psychologist and Harvard Medical School professor, to break down the signs of ARFID, outline how it differs from typical picky eating, and mention when parents should seek professional help. Learn how to spot the red flags, understand the role of anxiety in food avoidance, and discover ways to support kids managing this lesser known eating disorder. If mealtimes are a battle in your home, this episode is a must-listen! Special thanks to the Anxiety and Depression Association of America for sponsoring this episode. “They could have different obsessions of what might happen should they eat any of those foods. Some could have a fear that there's contamination. Some can have a fear that it's cooked all the way. Some can have a concern that something separate from the food, but a negative consequence may happen if they eat those foods. It can also happen that someone is worried about having IBS symptoms in public, so they don't want to eat certain foods. And so they limit the foods that they eat, or even when they're at home because they're worried about when they go out in public afterward.” ~Jacqueline Sperling, PhD Our guest, Jacqueline Sperling, Ph.D., is a clinical psychologist, assistant professor in psychology at Harvard Medical School, and the co-founder and co-program director of the McLean Anxiety Mastery Program at McLean Hospital. She is the author of the young adult nonfiction book “Find Your Fierce: How to Put Social Anxiety in Its Place” and a contributor for Harvard Health Publishing. Dr. Sperling specializes in implementing cognitive behavioral therapy with exposure and response prevention and working with youth with anxiety disorders and obsessive-compulsive disorder. She also focuses on caregiver guidance, such as by using behavioral parent training, to help families address children's internalizing and externalizing behaviors. In addition, Dr. Sperling is passionate about disseminating evidence-based information to the community, and she frequently speaks about the impact of social media use on mental health. Moreover, Dr. Sperling is committed to increasing access to care and participates in advocacy at state and federal government levels. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. Gabe is also the host of the "Inside Bipolar" podcast with Dr. Nicole Washington. Gabe makes his home in the suburbs of Columbus, Ohio. He lives with his supportive wife, Kendall, and a Miniature Schnauzer dog that he never wanted, but now can't imagine life without. To book Gabe for your next event or learn more about him, please visit gabehoward.com. Learn more about your ad choices. Visit megaphone.fm/adchoices
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
Clinical neuropsychologist and co-author of The Self-Driven Child, Dr. William Stixrud joins me for a powerful conversation about how we can raise confident, resilient kids by helping them feel a greater sense of control, without giving up our role as parents. Together we explore: Why a low sense of control is one of the most stressful experiences a child (or adult) can have, and how we can support our kids in feeling more agentful in their lives. How secure attachment and autonomy are deeply connected—and why attachment must come first. What SPACE (Supportive Parenting for Anxious Childhood Emotions) is and how parents can use techniques from this modality whether your child has anxiety or not. Why Dr. Stixrud started saying “I love you too much to fight with you about homework” and how you can use this too to defuse power struggles and build internal motivation. Tips for how parents can more successfully respond to children's behaviors that they can't control, like tantrums, hitting, or screaming. Why stepping in too often can interrupt neurological processes that help kids learn, adapt, and build resilience. How to support self-driven learning, encourage safe risk-taking, and build a foundation of mutual respect in your family. If you're looking to reduce conflict and build more trust in your parent-child relationship, this conversation is filled with evidence-based insight and practical tools you won't want to miss! LEARN MORE ABOUT MY GUEST:
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.
Lucinda Miller is a leading naturopath and functional medicine practitioner with over 30 years of experience supporting children's health. She's the founder of NatureDoc, a nationwide clinic helping families navigate everything from gut and sleep challenges for neurodivergent children.Her expertise isn't just clinical, it's personal. As a late-diagnosed ADHD'er and mum to a neurodivergent family, Lucinda brings a rare combination of lived experience and deep professional insight.In this conversation with Ben, Lucinda shares practical, evidence-based strategies for supporting neurodivergent kids. Plus smart, accessible tips that can supercharge nutrition, even for children with highly restrictive diets.________00:00 Introduction1:26 Lucinda's Brain & ADHD6:05 Why Nutrition?9:16 Lucinda's Clients: Who She Helps and How14:12 What is Naturopathy?17:14 How Long Covid is Linked to Hyper-mobility and Neurodivergence21:37 Accessible Nutrition for Neurodivergent People25:30 Lucinda's Sleep Tips For ND Kids37:04 Balancing Being the Expert & Vulnerable Clients38:34 Does Poor Nutrition Cause Neurodivergence or Enhance Traits?41:33 Hormones and Fluctuations in Traits42:36 Neurodivergent Pre-Puberty Nutrition Tips46:00 What Are Mood Boosting Foods?49:22 ARFID & ND Children: How To Variate Food56:50 ND & Inflammation of the Gut: Why?58:00 What Neurodivergent Children Have Taught Lucinda & What Needs To Change1:02:10 Lucinda's Green Light Badge_______Follow & subscribe…Website: www.hidden20.orgInstagram / TikTok / Youtube / X: @Hidden20podcastBen Branson @seedlip_benLucinda Miller @naturedockidsIf you'd like to support The Hidden 20%, you can buy a "green dot" badge at https://www.hidden20.org/thegreendot/p/badge. All proceeds go to the charity. Hosted on Acast. See acast.com/privacy for more information.
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.
Toren and Serenity open up about life on the autism spectrum, sharing powerful stories of resilience, misunderstanding, and self-discovery. From sensory meltdowns to navigating school and food challenges, their honesty sheds light on the daily realities of neurodivergent families. This heartfelt conversation also explores Serenity's late diagnosis and the impact of sharing their journey online. A must-watch for anyone seeking deeper understanding, compassion, or connection. ✨ **THANK YOU TO OUR SPONSORS!**
In this episode of The Neurodivergent Experience, Jordan James and Simon Scott are once again joined by Sophie James as they get real about the challenges neurodivergent individuals face with food, from ARFID and sensory issues to body image and emotional regulation. They share personal stories, reflect on childhood eating habits, and explore how cooking and self-compassion play a role in healing.
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
Was oft als Mäkelei abgetan wird, ist manchmal keine. Wenn Essen ist kein Genuss ist, sondern vor allem eine Belastung darstellt, kann ARFID dahinter stecken - und das vielleicht viel häufiger als wir denken. Bei dieser speziellen Essstörung wird ein Großteil der Nahrungsmittel vermieden weil Angst oder Ekel besteht oder schlicht: null Komma null Interesse für Nahrungsaufnahme überhaupt. Alle Altersklassen können betroffen sein und manchmal ist die Aversion gegen Essen so stark, dass sich Mangelerscheinungen einstellen können. Aber auch das Seelenleben und das soziale Umfeld werden belastet. In der heutigen Folge spricht Franca über diese häufig unerkannte (weil unbekannte) Essstörung, erklärt Entstehung, Unterschiede zu anderen Störungen und gibt Tipps zum Umgang. BZgA Beratungsstellensuche: Finde spezialisierte Beratungsstellen für Essstörungen in Deutschland.
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.
Beyond the Sessions is answering YOUR parenting questions! In this episode, Dr. Rebecca Hershberg and I talk about... There is no correlation between a baby who self-weans and the development of a secure attachment. You're going to piss off your kids a lot… that's totally normal and doesn't mean that they won't form a strong and healthy attachment to you. It makes sense your child wants what feels good to them, but that doesn't necessarily mean that what they want is also what they need. Helpful Hint: When your child stops breastfeeding, there is often a period of time where they will eat less - and this can lead to more anxiety, especially if you are doing this because of concerns over their nutrition. Clothing choices, accessible snacks, and meal planning: Some practical tips for moms who are ready to stop breastfeeding. How to build your child's distress tolerance and help them prepare for this big transition. REFERENCES AND RELATED RESOURCES:
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.
There's vulnerable… and then there's telling thousands of listeners about the time you almost pooped your pants at a conference. In this episode, we're going there. We're talking about digestive drama, poop shame, and why gut issues are so much more than a punchline. Kristin and I also dive into ARFID—Avoidant/Restrictive Food Intake Disorder—and how it often starts with childhood trauma around food and bathrooms. We unpack how eating disorders intersect with GI issues, why so many patients feel dismissed, and what we wish more doctors understood about the gut-brain connection. Yes, it's funny. Yes, it's deeply personal. And yes, “GI cryptids” are now a thing. Takeaways: ARFID is a serious disorder, not just “being picky.” GI issues often start in childhood and never really leave. Poop shame is real—and can deeply affect mental and physical health. Kristin shares what it's like growing up with GI anxiety. We invent “GI cryptids” and honestly, it explains a lot. — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Today's episode is brought to you by DAX Copilot from Microsoft. DAX Copilot is your AI assistant for automating clinical documentation and workflows helping you be more efficient and reduce the administrative burdens that cause us to feel overwhelmed and burnt out. To learn more about how DAX Copilot can help improve healthcare experiences for both you and your patients visit aka.ms/knockknockhi. To learn more about Pearson Ravitz go to http://www.pearsonravitz.com/knockknock. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
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.
In this Part 2 episode on ARFID, we dive deeper into the crucial aspects of treatment and support. Special guest Jaclyn Macchione, MOT, OTR/L shares expert insights on the various levels of care, the multidisciplinary treatment team, as well as the common co-occurring disorders often diagnosed alongside ARFID. For parents and partners, Jaclyn provides valuable dos and don'ts to navigate the journey with loved ones, and offers a sneak peek into the powerful experiential groups that help patients build skills, improve confidence, and have fun with food along the way. Tune in for a thoughtful, informative conversation on the complex world of ARFID treatment and support. If you enjoy our show, please rate, review, subscribe, and tell your friends and colleagues! Interested in being a guest on All Bodies. All Foods.? Email podcast@renfrewcenter.com for a chance to be featured. All Bodies. All Foods. is a podcast by The Renfrew Center. Visit us at: https://renfrewcenter.com/
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.
Dr. Cynthia Bulik is a clinical psychologist and one of the world's leading experts on eating disorders. She is the Founding Director of the University of North Carolina Center of Excellence for Eating Disorders and also the founder director of the Centre for Eating Disorders Innovation at Karolinska Institutet in Stockholm, Sweden. Dr. Bulik is Distinguished Professor of Eating Disorders in the Department of Psychiatry at UNC, Professor of Nutrition in the Gillings School of Global Public Health, and Professor of Medical Epidemiology and Biostatistics at Karolinska Institute. Dr Bulik has received numerous awards for her pioneering work, including Lifetime Achievement Awards from the National Eating Disorders Association, the Academy for Eating Disorders, and the International Society of Psychiatric Genetics. She has written over 750 scientific papers, and several books aimed at educating the public about eating disorders. Currently, Dr. Bulik's focus is in the reconceptualization of eating disorders as being a metabo-psychiatric diseases. Food Junkies is keen to explore this interest in how metabolic disease plays a role in disordered eating: can this construct be the common ground to start to understand the muddy waters between eating disorders and food addiction? In This Episode, You'll Learn:
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.
Jeff Perla is joined by social media friend ARFID Andrew. The boys talk about their eating struggles and how it has affected their lives.
Do you or a loved one ever feel like you were born on the wrong planet? Livia Sara and Dr. Marianne Miller both know what it's like to experience life as a neurodivergent alien. The existential loneliness that comes with this sense of alienation can be so unbearable that the eating disorder becomes an escape – a way to create a sense of meaning and purpose when you feel lost. In today's episode, Livia and Marianne discuss how eating “disorders” are adaptive responses to a threatening world, emphasizing the importance of listening to stories of lived experience. Key Topics Discussed: Growing up feeling existentially lost as an autistic person in a neurotypical world How eating disorders can be viewed as a form of autistic masking – a way to compensate for your innate sense of being “wrong” Unpacking the “atypical anorexia” diagnosis and dismantling harmful hierarchies in eating disorder treatment The difference between autistic routines vs OCD rituals How eating disorders can be considered a form of stimming in neurodivergent individuals
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 powerful deep dive into ARFID (Avoidant/Restrictive Food Intake Disorder), we explore the pivotal role of occupational therapy in treating this complex eating disorder. Join us as we sit down with Jaclyn Macchione, MOT, OTR/L, Renfrew's seasoned occupational therapist and leader in the development of our ARFID programming. Jaclyn gives us a sneak peek into her work, including how her highly individualized interventions, like exposure therapy and oral motor work, can help patients make remarkable progress in and out of treatment. We'll also unpack the signs and symptoms, diagnostic criteria, and the overlap with other restrictive eating disorders. This episode offers a mix of education, hope, and inspiration for anyone navigating ARFID—whether personally or professionally. Stay tuned for Part 2 next week, where we'll discuss how families can support their loved ones at home. If you enjoy our show, please rate, review, subscribe, and tell your friends and colleagues! Interested in being a guest on All Bodies. All Foods.? Email podcast@renfrewcenter.com for a chance to be featured. All Bodies. All Foods. is a podcast by The Renfrew Center. Visit us at: https://renfrewcenter.com/
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.
This is a bonus episode where Dr. Marianne Miller is guesting to talk all about ARFID. I hope that you find it helpful. Dr Marianne's ARFID course: https://www.drmariannemiller.com/arfid $100 off with code HARRIET Harriet's Substack: https://substack.com/@theeatingdisordertherapist Harriet Frew's current offers: - Online 10 Steps to Intuitive Eating Course https://www.theeatingdisordertherapist.co.uk/online-courses.html Online Breaking Free from Bulimia https://www.theeatingdisordertherapist.co.uk/bulimia-nervosa-online-course.html Eating Disorders Training for Professionals https://www.theeatingdisordertherapist.co.uk/eating-disorders-training-with-harriet-frew.html Body Image Training for Professionals https://www.theeatingdisordertherapist.co.uk/body-image-training-with-harriet-frew.html
In this episode, I sit down with Polina Shkadron, a speech-language pathologist who specializes in autism, ADHD, and ARFID. We dive into her journey into feeding therapy and explore what's really going on beneath the surface when kids struggle with eating. Polina shares how trust, autonomy, and regulation play a huge role in building positive food experiences. We talk about the impact of fear and anxiety on eating, the importance of honoring a child's identity and sensory needs, and how small, playful routines can make a big difference. If you've ever wondered how to support a child beyond the “just take a bite” approach, this conversation is for you. Bio Today on the podcast, I'm thrilled to be joined by Polina Shkadron. Polina is a trauma-certified speech-language pathologist and an expert in communication and feeding, with a specialization in autism, ADHD, and ARFID. Her therapeutic approach is grounded in compassion and brain-based research, which gives her a unique and powerful perspective on language, learning, and behavior. With over 15 years of experience supporting neurodivergent children, Polina helps families understand the why behind their struggles and gently guides them toward more connected, trusting relationships. She brings play into her sessions not just as an activity, but as a meaningful tool for emotional regulation, communication, and healing. I can't wait for you to hear her insights in this conversation. Takeaways Polina Shkadron specializes in autism, ADHD, and ARFID. ARFID is more than picky eating. Trust and autonomy are crucial in helping children with feeding differences. Children may choose hunger over discomfort from food. Language around food can impact children's willingness to try new things. Therapy should focus on building trust and understanding individual needs. Self-regulation plays a significant role in eating behaviors. Parents' anxieties can affect children's eating experiences. Recognizing readiness is key to successful feeding interventions. Fear impacts our digestive system and hunger. Shame should be removed from eating habits. Neutral reactions from parents can foster a positive environment. Mealtime should not solely focus on food challenges. Introducing new foods can be done through play. Building trust is essential in food experiences. The experience of food preparation can enhance curiosity. You may also be interested in these supports: Visual Support Starter Set Visual Supports Facebook Group Autism Little Learners on Instagram Autism Little Learners on Facebook
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.
Book your free discovery call directly, visit: www.robertjamescoaching.com Welcome to Episode 492 of the OCD and Anxiety Podcast! Join us on an enlightening journey as we delve into a lesser-known eating disorder that intricately links with anxiety – ARFID, or Avoidant Restrictive Food Intake Disorder. In this episode, expert guest Taylor Rae Holmesley of the EMILY Program in Atlanta sheds light on how ARFID overstretches the realms of typical picky eating and merges into the world of OCD and anxiety. Taylor breaks down the complexities of ARFID, its subtypes, and how these overlap with anxiety and OCD. Whether you're supporting someone with an eating disorder or navigating it personally, this episode is filled with insights, practical guidance, and most importantly, validation that you are not alone in this journey. Explore the nuances of diagnosis, treatment strategies, and the significance of addressing not just the symptoms, but cultivating a positive relationship with food and thoughts Helpful Links: Visit https://www.emilyprogram.com for more resources on ARFID and eating disorder treatment. Connect with Taylor Rae Homesley: https://www.emilyprogram.com/locations/georgia/atlanta/taylor-rae-homesle Disclaimer: Robert James Pizey (of Robert James Coaching) is not a medical professional and is also not providing therapy or medical treatment. Robert James Pizey recommends that anyone experiencing anxiety or OCD to seek professional medical help straight away to get a medical opinion and rule out other conditions or illnesses. The comments and opinions as written on this site are simply that and are not to be taken as professional medical opinions. Robert James Pizey provides coaching, education, accountability and peer support around Anxiety through his own personal experiences.
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
Según el Instituto Nacional de Salud Mental, los desórdenes alimenticios son enfermedades médicas graves con una influencia biológica que se caracterizan por alteraciones graves de las conductas alimentarias. En este episodio, analizamos el impacto del uso de las redes sociales entre niños y adolescentes y cómo ha impactado la incidencia de desórdenes alimenticios. Hablaremos sobre la prevención, recomendaciones para padres de familia y la mejor manera de intervenir si notamos que nuestro hijo o hija está siendo afectado por el uso de redes sociales. Nuestra invitada es una experta en el tema y nos da mucho gusto tenerla de nuevo en Pediatras en Línea en esta cuarta temporada. La Dra. María Gabriela Aramburú, es una visionaria en el cuidado pediátrico, no sólo destaca como profesora asistente de Pediatría de la Facultad de Medicina de la Universidad de South Florida, sino que también ha sido pionera en enfoques innovadores. Con certificación del Board de Pediatría de los Estados Unidos y una Maestría en Salud Pública, ha abierto nuevos caminos en la salud mental adolescente. Como exdirectora médica en el Hospital Universitario MedStar Georgetown, estableció con ingenio una clínica de salud integral para adolescentes, demostrando su compromiso con la innovación. Impulsada por su pasión por reducir el estigma de la salud mental. Su presencia en redes sociales, @pediatricsmom, se ha convertido en un faro de empoderamiento. Actualmente, continúa su labor transformadora como Pediatra especializada en adolescentes en el Hospital Infantil Lehigh Valley Health Network Reilly Childrens Hospital en Allentown Pennsylvania, donde ejerce como directora Médica de Medicina Adolescente, encarnando un cambio de paradigma en la salud mental de los jóvenes. La Dra. Aramburú está comprometida con mejorar el bienestar mental de los adolescentes a través de la defensa de sus derechos, la educación y el aumento del acceso a servicios informados en trauma a nivel global. Fuentes de información: Eating Disorder Treatment Centers | Anorexia, Bulimia, Binge Eating, ARFID . Click or tap if you trust this link." style="color:blue;">Eating Disorder Treatment Centers | Anorexia, Bulimia, Binge Eating, ARFID Eating Disorder Support Groups | Virtual ED Support https://www.eatingrecoverycenter.com/sites/default/files/file/2024-07/EPD051C_ERC_CommunitySheet_062624_Digital.pdf. Click or tap if you trust this link." style="color:blue;">Eating Recovery Center Flyer Redes sociales: Instagram @pediatricsmom ¿Tienes algún comentario sobre este episodio o sugerencias de temas para un futuro podcast? Escríbenos a pediatrasenlinea@childrenscolorado.org.
Send us a textSeason 2, Episode 37It's British summertime at long last and what a great week this has been for sunshine.Today we have another special guest Jessica Baker who suffers from an Eating Disorder, Jessica now in her mid fifties has been struggling with this since she was nine years old.Jessica tells us open and honestly how she has coped with this eating disorder over the years telling us her highs and lows, yo-yoing with her weight made it difficult at times to cope with her appearance, and how she felt inside.Jessica is still today struggling with her illness today but does have the benefit of a very strong will and has come to terms with her illness and learnt how to manage her illness by understanding the situation she finds herself in.Listen to this remarkable storey and learn sometimes what you see on the outside is very different sometimes to what is going on the inside of a person.There are several types of eating disorders. The most common are anorexia nervosa, bulimia nervosa, binge eating disorder, avoidant restrictive food intake disorder (ARFID) and other specified feeding and eating disorder (OSFED).Behavioral symptoms of eating disorders may include:Restrictive eating.Eating a lot in a short amount of time.Avoiding food or certain foods.Forced vomiting after meals or laxative misuse.Compulsive exercising after meals.Frequent bathroom breaks after eating.Withdrawing from friends or social activities.Trauma, anxiety, depression, obsessive-compulsive disorder and other mental health issues can increase the likelihood of an eating disorder. Dieting and starvation. Frequent dieting is a risk factor for an eating disorder, especially with weight that is constantly going up and down when getting on and off new diets.Help and details for those suffering with eating disorders can found by visiting the website Beat (formerly Eating Disorders Association) https://www.beateatingdisorders.org.uk/#HeartTransplant#eatingdisorder#RareCondition#HealthJourney#LifeChangingDiagnosis#MentalHealth#Vulnerability#SelfCompassion#PostTraumaticGrowth#MedicalMiracle#BBCSports#Inspiration#Cardiology#Surgery#Podcast#Healthcare#HeartHealth#MedicalBreakthrough#EmotionalJourney#SupportSystem#HealthcareHeroes#PatientStories#CardiologyCare#MedicalJourney#LifeLessons#MentalWellness#HealthAwareness#InspirationalTalk#LivingWithIllness#RareDiseaseAwareness#SharingIsCaring#MedicalSupport#BBCReporter#HeartDisease#PodcastInterview#HealthTalk#Empowerment#Wellbeing#HealthPodcast#DNACheck out our new website at www.whostomanddick.comCheck out our website at www.whostomanddick.com