Podcasts about arfid

Guest: Rachel Conrad, MA, CCC-SLPEarn 0.10 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/courses/embracing-lived-experiencesIn the first episode of 2025, Michelle is joined by Jaclyn Pederson, MHI, CEO of Feeding Matters, and William Sharp, PhD, Director of Children's Multidisciplinary Feeding Program (Atlanta, GA) and Professor at Emory University School of Medicine, to lay the foundation for a year of combining passion, advocacy, and learning. These guests share their expertise and highlights from a recent journal publication on how the diagnoses of “Pediatric Feeding Disorder” and “Avoidant Restrictive Feeding Intake Disorder” are individualistic while simultaneously overlapping to capture the unique needs of the little ones on our caseloads. Additionally, they share practical insight into the roles and responsibilities of various team members, such as the SLP and the psychologist, in evaluating and treating these little ones as part of an interprofessional practice team.About the Guest: Rachel Conrad, MA, CCC-SLP, is the owner of Bite and Bloom Therapy, LLC, under The Mindful Collective, where she specializes in pediatric feeding and swallowing, ARFID, AAC, and sensory-based therapy. She serves as the Chair of the Feeding Matters Research Consortium, a patient- and family-centered research initiative partially funded by the Patient-Centered Outcomes Research Institute (PCORI). Rachel brings a unique perspective to her work, combining her professional expertise with her lived experience of pediatric feeding differences and ARFID. She collaborates with The Village, a perinatal and eating disorder provider group, and participates in national advocacy and education initiatives to improve early intervention and interdisciplinary care for children with feeding differences. Rachel has delivered presentations and talks on best practices for evaluating and treating medically complex children with feeding and swallowing disorders. She is passionate about creating spaces where patients and families feel truly heard, seen, and valued in discussions about feeding differences. She is a member of the American Speech-Language-Hearing Association (ASHA) and the Kansas Speech-Language-Hearing Association (KSHA) and is committed to advancing awareness, research, and best practices in pediatric feeding and swallowing. Rachel bridges the gap between research, clinical practice, and lived experience to support children and families navigating feeding differences.Show Notes:Bite & Bloom Therapy: https://www.mindfulcollectivegroup.com/rachel-conradFeeding Matters: https://www.feedingmatters.orgFind Assistance: https://www.findhelp.org

This solo episode explores the quiet places where anorexia meets identity and expression. Dr. Marianne Miller speaks to the lived moments where someone learns to hide parts of themselves and how restriction becomes a language for survival. She examines how identity formation, self-expression, and body-based fear interact in ways that often remain hidden. The episode centers queer, trans, gender-expansive, and questioning listeners along with anyone who has felt pressure to quiet their identity in order to navigate the world. Dr. Marianne describes how anorexia rises when identity feels unsafe, unrecognized, or tightly controlled. She explains how restriction becomes a strategy to manage visibility, vulnerability, dysphoria, and the cultural pressure to stay small. The episode invites listeners to imagine recovery as a process of expanding expression, reclaiming autonomy, and restoring connection to their authentic self. Key Themes in This Episode Dr. Marianne examines the links between anorexia, identity, and self-expression. She describes how gender expectations and cultural norms shape the body story. She explains how queer and trans people often restrict to soften dysphoria or to quiet unwanted attention. She explores the way over-performance and people-pleasing silence authentic expression and strengthen restrictive behavior. She looks at the sensory landscape of anorexia and describes how neurodivergent experiences influence embodiment and identity. She also highlights the role of intersectionality. Race, culture, queerness, disability, and body size shape how someone expresses themself and how safe that expression feels. These intersections help explain why anorexia often becomes a predictable response to environments that restrict identity or punish authenticity. Why This Episode Matters Mainstream conversations about anorexia often focus on food without addressing identity, expression, and cultural pressure. Many listeners learn early that their identity takes up too much space. Many learn that desire, gender expression, and emotional truth need to stay hidden. This episode challenges the idea that anorexia develops inside a vacuum. Instead, it shows how anorexia forms inside relationships, systems, and environments that silence real expression. The episode offers validation for anyone who felt forced to shrink in order to stay safe. It expands the understanding of anorexia so listeners can see their experiences reflected with accuracy, compassion, and liberation. Who This Episode Supports This episode supports listeners who navigate anorexia while holding queer, trans, or gender-expansive identities. It supports people who experience identity suppression or dysphoria and who use restriction to manage that conflict. It supports neurodivergent listeners whose sensory experiences shape their relationship with their body and their identity. It also supports clinicians, loved ones, and community members who want a more accurate and compassionate understanding of anorexia. Resources Mentioned Liberation-based healing models Trauma-informed care Queer embodiment research Neurodivergent eating disorder literature Content Caution This episode discusses anorexia, restrictive eating, identity conflict, gender dysphoria, sexuality, sensory overwhelm, and the lived experience of shrinking to stay safe. Please listen with care and pause whenever your body needs space. Related Episodes Queer Mental Health & Eating Disorders: How Stress Shows Up in the Body & Brain With Winter Groeschl, NCC, LPC (@eatingdisorderrevealed): Apple & Spotify. LGBTQIA+, the Coming Out Process, & Eating Disorders: Apple & Spotify LGBTQIA+ & Eating Disorders: Apple & Spotify Learn More and Get Support Dr. Marianne Miller provides therapy and coaching for anorexia, ARFID, binge eating disorder, bulimia, trauma, and body-based fear. She supports clients across California, Texas, Washington D.C., and internationally. Explore additional episodes of the Dr. Marianne Land podcast for conversations about eating disorder recovery, neurodiversity, identity, embodiment, and body liberation. Check out her website at drmariannemiller.com. Follow her on Instagram @drmariannemiller.

In this episode, Dr. Marianne Miller explores the reality that many people with lifelong eating disorders do not resonate with the traditional idea of full recovery. She explains why harm reduction can offer a compassionate and sustainable path for individuals who have lived with chronic anorexia, long term bulimia, binge eating disorder, ARFID, and other long standing eating disorders. This conversation centers trauma history, neurodivergence, sensory needs, oppression, and the intersectional barriers that prevent many people from reaching what treatment programs often define as full recovery. If you have lived with an eating disorder for decades, if you have experienced trauma or misdiagnosis, if you are neurodivergent, or if you live in a marginalized body that has faced medical discrimination, you may find this episode deeply validating. Harm reduction gives you realistic recovery goals that respect your lived experience, your nervous system, and your access needs. What You Will Learn in This Episode Dr. Marianne explains how harm reduction works in eating disorder recovery and how it differs from traditional recovery models. She shows how harm reduction supports safety, stabilization, and dignity for people who have navigated chronic eating disorders for most of their lives. You will learn why the nervous system sometimes cannot tolerate pressure toward full recovery and why a flexible, collaborative approach can feel more aligned for many people. You will hear how sensory issues, interoception challenges, executive functioning differences, autistic burnout, and ADHD related overwhelm shape eating patterns for neurodivergent individuals. You will learn how trauma history, attachment ruptures, racialized stress, gender based discrimination, medical fatphobia, and identity marginalization influence both the development of eating disorders and the recovery process. Key Topics Covered This episode covers a wide range of topics that matter deeply for people with chronic eating disorders. These topics include how harm reduction supports stabilization when the long term eating disorder has become intertwined with survival. You will hear why the phrase full recovery can feel unrealistic or even harmful for people who have lived with their eating disorder for decades. Dr. Marianne explains how harm reduction creates safety, reduces shame, increases autonomy, and supports people who need a gentler and more individualized approach. The episode explores the role of neurodiversity in eating disorder recovery. This includes how sensory sensitivities shape food choices, how interoception differences impact hunger awareness, how executive functioning challenges influence meal consistency, and why many autistic and ADHD individuals need accessible, predictable, and customized strategies. You will also learn how intersectional oppression shapes health outcomes for people of color, queer and trans individuals, disabled individuals, fat individuals, and anyone living across multiple marginalized identities. Dr. Marianne describes what harm reduction can look like in daily life, from maintaining safe foods to creating sensory friendly meals to reducing medical instability in small, sustainable steps. She shares how this approach honors personal history and current capacity and how it helps many people live with more stability and less suffering. Who This Episode Is For This episode is for anyone living with a lifelong eating disorder who has felt pressure to pursue full recovery even when that expectation does not align with their reality. It is for people with chronic anorexia, chronic bulimia, long term binge eating disorder, ARFID shaped by sensory needs, and individuals with complex trauma who feel overwhelmed by traditional treatment expectations. This episode is also for neurodivergent individuals who live with autistic sensory profiles, ADHD impulsivity, interoception challenges, and executive functioning struggles that interfere with eating. It is for people living in marginalized bodies who have experienced medical discrimination or misdiagnosis. It is for professionals who want to learn how to apply harm reduction to eating disorder treatment in inclusive, neurodivergent affirming, and identity informed ways. Why This Episode Matters Many people with chronic or lifelong eating disorders feel invisible in mainstream recovery culture. They hear messages that full recovery is the only worthy goal and feel ashamed when their body or nervous system cannot meet those expectations. This episode names that truth with compassion. Harm reduction is a valid and ethical approach that honors lived experience and brings relief to people who need safety more than perfection. This episode matters because it acknowledges the role of trauma, neurodivergence, sensory needs, and intersectionality in long term eating disorders. It challenges the idea that recovery must look the same for everyone. It shows that you deserve care even if your healing does not follow a traditional blueprint. Your life still holds value and possibility. Related Episodes Orthorexia, Quasi-Recovery, & Lifelong Eating Disorder Struggles with Dr. Lara Zibarras @drlarazib on Apple & Spotify. Navigating a Long-Term Eating Disorder on Apple & Spotify. Why Eating Disorder Recovery Feels Unsafe: Facing Ambivalence in Long-Term Struggles on Apple & Spotify. Perfectionism, People-Pleasing, & Body Image: Self-Compassion Tools for Long-Term Eating Disorder Recovery With Carrie Pollard, MSW @compassionate_counsellor on Apple & Spotify. Resources and Support If you want more resources on lifelong eating disorders, harm reduction, ARFID, sensory based eating, and neurodivergent affirming care, visit drmariannemiller.com where you will find blog posts, guides, and links to specialized support. You can also explore my ARFID course and binge eating recovery membership options if you want deeper help with binge eating disorder, bulimia, ARFID, or long term eating disorder recovery. My work supports clients in California, Texas, Washington DC, and internationally through coaching. Join the Conversation If this episode resonated with your experience of a lifelong eating disorder or if you are curious about harm reduction as a recovery model, I would love to hear your thoughts. You can connect with me on Instagram at @drmariannemiller and share what stood out to you. For More Dr. Marianne-Land Podcast Episodes To explore more episodes on eating disorders, neurodiversity, trauma, and body liberation, listen to the full archive on your favorite podcast platform.

What happens when chronic illness meets wellness culture, diet culture, and the desperate search for answers in a system that continues to fail so many people? In this episode, I talk with Abbie Attwood, MS, @abbieattwoodwellness, an anti diet, weight inclusive nutrition therapist and host of the Full Plate Podcast. Abbie and I explore how chronic illness, medical gaslighting, and the pressure to find a cure can intersect with disordered eating. We talk about the ways wellness messaging pushes restrictive food rules, how OCD and anxiety deepen vulnerability to this messaging, and how food fear can feel like control when life feels unpredictable. We also discuss athlete identity, compulsive exercise, thin privilege, masking, neurodivergence, and the grief that comes when illness or injury forces people to rethink who they are. This conversation opens space for nuance, compassion, and the reality that healing happens inside context, not perfection. Content Caution We talk about chronic illness, disordered eating, exercise compulsion, and food restriction. Please take care of yourself as you listen. Key Topics We Cover 1. How wellness culture preys on vulnerability Abbie discusses how chronic illness created a perfect storm for disordered eating, especially when wellness messaging promised control, cures, and answers that science did not support. 2. Chronic illness and the search for control We talk about how desperation, medical dismissal, and misinformation make people more likely to turn to restrictive food rules and elimination diets. 3. OCD, anxiety, and increased vulnerability to wellness culture Abbie shares how her undiagnosed OCD and lifelong anxiety made the rigid, all or nothing tone of wellness culture feel reassuring, while actually deepening harm. 4. Athlete identity, loss, and compulsive movement We explore how losing movement due to chronic illness or injury can destabilize identity, trigger grief, and reignite disordered behaviors around exercise. 5. Masking, neurodivergence, and the pressure to perform wellness We discuss how neurodivergent masking can hide exhaustion and overwhelm, and how the pressure to perform health or discipline can push people deeper into food and exercise rigidity. 6. Chronic illness culture, shame, and blame We look at how chronic illness culture and wellness culture both place responsibility on the individual, leading to shame and self blame when bodies do not behave as expected. 7. What real nourishment looks like when illness limits capacity Abbie talks about the need for compassion, ease, adding rather than restricting, and honoring energy limitations instead of forcing strict food rules. Who This Episode Is For People navigating chronic illness and food anxiety Listeners recovering from eating disorders Neurodivergent folks who feel pressured to mask or follow rigid health rules Athletes or former athletes grieving changes in movement Anyone tangled in wellness culture messaging Clinicians who want a deeper understanding of how chronic illness intersects with disordered eating People who struggle with shame when illness reduces their capacity About Today's Guest Abbie Attwood, MS, is an anti diet, weight inclusive nutrition therapist, writer, and host of the Full Plate Podcast. She provides virtual nutrition therapy and body image support through Abbie Attwood Wellness and writes a widely loved Substack newsletter on healing our relationships with food and body. You can find her at @abbieattwoodwellness and abbieattwoodwellness.com. Links Mentioned Abbie Attwood Wellness Substack: abbieattwoodwellness.substack.com Abbie's website: abbieattwoodwellness.com Instagram: @abbieattwoodwellness Full Plate Podcast Related Episodes Breaking Up With Diet Culture with Dr. Lisa Folden, @healthyphit on Apple & Spotify. How Eating Disorder Recovery Heals Life Overall via Apple or Spotify. Overexercising, ADHD, & Eating Disorders with @askjenup Jenny Tomei on Apple & Spotify. How Diet Culture & Purity Culture Fuel Eating Disorders: Unpacking the Trauma Behind the Rules with Cassie Krajewski, LCSW @inneratlastherapy on Apple & Spotify. Work With Me If you want support for binge eating disorder, ARFID, chronic eating struggles, or complex eating disorder patterns shaped by trauma, neurodivergence, or chronic illness, you can connect with me at drmariannemiller.com for therapy in California, Texas, or Washington D.C. I also offer global coaching and specialized courses.

Most providers still don't recognize ARFID when it's right in front of them. In this episode, Dr. Marianne Miller unpacks why Avoidant/Restrictive Food Intake Disorder remains so misunderstood—and how that misunderstanding harms children and adults who live with it. Dr. Marianne explains what ARFID really is, how it shows up across neurotypes, and why messages like “just try harder” damage safety, trust, and nervous system regulation. Through a neurodivergent-affirming lens, she explores how bias, pressure, and diet-culture thinking keep ARFID invisible and why it's time for providers to see the reality of this eating disorder. Why This Episode Matters For too long, ARFID has been dismissed as “picky eating.” This episode reframes ARFID as a real, body-based eating disorder rooted in sensory processing, fear, or trauma—not defiance or willpower. Dr. Marianne highlights the emotional and physiological impact of being told to “try harder,” and how that phrase erodes autonomy, increases shame, and dysregulates the body. When we understand ARFID as a nervous-system and safety-based challenge, our entire approach to care changes. Listening replaces forcing. Collaboration replaces control. Compassion replaces shame. Key Topics Covered What ARFID Really Is: Understanding sensory-based, fear-based, and low-interest eating patterns that have nothing to do with dieting or body image. Why Professionals Miss It: How traditional training and diet-culture frameworks erase ARFID from diagnosis and treatment. The Harm of “Try Harder” Messages: Exploring what happens when people are shamed or pressured to eat against their nervous system's limits. The Neurodivergent Lens: How autism, ADHD, and other forms of neurodivergence intersect with eating, safety, and sensory regulation. The Role of Bias: Why marginalized identities—fat, BIPOC, neurodivergent, or gender-diverse people—are more likely to be misunderstood or dismissed. What Support Looks Like: How neurodivergent-affirming, sensory-attuned, and autonomy-based care creates safety and possibility. Who This Episode Is For Therapists, dietitians, and physicians who want to understand ARFID beyond stereotypes. Parents who feel blamed or overwhelmed by their child's restricted eating. Adults who have lived with food fear or sensory eating struggles and never had language for it. Neurodivergent people who want their experiences around food to be seen, validated, and supported. Content Caution This episode includes discussion of eating behaviors, sensory distress, and medical dismissal related to ARFID. Please take care of yourself and listen in a way that feels safe for your body and nervous system. Related Episodes ARFID Explained: What It Feels Like, Why It's Misunderstood, & What Helps on Apple & Spotify. Why Sensory-Attuned Care Matters More Than Exposure in ARFID Treatment on Apple & Spotify. ARFID, PDA, and Autonomy: Why Pressure Makes Eating Harder on Apple & Spotify. Complexities of Treating ARFID: How a Neurodivergent-Affirming, Sensory-Attuned Approach Works on Apple & Spotify. Learn More and Get Support If you want to understand ARFID more deeply or build sensory-attuned support skills, check out Dr. Marianne's self-paced ARFID & Selective Eating Course. This training explores sensory processing, collaborative care, and trauma-informed strategies for clinicians, parents, and community members. Visit drmariannemiller.com/arfid to learn more.

In this week's episode, we discuss paediatric feeding and Avoidant / Restrictive Food Intake Disorder, or ARFID. We are joined by a multi-disciplinary panel to discuss collaborative supports. Psychologist Dr Katherine Bartlett, dietitian Rachel Tutill, and speech pathologist Val Gent discuss recent research about paediatric feeding needs including ARFID, as well as supports, and resources for clinicians and family or supporters. Resources: Winten, Copeland G., Strodl, Esben, & Ross, Lynda J. (2024) Multidisciplinary Treatment of Avoidant/Restrictive Food Intake Disorder. Psychiatric Annals, 54(2), e51-e55 DOI:10.3928/00485713-20240119-01 Gent, Valerie., Marshall, Jeanne., Weir, Kelly A., & Trembath, David. (2025) Caregiver perspectives regarding the impact of feeding difficulties on mealtime participation for primary school-aged autistic children and their families. International Journal of Speech-Language Pathology, International Journal of Speech-Language Pathology, February, 1–11. doi:10.1080/17549507.2025.2452901 Gent, Valerie., Marshall, Jeanne., Weir, Kelly A., & Trembath, David. (2024). Investigating the impact of autistic children's feeding difficulties on caregivers. Child: Care, Health and Development, 50(1), e13218. https://doi.org/10.1111/cch.13218 Feeding matters: www.feedingmatters.org It's not picky eating: www.itsnotpickyeating.org The Victorian Centre for Excellence in Eating Disorders (CEED) resources library https://ceed.org.au/resources/?_resources_search=ARFID Speech Pathology Australia acknowledge the Traditional Custodians of lands, seas and waters throughout Australia, and pay respect to Elders past and present. We recognise that the health and social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples are grounded in continued connection to culture, country, language and community and acknowledge that sovereignty was never ceded. Free access to transcripts for podcast episodes are available via the SPA Learning Hub (https://learninghub.speechpathologyaustralia.org.au/), you will need to sign in or create an account. For more information, please see our Bio or for further enquiries, email speakuppodcast@speechpathologyaustralia.org.au Disclaimer: © (2025) The Speech Pathology Association of Australia Limited. All rights reserved. Important Notice, Please read: The views expressed in this presentation and reproduced in these materials are not necessarily the views of, or endorsed by, The Speech Pathology Association of Australia Limited (“the Association”). The Association makes no warranty or representation in relation to the content, currency or accuracy of any of the materials comprised in this recording. The Association expressly disclaims any and all liability (including liability for negligence) in respect of use of these materials and the information contained within them. The Association recommends you seek independent professional advice prior to making any decision involving matters outlined in this recording including in any of the materials referred to or otherwise incorporated into this recording. Except as otherwise stated, copyright and all other intellectual property rights comprised in the presentation and these materials, remain the exclusive property of the Association. Except with the Association's prior written approval you must not, in whole or part, reproduce, modify, adapt, distribute, publish or electronically communicate (including by online means) this recording or any of these materials.

Kevin hears Danielle Meinert's “The Day I Met ARFID” story from The Story Collider for the first time and gives you his hot takes. You can also watch this episode on YouTube! This is part of our RISK! Reacts series, where we listen to a story told on another show and give our first reactions. Here's the Spotify Playlist mentioned in the episode. And here is an article about the playlist from hopkinsmedicine.org.

In Part III of our OCRD Series, we explore Avoidant/Restrictive Food Intake Disorder (ARFID), a serious eating disorder that often overlaps with OCD, anxiety, and sensory sensitivities. Host Nicole Morris, LMFT, breaks down how ARFID shows up in real life, courtesy of a FEAST presentation by Dr. Sarah Ravin, Ph.D., on how ARFID differs from typical picky eating, and what treatment options can help individuals and families navigate recovery. Additionally, Nicole provides some practical examples as she provides live reaction to Hannah Lea's bravery on her channel, @MyARFIDlife. So join the conversation, and leave with lots of hope! Because if anything, we're reminded that we're not alone.

What happens when you live with a severe eating disorder in a larger body yet the medical system refuses to see it? In this powerful conversation, Sharon Maxwell (she/they) shares her story of surviving anorexia in a fat body, advocating for herself inside medical systems that consistently denied her care, and reclaiming joy, autonomy, and embodiment after years of harm. Sharon is an educator, speaker, and fat activist who dedicates her work to dismantling anti fat bias and eradicating weight stigma in healthcare and society. Their story and activism have been featured in the New York Times Magazine, The Tamron Hall Show, The Wall Street Journal, NPR, 60 Minutes, and more. Together, we explore the realities of receiving medical care while fat, why compassionate providers save lives, how weight stigma shaped Sharon's early life and nearly cost her her life, and why reclaiming joy becomes an act of resistance. This episode holds so much wisdom, solidarity, and truth telling for anyone in eating disorder recovery, anyone harmed by medical weight stigma, and anyone committed to building a safer world for people in larger bodies. What We Cover in This Episode Sharon's Early Story and Reclaiming Joy Sharon shares a surprising fun fact about being a lifelong pianist and how taking jazz lessons helped them reclaim creativity after growing up in a restrictive religious cult that controlled every aspect of music, expression, and embodied joy. They describe how jazz has become part of their healing and identity reconstruction. Growing Up Fat, Undiagnosed, and Unseen Sharon lived in a fat body their entire life and struggled with anorexia for nineteen years. They went undiagnosed because medical providers only saw their body size. When Sharon arrived with obvious symptoms of an eating disorder, providers dismissed the symptoms and blamed their body. They describe how weight stigma prevented treatment and reinforced eating disorder patterns. The Doctor Who Changed Everything Sharon describes the first doctor who recognized the eating disorder and offered real compassion. That moment shifted the trajectory of their life. We discuss how rare this experience is and why truly compassionate medical care can be lifesaving for people living in larger bodies. Medical Trauma and the Cost of Weight Stigma Sharon shares painful stories about: Being denied necessary medical procedures because of body size. Experiencing trauma at gynecological appointments. Nearly dying from untreated tonsillitis because providers assumed weight was the cause rather than treating the actual condition. The emotional and financial toll of weight stigma across childhood and adulthood. We discuss how the healthcare system misattributes the financial cost of weight stigma to the O-word and how this distorts public health narratives and patient care. Eating Disorders in Larger Bodies Sharon explains how anti fat bias prevents providers from seeing eating disorders in fat patients. They highlight how common anorexia is in larger bodies and how life threatening it becomes when medical systems refuse to diagnose or treat it. How Anti Fat Bias Harms Everyone Sharon and I talk about how dismantling anti fat bias supports every person in eating disorder recovery. Recovery requires divesting from anti fat bias, reconnecting with the body, and understanding how these biases shape thoughts and behaviors across all sizes. Intersectionality and Medical Harm We explore how harms escalate for people with multiple marginalized identities, including Black patients, Indigenous patients, trans patients, and fat patients who also face racism, transphobia, or medical gatekeeping. Advocacy, Boundaries, and Medical Self Protection Sharon shares concrete strategies for preparing for medical appointments, including: Bringing notes to stay grounded when hyperarousal hits. Recording appointments for recall and safety. Bringing a support person. Taking intentional rest time afterward. Establishing boundaries and walking out when providers violate consent. We discuss how exhausting it is to prepare for appointments that should be safe and how necessary these strategies become for survival. Why Sharon Became a Fat Activist After nearly dying because of weight stigma, Sharon left the classroom to educate clinicians, providers, and communities about anti fat bias. They now work with medical systems and general audiences to deconstruct bias, build safer care practices, and illuminate the threads of anti fat culture that harm everyone. Imagining an Ideal World Sharon answers the signature Dr. Marianne Land question. Their ideal world includes accessible spaces for play, joy, rest, and creativity for all bodies. It includes medical care rooted in compassion, humanity, and dignity, and it includes ice cream for everyone with options for all bodies and needs. Who This Episode Is For This episode supports: People in fat bodies who have experienced medical trauma. Listeners who lived with eating disorders in larger bodies without diagnosis or care. Providers wanting to unlearn weight stigma and offer safer treatment. Clinicians seeking to understand the intersection of eating disorders and anti fat bias. Anyone navigating healthcare systems that dismiss or harm them. People exploring intersectionality, fat liberation, and neurodivergent affirming care. Key Themes Eating disorders in larger bodies are real, severe, and often missed. Anti fat bias in healthcare prevents accurate diagnosis and lifesaving treatment. Medical trauma compounds over years and affects every modality of care. Compassionate providers save lives. Medical self advocacy is necessary but exhausting. Intersectionality affects both access to and quality of care. Joy and play become powerful acts of resistance. People in larger bodies deserve safety, dignity, and accurate medical treatment. Related Episodes Atypical Anorexia Explained: Why Restriction Happens at Every Body Size 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. When Doctors Harm: Medical Weight Stigma & Eating Disorders on Apple & Spotify. Fat Vulnerability & Our Eating Disorder Recovery Stories on Apple & Spotify. Connect With Sharon Maxwell Follow Sharon on Instagram and all social platforms at @heysharonmaxwell. Learn More and Get Support For therapy, courses, and resources on eating disorders, ARFID, binge eating, and neurodivergent affirming care, visit my website at drmariannemiller.com and explore support options inside my binge eating recovery membership and ARFID programs.

In this solo episode, Dr. Marianne Miller, LMFT, speaks directly to the body that carries fear, memory, and longing for safety. Through a poetic open letter, she explores why recovery can feel unsafe even when life begins to stabilize. Instead of treating fear as resistance, she reframes it as communication and wisdom. In this episode, she invites listeners to move from fighting their bodies to listening to them. Dr. Marianne explores how trauma, neurodivergence, and systemic oppression live in the body, and how tenderness can become a bridge between fear and trust. It is not a set of instructions. It is an act of witnessing. Why This Episode Matters Many people in eating disorder recovery are told that getting better should feel empowering. But for those whose bodies have been sites of trauma, shame, or disconnection, recovery can feel unbearable. This episode reframes that discomfort as an intelligent response from the body, not as failure or lack of willpower. By turning recovery into a dialogue instead of a demand, listeners learn how to approach healing at the pace of safety. Dr. Marianne shares how fear is not the opposite of progress but a sign that the body is asking for gentler evidence that the world can hold it safely. Her trauma-informed, neurodivergent-affirming, and liberation-based approach helps listeners replace control with curiosity and build trust with the body through compassion. Key Topics Covered In this episode, Dr. Marianne reflects on: The nervous system's memory of trauma and how it interprets safety Why the body resists calm and how to rebuild trust slowly The grief that comes with letting go of control and perfectionism How sensory sensitivities and neurodivergence affect recovery pacing The intersectional realities that make safety harder for fat, queer, trans, BIPOC, and neurodivergent people What it means to redefine “getting better” as coming home to yourself Listeners will come away with a new way to understand their bodies. They will learn that healing does not require pushing through fear but learning to listen to what fear is trying to protect. Who This Episode Is For This episode is for anyone who has ever felt frightened by their own progress in recovery. It will resonate with: People in eating disorder recovery who feel ambivalent about healing Neurodivergent listeners who experience overwhelm or shutdown during recovery Fat, queer, trans, and BIPOC individuals navigating systems that equate safety with conformity Clinicians and caregivers who want to understand the embodied realities of fear and healing It is also for those who need permission to slow down, to stop performing readiness, and to honor the body as a partner in recovery rather than an obstacle. Content Caution This episode includes discussion of eating disorder recovery, body distrust, trauma, and the emotional experience of fear during healing. It also references restriction, bingeing, and body-based distress without graphic detail. Please take care while listening. Pause or return to the episode later if it feels overwhelming. You are encouraged to have support in place as you engage with this material. Related Episodes How Childhood Trauma Shapes Eating Disorders & Body Shame (Content Caution) on Apple & Spotify. Perfectionism, People-Pleasing, & Body Image: Self-Compassion Tools for Long-Term Eating Disorder Recovery With Carrie Pollard, MSW @compassionate_counsellor on Apple & Spotify. Why Letting Go 0f Restriction Feels Unsafe in Eating Disorder Recovery on Apple & Spotify. Learn More and Get Support To continue exploring how to build safety with your body, visit drmariannemiller.com. There you will find: The ARFID & Selective Eating Course, a self-paced program offering sensory-attuned and neurodivergent-affirming tools for individuals and caregivers. The Binge Eating Recovery Membership, a space for ongoing support, education, and compassionate community that moves beyond diet culture. Blog posts, podcast episodes, and free resources on trauma-informed, consent-based, and liberation-centered recovery. Each offering is grounded in curiosity, respect, and collaboration.

Send us a textWelcome to episode 1 of our series- IBD Can Eat Me guest hosted by Stacey Collins, IBD RD. In this series, Stacey will interview other Dietitians who also specialize in IBD. This week we welcomed Venus Kalami- board-certified pediatric Dietitian Nutritionist! What if the strict diet you're told to follow does more harm than good? We sit down with pediatric dietitian Venus to unpack how nutrition in IBD can support health without sacrificing joy, culture, or family life. From Stanford Children's IBD and celiac center to medical affairs and public education, Venus brings a rare mix of clinical depth and human warmth—and she doesn't shy away from hard truths.We dig into the pressure families feel to “do everything,” the overuse of restrictive therapeutic diets, and the real risks that come with them: malnutrition, ARFID, pediatric feeding disorders, and lasting food trauma. Venus shares a clear way to tell the difference between a transient food reaction and an inflammatory flare, helping patients step off the rollercoaster of fear and over-correction. She also shows how to make care culturally inclusive with simple, powerful questions: What do you like? What do you cook? What feels doable at home? It's a move from generic handouts to plans that honor heritage foods and real life.You'll hear a vivid case study where a patient referred for low FODMAP improved dramatically without elimination—just lactase with dairy, spreading fruit across the day, and changing other patterns developed from past food trauma. We talk about involving mental health early, “asking around the ask” when supplements come up, and borrowing pediatric best practices for adults who shouldn't have to navigate IBD alone. The theme running through it all: patients deserve permission to dream beyond survival. Biomarkers matter, but so do birthdays, travel, and the comfort foods that make you feel at home.If this conversation resonates, follow the show, share it with someone who needs a gentler path, and leave a review to help more people find evidence-based, humane IBD care. Your feedback shapes future episodes—what question should we tackle next?Nutrition Pearls podcast with VenusVenus on XSolid Starts app"Offering Nutritional Therapies to Patients with IBD: Even If You're Not An Expert"- Video from Nutritional Therapy for IBDLet's get social!!Follow us on Instagram!Follow us on Facebook!Follow us on Twitter!

What happens when your survival strategy becomes the thing standing between you and full recovery? In this episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, Dr. Marianne Miller explores how masking and camouflaging shape the lives of neurodivergent people living with eating disorders. Through a trauma-informed, neurodivergent-affirming lens, she unpacks how chronic masking affects body trust, executive functioning, and safety in recovery. This conversation goes beyond the surface, offering insight into the deep intersection between identity, safety, and healing for autistic and ADHD people navigating disordered eating. Why This Episode Matters Masking, also known as camouflaging, is often praised as adaptability, but for many neurodivergent people it is a survival response that comes at a high cost. When you spend years performing normalcy, you can lose touch with your body's natural rhythms, sensations, and needs. This episode reveals how masking contributes to disordered eating patterns and burnout, and why many neurodivergent individuals struggle to connect with hunger, fullness, and safety cues. Dr. Marianne explains how unmasking can become an essential part of recovery when it is grounded in safety and choice. She also highlights the collective responsibility of clinicians, families, and communities to create environments where authenticity does not come with punishment. Key Themes Covered What masking and camouflaging look like for autistic and ADHD people How chronic masking disconnects you from body cues and emotions The relationship between executive function burnout and chaotic eating Masking inside therapy and recovery spaces How unmasking becomes a healing process when safety is prioritized The crucial role of neurodivergent-affirming, sensory-aware support The realities of intersectionality and why unmasking is not equally safe for everyone The Big Intersectionality Caveat Unmasking can be freeing, but it is not always safe. For people living at the intersections of multiple marginalized identities, such as people of color, fat people, queer and trans individuals, and those with disabilities, authentic self-expression often carries real risks. Systems rooted in racism, fatphobia, ableism, and heteronormativity still punish difference. In this segment, Dr. Marianne offers guidance on how to navigate those risks without self-betrayal. She invites listeners to think of unmasking as a gradual and relational process rather than a demand for constant transparency. Authenticity must coexist with safety, and strategic masking can be a legitimate survival tool. Recovery is not about abandoning the mask everywhere; it is about finding and creating spaces where the mask can come off without harm. Who This Episode Is For This episode is for: Neurodivergent adults and teens in eating disorder recovery Autistic and ADHD individuals struggling with food, body image, or ARFID Therapists seeking to provide neurodivergent-affirming, sensory-informed care People navigating multiple marginalized identities who feel unsafe unmasking in treatment Parents and partners who want to better understand masking, executive functioning, and sensory needs in eating behaviors Content Caution This episode includes discussion of eating disorder behaviors, masking fatigue, and systemic oppression. Listener discretion is advised, especially if you are in early recovery or working through trauma related to identity or body shame. Related Episodes Autism & Anorexia: When Masking Looks Like Restriction, & Recovery Feels Unsafe via Apple & Spotify. Recovering Again: Navigating Eating Disorders After a Late Neurodivergent Diagnosis (Part 1) With Stacie Fanelli, LCSW @edadhd_therapist via Apple & Spotify. Stuck on Empty: Autistic Inertia, ARFID & the Struggle to Eat via Apple & Spotify Minding the Gap: The Intersection Between AuDHD & Eating Disorders With Stacie Fanelli, LCSW @edadhd_therapist via Apple & Spotify Our Personal Neurodivergent Stories via Apple & Spotify. Learn More and Get Support If today's episode resonated with you, explore Dr. Marianne's ARFID & Selective Eating Course, a self-paced, neurodivergent-affirming resource that supports sensory-based eating, autonomy, and compassion in recovery. Learn more at drmariannemiller.com.

What happens when a physician, trained to prioritize science and performance, discovers that her own healing requires compassion, spirituality, and trust in her body? In this powerful interview, we explore one woman's story of recovering from binge eating disorder while navigating the pressures of medicine, diet culture, and systemic weight bias. You'll hear how early messages about food and scarcity shaped her relationship with eating, how medical training reinforced body shame, and how she ultimately reconnected to herself through self-compassion, intuitive eating, and body trust. This episode offers both a deeply personal narrative and a professional perspective on how healthcare can move toward weight-neutral, compassionate care. Key Topics Covered How childhood scarcity and fear can shape lifelong eating patterns The pressures physicians face to conform to body ideals in medicine How chronic stress and sleep deprivation in residency can trigger binge eating Why self-compassion—not willpower—became the turning point in recovery What it takes to unlearn diet culture within the healthcare system The rise of GLP-1 medications and how they complicate conversations about body autonomy Healing the disconnect between professional identity and personal recovery Building a weight-neutral, compassionate approach to health and wellbeing Who This Episode Is For This episode is for anyone who has struggled with binge eating, body shame, or internalized weight stigma—especially those in helping professions. It's also for clinicians, therapists, and healthcare providers seeking to understand how medical culture perpetuates harm and how to bring more compassion into patient care. If you've ever felt like your professional role or perfectionism made recovery harder, this episode will remind you that you're not alone—and that healing is possible, even in systems that don't always make room for it. Why This Conversation Matters In a world where doctors are often seen as immune to body image struggles, this story reveals how deeply systemic fatphobia and diet culture reach—even into the halls of medicine. It challenges the myth that knowledge alone heals disordered eating and instead centers nervous system safety, self-compassion, and intuitive wisdom as the foundation for recovery. Resources Mentioned Intuitive Eating by Evelyn Tribole and Elyse Resch Reclaiming Body Trust by Hilary Kinavey and Dana Sturtevant Wayza Health (wayzahealth.com)--Dr. Michelle's website Research on GLP-1 medications and long-term outcomes Center for Body Trust Related Episodes  When Doctors Harm: Medical Weight Stigma & Eating Disorders on Apple & Spotify. Fat Vulnerability & Our Eating Disorder Recovery Stories on Apple & Spotify. Challenges of Weight-Loss Surgery & Medical Anti-Fat Bias on Apple & Spotify. Learn More and Get Support If you or someone you love is navigating binge eating, emotional eating, or recovery after years of dieting, visit drmariannemiller.com to explore specialized support. You'll find resources for binge eating recovery, ARFID support, and neurodivergent-affirming therapy and courses.

What if your nighttime eating isn't a failure of willpower but your body's way of asking for safety, nourishment, and rest? In this solo episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, Dr. Marianne Miller explores the misunderstood world of Night Eating Syndrome (NES)—a condition that often hides behind shame and silence. Rather than framing night eating as a “bad habit,” Dr. Marianne offers a compassionate, neurodivergent-affirming lens that reveals what your body and brain are truly communicating when nighttime hunger takes over. She unpacks how executive-function challenges, sensory processing differences, and disrupted circadian rhythmscan contribute to Night Eating Syndrome. You'll learn how to distinguish between waking up at night to eat versus staying up late and bingeing, and why that difference matters for healing. Dr. Marianne also shares practical ways to support your body's natural rhythms using executive-function tools—like creating transition meals, supporting sensory needs, and building low-lift nourishment systems that actually work with your brain. Finally, she offers self-compassion strategies that help calm shame, regulate the nervous system, and restore trust in your body's signals. Key Topics Covered What Night Eating Syndrome really is—and why it's not a moral failure The role of executive-function fatigue in late-night eating cycles How neurodivergent people may have different hunger and sleep patterns than neurotypicals Practical, low-lift tools to support nighttime regulation and nourishment How to distinguish between Night Eating Syndrome and binge eating The importance of self-compassion and curiosity in healing the shame cycle Who This Episode Is For This episode is for anyone who finds themselves eating late into the night and feeling stuck in shame or confusion afterward. It's especially for neurodivergent adults, trauma survivors, and anyone who struggles with inconsistent eating or sleep patterns. Clinicians who work with eating disorders, ARFID, or binge eating may also find this episode helpful for supporting clients with neuroaffirming and compassion-based approaches. Content Caution This episode discusses eating disorder behaviors related to Night Eating Syndrome and binge eating. Listener discretion is advised. Please take care of yourself and pause if you need to. Related Episode on Night Eating Syndrome Night Eating Syndrome on Apple & Spotify (my most popular podcast episode of all time!) Why Am I Eating at Night? Understanding Night Eating Syndrome in Your 30s, 40s, & 50s on Apple & Spotify. Learn More and Get Support If Night Eating Syndrome or binge eating feels familiar to you, support and recovery are possible. Inside my virtual Binge Eating Recovery Membership, you'll find a self-paced, compassionate space to explore the roots of your eating behaviors while building executive-function skills, sensory supports, and self-trust. Learn more at drmariannemiller.com.

In this episode of First Bite, Michelle Dawson, MS, CCC-SLP, CLC, BCS-S, is joined by Dr. Amy Talbot, Director and Clinical Psychologist of the Talbot Centre in Australia, to unpack the well-established overlap between Pediatric Feeding Disorder (PFD) and Avoidant Restrictive Food Intake Disorder (ARFID). For SLPs new to this area of practice, the lines between roles and responsibilities, particularly with respect to each diagnosis, can be blurry, and Dr. Talbot is here to clean it all up!If you are curious as to what the differences are between PFD and ARFID and want to learn more about how a psychologist can contribute to the care of clients with feeding-related concerns (PFD/ARFID) as part of a multidisciplinary team, then be sure to join this conversation.By the end of the hour, Amy plans to equip guests with strategies for building relationships with suitably trained or qualified psychologists as part of their referral network, aiming to grow a robust interprofessional practice team.Show Notes: Feeding Matters: https://www.feedingmatters.orgTalbot Centre: https://thetalbotcentre.com.auButterfly Foundation: https://butterfly.org.auAbout the Guest(s): Dr Amy Talbot (she/her) is a multi-award-winning clinical psychologist and director of The Talbot Centre, a multidisciplinary service in Sydney. Her work focuses on eating, feeding, and body image concerns, with an emphasis on neurodiversity-affirming, family-centred care. Amy is a sought-after presenter, supervisor, and researcher, known for advancing interdisciplinary approaches to complex case formulation and integrating lived experience perspectives to improve outcomes for individuals with ARFID and related feeding disorders.Follow First Bite: https://linktr.ee/FirstBitePodcastSpotify: https://open.spotify.com/show/36kfA1xbU156vHPilALVoJ?si=086bed1210af45d5Apple Podcasts: https://podcasts.apple.com/us/podcast/first-bite/id1399630680

Is it picky eating or something deeper? In this episode, RD Kristen Nyampong breaks down Avoidant Restrictive Food Intake Disorder (ARFID) — what it looks like, how it's often missed, and why it can show up differently in BIPOC communities. We talk about helping clients expand food variety without pressure or shame, navigating family dynamics, and how dietitians can work through a trauma-informed and weight-inclusive lens.If you're living with diabetes or prediabetes and want personalized support from a Registered Dietitian Nutritionist covered by insurance, visit diabetesdigital.co to connect with our culturally aware and weight-inclusive team. And if you love the show, don't forget to rate and review us on iTunes or Spotify—it makes a huge difference! For additional resources and show notes, head to diabetesdigital.co/podcast.

Why does recovery from an eating disorder feel so fragile, even after years of hard work? In this episode of Dr. Marianne Land, Dr. Marianne Miller unpacks the realities of relapse in long-term eating disorder recovery—what causes it, how to navigate it, and why recovery doesn't stick in a culture that constantly reinforces shame, anti-fat bias, and unrealistic expectations of healing. Episode Overview This eating disorder relapse podcast episode explores the complexity of staying recovered after years or decades of healing. Dr. Marianne explains how relapse is not a personal failure but rather an opportunity to understand what your body and nervous system are communicating. Through a neurodivergent-affirming and body-liberation lens, she breaks down why recovery ebbs and flows and how you can rebuild stability with compassion instead of judgment. Listeners will learn what it really takes to sustain long-term eating disorder recovery, how trauma and stress can reignite old coping mechanisms, and how to approach relapse as part of the process—not the end of it. Key Topics Covered The real meaning of recovery and why “staying recovered” forever is an unrealistic expectation. How the nervous system and trauma memory create vulnerability to relapse. Why life transitions, burnout, and chronic stress often trigger eating disorder relapse. How anti-fat bias, weight stigma, and cultural messaging undermine sustainable recovery. The unique challenges of neurodivergent eating disorder recovery and how to meet sensory and executive-function needs. How to rebuild body trust after relapse through curiosity, safety, and self-compassion. Practical tools for sustainable recovery strategies that evolve as your life changes. Who This Episode Is For This episode is for anyone living with a long-term eating disorder who feels discouraged by relapse or fears they are “backsliding.” It's also for therapists, dietitians, and family members who want to understand why recovery doesn't stickfor everyone—and how to provide affirming, compassionate support. Why This Episode Matters In a world where recovery is often portrayed as a linear journey, this episode challenges that myth. Relapse in long-term eating disorder recovery is common, but few people talk about it without shame. Dr. Marianne brings honesty, education, and hope to a topic that deserves care. Relapse is not failure, it's feedback. And when you learn to listen to what your body needs, you can rebuild a recovery that truly fits your life. Related Episodes on Long-Term Eating Disorders Orthorexia, Quasi-Recovery, & Lifelong Eating Disorder Struggles with Dr. Lara Zibarras @drlarazib on Apple & Spotify. Navigating a Long-Term Eating Disorder on Apple & Spotify. Why Eating Disorder Recovery Feels Unsafe: Facing Ambivalence in Long-Term Struggles on Apple & Spotify. Perfectionism, People-Pleasing, & Body Image: Self-Compassion Tools for Long-Term Eating Disorder Recovery With Carrie Pollard, MSW @compassionate_counsellor on Apple & Spotify. Learn More and Get Support For more on long-term eating disorder recovery, ARFID, binge eating, body trust, and sustainable recovery strategies, visit drmariannemiller.com.

Can anxiety about food safety quietly shape the way an entire family eats, lives, and loves? In this episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, Dr. Marianne Miller, LMFT, talks with Tamara Hubbard, LCPC, founder of The Food Allergy Counselor and The Academy of Food Allergy Counseling. Together, they explore how food allergy anxiety can affect both children and parents, sometimes leading to ARFID-like eating patterns and significant emotional distress. Tamara shares her journey from being a parent of a child with a peanut allergy to becoming a national leader in the field of food allergy mental health. She discusses how chronic fear and misinformation can cause families to become trapped in cycles of hypervigilance and restriction. She and Dr. Marianne also examine how therapy can help families move toward flexibility, autonomy, and connection at the table. Listeners will hear how Acceptance and Commitment Therapy (ACT) and values-based approaches support parents in balancing safety with freedom, and how addressing anxiety can improve both emotional well-being and quality of life. Key Topics Covered The difference between food allergies and food intolerances and why accurate understanding matters How food allergy anxiety can spread through families and mimic ARFID symptoms The role of parental fear in shaping a child's own food relationship and daily life The risks of restriction-based medical advice, including some functional medicine practices How ACT and mindfulness tools can help parents tolerate fear and stay connected to their values Ways to calm the fight-or-flight response and reduce hypervigilance around food and safety Why collaboration between therapists and allergists creates stronger, safer support for families Who This Episode Is For This episode is for parents and caregivers who want to understand how food allergies, anxiety, and ARFID intersect in family life. It is also for therapists, dietitians, and healthcare providers who want to learn how to support families with evidence-based, trauma-informed, and values-driven care. Food Allergy Resources Mentioned Book: May Contain Anxiety: Managing the Overwhelm of Parenting Children With Food Allergies by Tamara Hubbard, LCPC (Johns Hopkins University Press, 2025) Website: The Food Allergy Counselor for educational articles, therapeutic resources, and directories of food allergy-informed therapists Organization: The Academy of Food Allergy Counseling for clinician training and professional community Article: Allergic Living Magazine Airline Allergy Travel Guide for details on how major airlines handle food allergy policies Advocacy Resource: No Nut Traveler by Leanne Mandelbaum, advocating for safer air travel for people with food allergies Therapeutic Framework: Acceptance and Commitment Therapy (ACT) for managing anxiety and values alignment Cultural Reference: We Can Do Hard Things by Glennon Doyle as a reminder of resilience and self-compassion Content Caution This episode includes discussions of allergic reactions, anaphylaxis, and eating challenges. Please take care while listening if these topics may feel activating or distressing. Learn More and Get ARFID and Selective Eating Support Visit ARFID and Selective Eating Course. This virtual program provides a compassionate, neurodivergent-affirming framework that helps families and clinicians create safety, flexibility, and understanding around food.

Conversamos con Laura Wong Hudson sobre ARFID, un desorden alimenticio severo que afecta especialmente a niños y puede causar miedo intenso al momento de comer. Hablamos de señales, diagnóstico, tratamiento y recursos para familias. Para mayor información busque asociaciones dedicadas a este tipo de desórdenes como the National Eating Disorders Association (NEDA). Bibliografía en el …

Do people praise your discipline while ignoring your struggle with a long-term eating disorder? In this solo episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, Dr. Marianne Miller, LMFT, unpacks the cultural myth of the “high-functioning” eating disorder and explores why so many lifelong eating disorders go unnoticed, untreated, or mislabeled as willpower or success. Episode Overview So many people live for decades with an eating disorder that never fully goes away—because the world keeps rewarding them for being productive, disciplined, or “healthy.” Dr. Marianne explains how functioning can become a form of masking, how trauma and safety patterns reinforce chronic disordered eating, and why recovery often requires dismantling the very systems that taught us to perform instead of rest. This episode brings honesty and compassion to those who have felt unseen by treatment models that only recognize crisis, and validation to those who have carried invisible pain behind competence and control. Key Topics Covered What “high-functioning” really means and why it's a harmful label How lifelong eating disorders become normalized and overlooked The hidden costs of functioning and perfectionism Trauma, safety, and why control feels protective How privilege shapes who gets labeled “high-functioning” Recovery pathways for long-term and late-stage eating disorders The difference between surviving and actually living Who This Episode Is For This episode is for anyone who has lived with chronic disordered eating, for those who have been told they “don't look sick,” and for clinicians seeking to better understand the quiet suffering that hides behind high performance. It's also for neurodivergent listeners and those in larger bodies who have felt unseen in traditional eating disorder spaces. Related Episodes   Learn More and Get Support for Lifelong Eating Disorders You can explore therapy, coaching, and recovery resources at drmariannemiller.com. If you're ready to deepen your healing, check out Dr. Marianne's virtual, self-paced ARFID and Selective Eating Course, designed to support autonomy, sensory needs, and manageable recovery. You can also follow Dr. Marianne on Instagram @drmariannemiller.

Adam creates a hypnosis session to help a client with ARFID - avoidant/restrictive food intake disorder to feel empowered to try new foods privately to avoid fear of judgment, and to build confidence when trying foods in social settings. Adam helps them think of foods that they feel comfortable with, and introduces the idea of a green zone that they can aim to expand. To access a subscriber-only version with no intro, outro, explanation, or ad breaks with just the hypnosis and nothing else, click subscribe. To access all hypnosis-only versions and exclusive subscriber sessions and have invitations to live hypnosis sessions over Zoom, tap 'Subscribe' nearby or click the following link.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://creators.spotify.com/pod/profile/adam-cox858/subscribe⁠⁠⁠⁠⁠⁠⁠⁠⁠

Feeding therapist, Kelly Komisaruk, chats about ARFID in kids and teens and the new treatment she's using to help them overcome anxiety about food.

In this solo episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, fat-positive therapist and eating disorder specialist Dr. Marianne Miller, LMFT explains why she no longer uses the label “Atypical Anorexia.” She discusses how anti-fat bias, weight stigma, and systemic discrimination in eating disorder treatment have shaped the diagnostic criteria for anorexia and harmed people in larger bodies. Listeners will learn how the term “atypical” upholds thinness as the standard for illness, why that belief leads to delayed diagnoses, and how shifting our language can expand access to inclusive, weight-neutral, and neurodivergent-affirming eating disorder care. Through clinical insight, real-world examples, and liberation-focused analysis, Dr. Marianne reframes what anorexia recovery truly means: healing one's relationship with food, body, and self without hierarchy, shame, or size bias. Key SEO Topics Covered What Is “Atypical Anorexia”? Understanding the origins of the term and how it reinforces weight stigma and anti-fat bias. Why Thinness Shouldn't Define Anorexia: How body diversity challenges outdated diagnostic models. The Role of Weight Stigma in Anorexia Recovery: How medical bias limits access to eating disorder therapyand treatment coverage. Cultural and Systemic Bias in Eating Disorder Diagnosis: How fatphobia, whiteness, and ableism distort who gets diagnosed. Intersectionality and Neurodivergence: How autism, ADHD, race, and gender identity affect the experience and recognition of anorexia. What Inclusive Eating Disorder Treatment Looks Like: How clinicians can provide weight-inclusive, trauma-informed, neurodivergent-affirming care. Body Liberation and Recovery: Why reclaiming the word “anorexia” for all bodies fosters belonging and healing. Who This Episode Is For This episode is for anyone interested in inclusive anorexia recovery and liberation-centered eating disorder treatment. It's especially for: People in larger bodies who have experienced restriction or medical dismissal. Clinicians seeking to decolonize their approach to eating disorder therapy. Neurodivergent listeners navigating food restriction or sensory challenges. Individuals recovering from anorexia who were told they are “not sick enough.” Advocates, parents, and students learning about anti-fat bias and weight-inclusive recovery models. Why This Conversation Matters The label “Atypical Anorexia” perpetuates harmful myths about body size, illness, and worthiness. It tells people in larger bodies that their pain is less valid and their recovery less urgent. In reality, anorexia occurs in every body size, race, gender, and neurotype. By challenging the term “atypical,” Dr. Marianne advocates for body-liberation-aligned, anti-bias eating disorder therapy that validates all lived experiences. This conversation helps listeners unlearn weight stigma and invites the eating disorder field to adopt inclusive, evidence-based, fat-positive practices that honor every body's right to care and nourishment. Other Episodes on "Atypical Anorexia" Atypical Anorexia Explained: Why Restriction Happens at Every Body Size on Apple or Spotify. 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. Learn More and Get Support Visit drmariannemiller.com to learn more about Dr. Marianne Miller's eating disorder therapy, coaching, and educational resources. Her website offers blog posts, podcast transcripts, and tools for people seeking anorexia recovery support, ARFID education, and neurodivergent-affirming treatment.

In this powerful and affirming conversation, Dr. Marianne Miller welcomes Dr. Emma from Divergent Life, a UK-based neuroaffirming clinical psychologist and thought leader. Together, they explore the intersections of neurodivergence, eating disorders, masking, trauma, and embodiment, examining what true safety and self-trust look like in recovery. Dr. Emma shares her journey toward becoming an eating disorder specialist, her resistance to standardized and compliance-based treatment models, and how her activist, trauma-informed, and social justice-oriented approachshapes her work. Listeners will hear both clinicians reflect on their lived experiences, discuss the harm of medicalized narratives, and explore how therapy can become a form of activism, embodiment, and reclamation. Who This Episode Is For This episode is for anyone who has ever felt unseen or invalidated by traditional eating disorder treatment systems. It is especially meaningful for: Neurodivergent individuals who have struggled with masking, sensory sensitivities, or feelings of disconnection from their bodies People in eating disorder recovery who have not found healing in standardized or compliance-based programs Clinicians and therapists who want to practice from a neurodivergent-affirming, trauma-informed, and social justice lens Parents and caregivers of neurodivergent loved ones seeking compassionate, autonomy-honoring approaches Anyone interested in embodiment, body trust, and authentic recovery Key Topics Covered Why standardized and compliance-based eating disorder treatments can be retraumatizing The effects of masking and self-abandonment in neurodivergent people How embodiment and sensory awareness support authentic healing Understanding neurodivergent trauma and nervous system responses Reclaiming autonomy and agency in recovery How therapy can serve as a tool for social justice and liberation The importance of lived experience in guiding compassionate care About the Guest Dr. Emma (she/her) is a neuroaffirming clinical psychologist, coach, and founder of Divergent Life, a UK-based service that challenges outdated mental health systems and centers neurodivergent and trauma-informed care. Through her work, she helps clients move from masking and compliance toward embodiment, agency, and trust in their own inner wisdom. Instagram: @divergentlives Website: divergentlife.co.uk Why This Episode Matters This conversation redefines what healing can look like for neurodivergent people with eating disorders, particularly those who have felt unseen or misunderstood by traditional models. Dr. Marianne and Dr. Emma discuss how masking and system-based approaches can lead to disembodiment and how safety, trust, and agency can guide recovery instead. If you have ever questioned why “one-size-fits-all” therapy has not worked for you, or if you are a clinician seeking to practice in a way that honors autonomy and lived experience, this episode offers deep insight, compassion, and hope. Related Episodes on Neurodivergent Needs & Experiences Recovering Again: Navigating Eating Disorders After a Late Neurodivergent Diagnosis (Part 1) With Stacie Fanelli, LCSW @edadhd_therapist via Apple & Spotify. Stuck on Empty: Autistic Inertia, ARFID & the Struggle to Eat via Apple & Spotify Minding the Gap: The Intersection Between AuDHD & Eating Disorders With Stacie Fanelli, LCSW @edadhd_therapist via Apple & Spotify Our Personal Neurodivergent Stories via Apple & Spotify. Learn More and Get Support Check out  drmariannemiller.com for blog posts, therapy services, more podcast episodes, and other offerings. To learn about Dr. Marianne's ARFID and Selective Eating Course, visit drmariannemiller.com/arfid.

JLR dropped off his car for an oil change and had to take the bus into work. People are upset over YouTuber Tyler Oliveria wearing a hazmat suit at a festival in India. Abusing food stamps. A woman is suing Sea World after she was knocked unconscious by a duck while riding a rollercoaster. Charlie heard Christa screaming she was almost murdered. Rumor is Diane Keaton left five million dollars to her golden retriever. Why did Duji give up her golden retriever Dash? B2 has been harping on Rover to put all the financial info in one place in case he dies. A mother is upset that her Tesla Grok AI chatbot asked her 12-year-old son to send it nude pictures. Rover needs a hobby. Charlie's friends rescued a sled dog from Alaska. Rover doesn't understand why people are now watching/listening to videos in public without headphones. ARFID. See omnystudio.com/listener for privacy information.

Rover needs a hobby. Charlie's friends rescued a sled dog from Alaska. Rover doesn't understand why people are now watching/listening to videos in public without headphones. ARFID. 

JLR dropped off his car for an oil change and had to take the bus into work. People are upset over YouTuber Tyler Oliveria wearing a hazmat suit at a festival in India. Abusing food stamps. A woman is suing Sea World after she was knocked unconscious by a duck while riding a rollercoaster. Charlie heard Christa screaming she was almost murdered. Rumor is Diane Keaton left five million dollars to her golden retriever. Why did Duji give up her golden retriever Dash? B2 has been harping on Rover to put all the financial info in one place in case he dies. A mother is upset that her Tesla Grok AI chatbot asked her 12-year-old son to send it nude pictures. Rover needs a hobby. Charlie's friends rescued a sled dog from Alaska. Rover doesn't understand why people are now watching/listening to videos in public without headphones. ARFID. 

Rover needs a hobby. Charlie's friends rescued a sled dog from Alaska. Rover doesn't understand why people are now watching/listening to videos in public without headphones. ARFID. See omnystudio.com/listener for privacy information.

Wow the lads ride again with their friend and comedian Max Fine to get into it about what every rapper needs, ARFID influencers, spotting your ex in the wild, hit the Energy Drink Corner and more!

Recently, there was an article in New York Magazine on kids being terrified of food who suffer from a disorder called ARFID (avoidant/restrictive food intake disorder). So today on a special episode, Asif and Ali interview Adolescent Medicine expert Dr, Mark Norris about this disorder. Dr. Norris talks about what ARFID is and the symptoms patients can present with. He goes over why some children develop ARFID and the relationship with things like autism and anxiety. He then goes over how common it is and theorizes why it is being more recognized. Finally they discuss treatment for ARFID. The opinions expressed are those of the hosts, and do not reflect those of any other organizations. This podcast and website represents the opinions of the hosts. The content here should not be taken as medical advice. The content here is for entertainment and informational purposes only, and because each person is so unique, please consult your healthcare professional for any medical questions. Music courtesy of Wataboi and 8er41 from PixabayContact us at doctorvcomedian@gmail.comShow Notes:Update on eating disorders: current perspectives on avoidant/restrictive food intake disorder in children and youth: https://pubmed.ncbi.nlm.nih.gov/26855577/The Monster at the Dinner Table: https://www.thecut.com/article/what-is-arfid-eating-disorder-kids-diagnosis-rising.htmlWhen Your Kid's Eating Disorder Is Mistaken for ‘Picky Eating':https://www.thecut.com/article/arfid-childrens-eating-disorder-vs-picky-eating.html Hosted on Acast. See acast.com/privacy for more information.

This week on Sense by Meg Faure, we tackle a topic that causes immense stress for many parents: picky eating. Meg is joined by paediatric nutritionist Natalia Stasenko, creator of the innovative Easy Bites app, to delve into the 'perfect storm' of toddler feeding, understand its roots, and offer practical, compassionate solutions for bringing peace back to the table.This episode is a must-listen for any parent navigating the complexities of their child's eating habits:The "Perfect Storm": Understand why picky eating typically peaks between 12 and 24 months, driven by natural developmental shifts and changing nutritional needs.Beyond a Phase: Learn how to identify when picky eating might be more than just a typical stage, exploring intrinsic factors like sensory sensitivities, temperament, gastrointestinal issues, and when to consider conditions like ARFID.The Parent's Role: Unpack how parental anxiety profoundly impacts mealtime dynamics and contributes to feeding challenges, creating a "horrible cycle" that needs to be short-circuited.Two Keys to Calmer Meals: Discover the foundational principles of "safety and connection" as the core of a positive, bidirectional feeding relationship, allowing nutrition to sometimes take a backseat to long-term well-being.Responsive Feeding & Division of Responsibility: Gain practical insights into creating a structured yet flexible mealtime environment where parents provide what, when, and where, and children decide how much or whether to eat.Maximizing Accepted Foods: Learn strategies for using your child's favorite foods as a "safety blanket" while gently introducing variety and fostering natural curiosity in fresh ways.The Power of Shared Meals: Why eating together as a family is crucial for fostering a child's intrinsic curiosity and a healthy, playful relationship with food, moving away from restrictive "boundaries."The Easy Bites App: Learn how Natalia's digital tool provides personalized guidance, recipes, and psychological support to integrate the responsive feeding approach into busy family lives, complete with questionnaires and developmental timelines.Exclusive Offer: A special promo code for 6 months free access to the Easy Bites app!About Our Guest: Natalia Stasenko: A paediatric nutritionist, guest lecturer at Columbia University, and co-author of child nutrition books like Baby-Led Weaning and Real Baby Food. After struggling with feeding her firstborn, Natalia specialized in feeding problems in children and now supports families in her private practice in New York and London. She is the creator of the Easy Bites app, designed to democratize knowledge and empower families to raise generations of happy and confident eaters.Episode References and Links:

Parenting a child with ARFID (Avoidant/Restrictive Food Intake Disorder) can feel confusing and overwhelming. In this episode, Dr. Marianne Miller shares practical and compassionate strategies for parents who want to help their children eat with less fear and more confidence. You will learn why pressure and negotiation tend to backfire, how to create low-stress mealtimes that build safety, and how to attune to your child's sensory needs through a neurodivergent-affirming approach. Whether your child experiences food texture issues, fear of choking, or intense sensory overwhelm, this episode provides grounded, actionable steps for supporting eating with care and collaboration. Key Topics Covered Understanding ARFID beyond “picky eating” and recognizing it as a real eating disorder rooted in fear, sensory distress, or trauma Why pressure and negotiation can increase distress and decrease trust How sensory context affects eating and what small environmental changes can help Transitioning from authoritative to consent-based parenting that prioritizes autonomy and emotional safety Building trust through predictable, transparent, and compassionate mealtime practices Knowing when to seek professional ARFID-informed, trauma-aware, and neurodivergent-affirming support Who This Episode Is For This episode is for parents, caregivers, and family members who are trying to understand and support a child living with ARFID or selective eating. It is also helpful for therapists, dietitians, educators, and healthcare providers who want to better understand the family dynamics that shape mealtime stress and recovery. Why This Episode Matters Many families are told to use pressure or rewards to encourage eating. While this advice may seem helpful, it often increases distress for children with ARFID. In this episode, Dr. Marianne explains why traditional approaches like “one more bite” or “if you eat your veggies, you can have dessert” can erode trust and worsen fear. Instead, you will hear how shifting toward collaboration, sensory awareness, and emotional safety supports genuine progress. Learning to trust your child's signals and prioritize consent around food can transform your home and restore connection at the table. Content Caution This episode includes discussion of children's eating distress, food avoidance, and anxiety around eating. Please listen with care if these topics may be sensitive for you or your family. Related Episodes ARFID Explained: What It Feels Like, Why It's Misunderstood, & What Helps on Apple & Spotify. Why Sensory-Attuned Care Matters More Than Exposure in ARFID Treatment on Apple & Spotify. ARFID, PDA, and Autonomy: Why Pressure Makes Eating Harder on Apple & Spotify. Complexities of Treating ARFID: How a Neurodivergent-Affirming, Sensory-Attuned Approach Works on Apple & Spotify. Get Additional ARFID Help To learn more about supporting your child's eating with compassion, visit drmariannemiller.com/arfid to explore Dr. Marianne's ARFID & Selective Eating Course. This self-paced, online course provides practical tools, scripts, and real-world examples to help parents reduce mealtime stress, build trust, and approach food in a supportive, neurodivergent-affirming way.

In this episode, I'm joined by clinical psychologist and Equip co-founder Dr. Erin Parks for a clear, compassionate guide to eating disorders. We sort through ARFID vs. picky eating, anorexia, bulimia, and binge eating; early signs to watch for (and what's normal); how to talk about food and bodies at home; and when to step in and get help—so you know what to worry about, what to let go, and exactly where to start.Visit equip.health/goodhumans to learn more about Equip's virtual, evidence-based eating disorder treatmentI WROTE MY FIRST BOOK! Order your copy of The Five Principles of Parenting: Your Essential Guide to Raising Good Humans Here: https://bit.ly/3rMLMsLSubscribe to my free newsletter for parenting tips delivered straight to your inbox: draliza.substack.com Follow me on Instagram for more:@raisinggoodhumanspodcast Sponsors:Wayfair: Head to Wayfair.com right now to shop all things homeZip Recruiter: Go to ZipRecruiter.com/HUMANS right now, you can try it FOR FREENature's Sunshine: Nature's Sunshine is offering 20% off your first order plus free shipping. Go to naturessunshine.comAvocado Mattress: Get an extra $25 off their current sale at AvocadoGreenMattress.com with the code humansQuince: Go to Quince.com/humans for free shipping on your order and 365-day returnsPlease note that this episode may contain paid endorsements and advertisements for products and services. Individuals on the show may have a direct or indirect financial interest in products or services referred to in this episode.Produced by Dear Media.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

What should every therapist truly understand before working with clients who have eating disorders? In this insightful interview, Dr. Marianne Miller talks with Edie Stark, LCSW (@ediestarktherapy) about what ethical, inclusive care really means. Together, they explore why “gold standard” approaches like Family-Based Treatment (FBT) often miss the mark for neurodivergent, fat, queer, and BIPOC clients. The conversation highlights the importance of cultural humility, anti-fat bias awareness, trauma-informed care, and intersectional understanding in every therapeutic setting. Whether you are a clinician, a student, or someone in recovery who wants to understand what quality treatment should look like, this episode offers a thoughtful look at how therapists can grow, unlearn, and create safe, collaborative spaces for healing. Key Topics Covered Why “gold standard” models like Family-Based Treatment (FBT) do not fit everyone How anti-fat bias and wellness culture shape eating disorder care The importance of cultural humility and intersectionality in therapy Ways to create trauma-informed, consent-based, and collaborative care What ethical practice looks like when working with neurodivergent and marginalized clients How therapists can identify and challenge their own internalized biases Why eating disorder work requires humility, continual learning, and self-reflection Who This Episode Is For Therapists and dietitians who want to provide ethical and inclusive eating disorder care Students and early-career clinicians who are beginning to work with eating disorders Supervisors and consultants who guide others in complex clinical cases People in recovery who want to understand what to expect from truly affirming treatment Anyone curious about how bias, culture, and power dynamics affect eating disorder recovery Other Episodes With Edie The Hidden Risks of Non-Specialized Eating Disorder Treatment on Apple & Spotify. The Diet/Wellness Industry, Accessibility, & Diet Culture on Apple & Spotify. Anti-Fat Bias & the Importance of Advocacy on Apple & Spotify. About My Guest Edie Stark, LCSW, is the founder of Stark Therapy Group in California and Edie Stark Consulting, where she supports therapists through business consulting, case consultation, and supervision. She's also a feature writer for Psychology Today and advocates for ethical, media-accurate portrayals of eating disorders. Connect with Edie on Instagram at @ediestarktherapy and @edies_edits, or visit ediestark.com. About Dr. Marianne Miller Dr. Marianne Miller is a Licensed Marriage & Family Therapist specializing in eating disorders, ARFID, and binge eating disorder. She practices in California, Texas, and Washington D.C., and teaches self-paced, virtual courses through her binge eating recovery membership and her course ARFID and Selective Eating. Learn more at drmariannemiller.com or follow her on Instagram @drmariannemiller.

Many people discover they are autistic only after years of struggling with eating disorders. This episode explores how a late autism diagnosis can reshape recovery by offering new understanding, compassion, and practical tools that fit the neurodivergent brain. Understanding a Late Autism Diagnosis Receiving an autism diagnosis in adulthood can bring both clarity and grief. It helps explain lifelong struggles with sensory overload, food textures, or social expectations, while revealing how years of misdiagnosis delayed meaningful support. In recovery, recognizing autism can change everything by connecting eating patterns to sensory differences and masking rather than willpower or motivation. Masking, Sensory Needs, and Food Autistic masking often overlaps with eating disorder behaviors. Restricting food, eating “normally” in social settings, or following rigid meal plans can become ways to hide difference and avoid judgment. This chronic effort to appear typical creates exhaustion and disconnection from true needs. At the same time, sensory experiences around food are often intense. Taste, smell, temperature, and texture can feel overwhelming or unpredictable. Foods that others find pleasant may feel unsafe or even painful. Sustainable recovery begins when we make space for sensory preferences and allow eating to feel safe rather than forced. ARFID and Autism Overlap Avoidant or Restrictive Food Intake Disorder (ARFID) frequently occurs alongside autism. This overlap reflects sensory sensitivities, fear of choking or nausea, and low appetite rather than body image concerns. Recognizing this link shifts the goal of recovery away from compliance and toward creating safety, autonomy, and predictability in eating. Intersectionality in Diagnosis and Recovery Autism and eating disorders cannot be separated from the realities of race, gender, body size, class, and sexuality. Marginalized people are less likely to be diagnosed early and more likely to experience bias in treatment. Fat, BIPOC, and queer autistic people are often labeled as resistant when their needs are simply misunderstood. A liberation-based approach to recovery asks how we can build care that honors the whole person. It challenges systems that pathologize difference and reframes healing as a process of reclaiming identity and dignity, not just changing eating behaviors. Case Example Dr. Marianne shares the story of a fat, queer woman of color who learned she was autistic in her late 30s after years of being told she was noncompliant in treatment. Providers dismissed her sensory distress and focused only on weight loss. She masked constantly, pretending to eat foods that overwhelmed her senses in order to appear cooperative. Her diagnosis transformed her recovery. She began to design meals that respected her sensory needs, sought affirming providers, and connected with other neurodivergent women of color. Once her care aligned with her full identity, shame gave way to self-trust, and recovery finally felt sustainable. Pathways Toward Neurodivergent-Affirming Recovery A late autism diagnosis does not make recovery harder, but it does require reframing what recovery means. Sensory-attuned approaches allow individuals to choose foods that feel safe rather than forcing exposure to distressing ones. Predictable meal routines and gentle flexibility can replace pressure to eat intuitively when interoception is limited. Executive functioning supports such as reminders, meal prep systems, and visual cues make daily nourishment possible. These tools are not crutches; they are accommodations. Recovery also involves boundary-setting and self-advocacy after years of masking needs. Finding autistic and intersectional community can turn isolation into belonging, making recovery not just about food but about identity and connection. Who This Episode Is For This episode is for autistic adults in recovery, clinicians learning to support neurodivergent clients, and anyone who has realized that standard eating disorder treatment does not fit. It also speaks to people exploring how autism, sensory processing, and identity intersect with food and body experiences. Related Episodes for Autistics With Eating Disorders Autism & Eating Disorders Explained: Signs, Struggles, & Support That Works on Apple & Spotify. Autism & Anorexia: When Masking Looks Like Restriction, & Recovery Feels Unsafe on Apple & Spotify More Autism Resources for Eating Issues If these experiences sound familiar, explore Dr. Marianne's ARFID & Selective Eating Course. This self-paced course teaches consent-based and sensory-attuned strategies for reducing eating distress and building a more supportive relationship with food at your own pace.

When eating disorders overlap with anxiety, OCD, or depression, recovery can feel especially complex. In this episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, Dr. Marianne Miller, LMFT, explores how co-occurring mental health conditions interact with disordered eating and body image struggles. She explains how anxiety often fuels food rules and avoidance, how OCD rituals can merge with eating rituals, and how depression can make nourishment feel almost impossible. Throughout the episode, Dr. Marianne shares intersectional case examples that reflect the diversity of real-world experiences. You will hear about a Black nonbinary person whose anorexia and depression are dismissed by medical providers, a South Asian immigrant coping with OCD and bulimia in a culture where discussing mental health is taboo, and others whose experiences reveal how systemic bias and identity shape recovery. This episode offers understanding, compassion, and realistic tools for healing when multiple conditions overlap. What You'll Learn You will learn how anxiety, OCD, and depression intersect with eating disorders, why eating disorders rarely exist alone, and how each condition influences the recovery process. Dr. Marianne explains why addressing only food behaviors is not enough and how integrative treatment supports both the mind and body. You will also hear about sensory-attuned strategies and community-based care that help people move toward safety, nourishment, and autonomy. Key Takeaways Eating disorders often coexist with anxiety, OCD, or depression because they share common roots in trauma, nervous system overwhelm, and attempts to create safety. Anxiety drives control and rigidity, OCD fuels compulsive rituals around food and body, and depression slows motivation and energy, making self-care harder. True recovery acknowledges these overlaps and treats the whole person. Healing does not mean erasing anxiety, OCD, or depression. It means building a life that includes these realities while reducing their control over food and self-worth. Recovery becomes more sustainable when treatment honors a person's full identity, including body size, race, gender, and neurotype. Who This Episode Is For This episode is for anyone who lives with an eating disorder and another mental health condition such as anxiety, OCD, or depression. It is also for clinicians, family members, and supporters who want to understand how co-occurring challenges interact and how to provide compassionate care. Content Caution This episode includes discussion of eating disorders, anxiety, OCD, and depression. Please take care while listening and pause if you need to. Related Episodes Anxiety, Meltdowns, Neurodiversity, & Eating Disorders on Apple & Spotify. Food, Fear, & Fixation: How OCD Shapes Eating Disorders on Apple & Spotify. Depression & Eating Disorders on Apple & Spotify. Connect and Learn More For deeper guidance, visit drmariannemiller.com/arfid to explore Dr. Marianne's ARFID and Selective Eating Course. The course offers neurodivergent-affirming, sensory-attuned strategies that apply to a wide range of eating struggles. To learn about Dr. Marianne's therapy services in California, Texas, and Washington, D.C., or to explore additional blog posts and podcast episodes, visit drmariannemiller.com.  

In this insightful conversation, Dr. Marianne Miller sits down with Dr. Heather Rosen, a licensed clinical psychologist and certified Family-Based Treatment (FBT) supervisor and trainer, to explore how evidence-based treatments for eating disorders can evolve to meet the needs of neurodivergent clients and their families. Dr. Rosen shares her background working in major hospital settings including Stanford University, Lucile Packard Children's Hospital, and Mount Sinai Hospital, and now in private practice in Westchester County, New York. Together, she and Dr. Miller unpack the heart of FBT—how involving families in treatment can strengthen recovery for adolescents and young adults with anorexia, bulimia, binge eating disorder, and ARFID. This episode highlights how food becomes a metaphor for emotional pain, safety, and connection, and why treatment must go beyond meal plans to address the underlying need for autonomy, co-regulation, and family healing. Key Topics Covered What Family-Based Treatment (FBT) is and how it supports adolescent recovery The role of parents in managing eating disorder behaviors at home How FBT differs from other evidence-based treatments like CBT-E Adapting FBT for ARFID (Avoidant/Restrictive Food Intake Disorder) and neurodivergent clients Why flexibility and curiosity are essential when traditional exposure-based methods don't fit Understanding food as communication: how eating (or not eating) expresses pain, fear, and the need for control Shifting from compliance-based models to collaborative, consent-based, and neuroaffirming care The importance of reducing mental health stigma and improving access to effective treatment Who This Episode Is For This conversation is for therapists, dietitians, parents, and educators who want to understand FBT in practice and how to make eating disorder treatment more inclusive for autistic and otherwise neurodivergent youth. It's also for anyone curious about integrating compassion, family systems awareness, and sensory attunement into recovery work. Guest Info Dr. Heather Rosen, PhD Licensed Clinical Psychologist | Certified FBT Therapist & Supervisor Psychology Partners Group – Westchester County, NY Website: psychologypartnersgroup.com Instagram: @hrrosen Related Episodes Family-Based Treatment and Eating Disorders in Schools With JD Ouellette of Equip Health on Apple & Spotify. The Nitty Gritty on Family-Based Treatment for Anorexia (Maudsley Method) With Kelly McCullough @mytherapistkelly on Apple & Spotify. Complexities of Treating ARFID: How a Neurodivergent-Affirming, Sensory-Attuned Approach Works on Apple & Spotify. About Dr. Marianne Miller Dr. Marianne Miller, PhD, LMFT, is a fat, neurodivergent eating disorder therapist specializing in ARFID, binge eating disorder, and complex recovery care. She offers therapy in California, Texas, and Washington, D.C., and provides global support through online courses and resources. Learn more about Dr. Miller's work and self-paced course on ARFID and Selective Eating at drmariannemiller.com/arfid.

In this episode: Anna and Elizabeth unpack one of the most common parent worries, how much kids eat. We explore how diet culture fuels fear, why restriction and pressure backfire, and how to use structure (not restriction or control) to support kids' self-regulation. We discuss:* Why social media “perfect plates” and lunchboxes fuel worry and fear* The research on restriction* Providing structure without micromanaging your child's eating* Tweens/teens still need support (even if they look independent)* When appetites fluctuate * Special considerations for ADHD meds and ARFID Links & Resources* Division of Responsibility (sDOR) — Ellyn Satter Institute * Podcast with Naureen Hunani on prioritizing felt safety in feeding. Sunny Side Up posts to support this episode* Sunny Side Up Feeding Framework* Tips for Serving Dessert with Dinner * Handling Halloween Candy: A Step-by-Step Parent Guide * A Simple Guide to Eliminate Diet Culture from Halloween Other links* Caffè Panna: the ice cream Elizabeth ordered.* Pinney Davenport Nutrition, PLLC* Lutz, Alexander & Associates Nutrition Therapy* Photo by Angela Mulligan on UnsplashShare this episode with a friend who's navigating mealtime worries.TranscriptElizabeth Davenport (00:01)Welcome back to Sunny Side Up Nutrition. Hi, Anna. Today we're going to talk about a really common worry parents bring up: What if my child eats too much or too little?Anna Lutz (00:04)Hi, Elizabeth.Right, I feel like this is a universal concern. Parents are always worrying about how much their child is eating. Sometimes they're worried they're eating too much. Sometimes they're worried they're eating too little. I feel it's never just right—thinking about Goldilocks. That's what parents do best, including myself—worry. But we all want our kids to grow up, grow well, and be healthy, of course.Elizabeth Davenport (00:31)Yeah.Anna Lutz (00:35)I think what we really want to talk about today is how diet culture sends so many confusing messages to parents and kind of fuels that worry—fuels the worry of parents—so that they focus a ton on what their child should eat, how much their child should eat, etc.Elizabeth Davenport (00:56)Yeah, exactly. And so we're going to talk about where those worries come from and why restriction and pressure to eat certain foods—more food, less food—backfire, and what parents can do instead to support their child's relationship with food. Let's jump in. Yes.Anna Lutz (01:15)That's right. I'm really excited—I'm excited about this episode because I think most parents can relate to this.Elizabeth Davenport (01:19)Me too. Yes, I mean, we both can, right?Anna Lutz (01:25)Of course—100%, 100%. And it can change day to day. It almost can be humorous—how you're worrying about one thing one day and then the next day you're worrying about the opposite. Yeah. So yeah, let's jump in. Why do parents' worries about their child eating either “too much” or “too little”—those are in quotes—usually come from?Elizabeth Davenport (01:36)Exactly.I mean, as you said in the beginning, diet culture really has such a strong influence over everything that we believe about food. And social media—I mean, it's all over social media: how much kids should be eating, what they should be eating. And it's confusing even because it's visual, and parents may see pictures of lunchboxes or plates and think, “My gosh, wait, I'm feeding my kid too much,” or “My gosh, I'm not feeding my kid enough or enough of the right foods.” And so I think one: I'll caution, right? For parents, it's so easy to compare what we're doing to what's out there. And really we have to do what we know is best, and it's impossible to fully know how much is in those pictures when people show how much they're feeding their kids.Other places that parents get these messages are from conversations with well-meaning pediatricians or other healthcare providers—also well-meaning family members, certainly grandparents. No hate—Anna Lutz (02:41)Very true.Elizabeth Davenport (02:59)—grandparents here because they can be really awesome, but they also sometimes forget what their role is, or it's unclear what their role is. Right? And yeah—just, overarching, it comes from diet culture messaging.Anna Lutz (03:07)True. True.And often it's linked—not always, but often—it's linked to the child's body size. Don't you think? So if someone—whether it's a pediatrician or family member or parent—is worried that the child is, “too big,” they're focusing on, “Well, they must eat too much.” And then conversely, if there are worries about a child being “too small,” that kind of fuels the worry of, “My gosh, my child's not eating enough.”Elizabeth Davenport (03:22)Yes.Anna Lutz (03:44)So that's where that diet culture and weight bias really can make an impact and then translate to how we feed our children.Elizabeth Davenport (03:54)Exactly.And because there's so much information available to us now, parents are just bombarded with this. Even if they're not on social media, they're bombarded with this kind of information.Anna Lutz (04:07)It's so true—it's so true. And I feel like it's important to really note that when we see those images on social media that you mentioned—or someone says, “This is how much someone should eat”—there are so many more factors. Even us as dietitians, we would never be able to tell a parent, “This is exactly how much this child should eat at this meal.”Elizabeth Davenport (04:30)Exactly.Anna Lutz (04:31)Because they're growing, their activity levels—Elizabeth Davenport (04:31)It's a great point.Anna Lutz (04:34)— are different. It depends what they ate earlier in the day; it depends what they didn't eat earlier in the day or last week. And so there's not some magic amount that if we just knew what it was—because even as pediatric dietitians, it's not something that is definable.Elizabeth Davenport (04:39)Yeah. Exactly. Exactly. So this is a nice segue into why it's so hard to really trust children to self-regulate their food intake.Anna Lutz (05:05)That's such a good question because it's kind of at the heart of it. I think because diet culture has so heavily influenced parenting and our medical system—and a big role of diet culture is to evoke fear—it tells us we can't trust bodies.Elizabeth Davenport (05:29)Right.Anna Lutz (05:30)Right—we need to control bodies.And so instead of really telling parents, “You know what? Children's bodies are wise, and your job is to support them in eating and, over time, developing their eating skills,” instead we're told, “You need to make sure your child doesn't eat too much of this, and you need to make sure your child eats enough of this.” These messages to parents are: don't trust your child. And often parents aren't trusting their own bodies, so then it's a leap—Elizabeth Davenport (06:02)Exactly.Anna Lutz (06:03)—to then trust your child's body.I think a few things to highlight here—and you probably have some ideas about this too—we've got research that really backs this up. One thing that comes to mind is research showing that when parents restrict their children's eating— they might be worried their child's eating too much and they restrict——then what we actually see is increased eating and sneak eating as a result. And so it doesn't “work.” If the goal is for the child to eat less, it doesn't work for a parent to restrict their eating. What is some other—Elizabeth Davenport (06:34)Exactly.Anna Lutz (06:46)—research we should highlight?Elizabeth Davenport (06:51)Oh my gosh, that's a good question. And I'll be honest here—that is not one of my strengths, remembering the research.Anna Lutz (06:57)Well, I was thinking about how we know that pressure doesn't help either. So, the opposite: if we're worried a child isn't eating enough and we start to say, “You have to eat this much,” that does not lead to an increase in intake. So again, it's not working. And then there's this study that I know we've mentioned many times on the podcast, but we'll bring it up here: when parents—Elizabeth Davenport (07:03)Thanks.No. It does not.Anna Lutz (07:21)—restrict “highly palatable foods,” which probably was the old name for highly processed foods, then when children who were not allowed access to those foods in their home were exposed to those foods, they ate a whole lot more. Again, that kind of restriction didn't lead to self-regulation.Elizabeth Davenport (07:24)Right. Right.Yeah. Yeah. Exactly.I thought you were asking me to name a research study. I definitely cannot do that—except for maybe that one where they feed kids lunch—both kids who've been restricted and kids who haven't been restricted the highly palatable foods—and then they'reAnna Lutz (07:51)Oh, sorry—I was not putting you on the spot. Elizabeth Davenport (08:12)—sent into a room with toys and with free access to all of those foods. And yes—even when they've eaten all their lunch—those kids who are from restricted families go and eat more of those highly palatable foods than the kids who are used to having them. I mean, I've seen it in my own home. Anytime there's a kid who's been restricted those highly palatable foods, often—what I've seen—they are going to eat those foods first on a plate. Always. And that's okay. That's okay. You can tell when kids are sitting together at a tableAnna Lutz (08:54)Great. Makes sense.Right.Elizabeth Davenport (09:04)with lots of different foods that include something highly palatable—like, I don't know, Goldfish crackers or Cheez-Its—the ones who don't have them on a regular basis or feel restricted are the kids who really have a hard time self-regulating.Anna Lutz (09:17)Right, right. That's true. Elizabeth Davenport (09:29)I just got us way off the topic, I think.And I want to make sure here that we also bring up our Sunny Side Up Feeding Framework, and step three of that framework is: trust your child to eat and grow.Anna Lutz (09:44)Which is—it's so amazing that in our culture, that's such a big lift, right? So that's why we want to support parents in that. But that is so important to our children. And these kinds of examples of research that we're discussing show that when that trust is eroded, it doesn't help. When we're not trusting our children, it doesn't—Elizabeth Davenport (09:56)Exactly.Right.Exactly. And I think another thing that we see so often—and want to make sure we note—is that it's important that kids are not fed based on their body size.Anna Lutz (10:22)That's a huge one. Let that sink in. I think that's a huge one. And this piece of research people might be surprised about: there's research that really shows that children in larger bodies—larger children—do not necessarily eat more than children that are smaller. I mean, if we really think about that fact, then trying to make larger children eat less makes no sense.Elizabeth Davenport (10:57)No, and it's sad. It makes me sad to think about it. And this is one of the pitfalls, right, that parents fall into: they're under so much pressure and feel so much like it is their job—Anna Lutz (11:02)Yeah, yeah.Right.Elizabeth Davenport (11:15)—to control what and how much their kids eat. Then also, you know, that translates into controlling the child's weight.Anna Lutz (11:23)Yep, 100%. What do you think are some other pitfalls that parents try when they're worried about how much their child eats, and how do they backfire?Elizabeth Davenport (11:26)Well, there are quite a few ways, but we talked a little bit about it just a second ago with restriction. Really limiting certain foods—or limiting seconds—also is a big one. If a child is in a larger body, parents will tend to feel like they can't allow their child to have seconds because they feel like they can't trust that they're not eating more than they need.Anna Lutz (11:44)Right. Yep.Elizabeth Davenport (12:02)And the reality is some kids just love to eat. They're more enthusiastic, or they're hungrier, or they have been restricted and aren't sure how much they're going to get the next time they eat—and so they are over-focused on the food.I think another pitfall is pressuring kids to finish everything or to take another bite—trying to reward them to finish their food—and also saying, “Look, your sister ate all of her food—what a great job she did,” and that really backfires. It makes kids feel bad; it pits them against each other; and what we know is that it—Anna Lutz (12:40)Right.Elizabeth Davenport (12:49)—maybe will help once in a while, but long term it doesn't help a kid trust themselves, learn the foods that they like and don't like, and learn to trust their internal cues. Yeah. And I always feel like I have to say: we're not criticizing parents at all here. This is— Parents are under so much—so much pressure, as we said in the beginning and as we always say—to feed in some perfect way. And it's just not possible. No, it doesn't.And then there's another pitfall: you're worried that your child isn't eating enough, and so parents fall into this really—what we call—permissive feeding.Anna Lutz (13:20)Right.And it exists. Yeah.Elizabeth Davenport (13:38)Some examples might be allowing your child to graze in between meals—like carrying around a snack cup.Anna Lutz (13:50)Right, right, right. The kind you stick your hand in, but they don't spill. Yeah.Elizabeth Davenport (14:04)Exactly. Or allowing them to carry around a sippy cup of milk or juice; or only serving their prepared foods—or sorry, only serving the foods that they like to eat—Anna Lutz (14:11)Right—right, absolutely.Elizabeth Davenport (14:14)—because you're really worried. And that also backfires because, one, kids are going to—most kids are going to—get bored of eating the same things over and over again, and then they're not going to eat more. Some kids don't, and that's a different conversation. But yeah.Anna Lutz (14:28)Right, I think those are all important examples of where that worry can start to erode the feeding relationship and how we approach food as parents. I think about when we're working with parents in our practices and there might be worry that a child is accelerating quicker than expected on their weight growth curve, or they're decelerating —not gaining weight fast enough—often the recommendation is the exact same, which is: do not allow grazing; don't short-order cook; provide structure. It's the same regardless of what might be going on, which I always find interesting.Elizabeth Davenport (15:15)Yeah—that's—yeah, and that's a very important point also.Anna Lutz (15:21)Yep. Elizabeth Davenport (15:23)I think this leads us into creating structure, right? And we talk about this a lot, and we want to be clear here that it's possible to create structure without restricting your child's intake. So let's talk a little bit about why structure with meals and snacks is so important, and how it can help in this situation when parents are worrying about how much or how little their child might be eating.Anna Lutz (15:57)Great. Well, I think you and I really like to talk about feeding as a developmental task that we—as parents—are supporting our child in learning. Structure helps the child know that they're supported.Something we really think about is children having that “felt safety.” When Noreen Hunami was on our podcast, she mentioned felt safety. It's a term that was first used by Dr. Purvis. It's when parents make sure a child's environment elicits a true sense of safety—the child feels safety truly in their body. So a child can be safe, but may not feel safe. And so that structure tells the child - “I know my mom's going to feed me. I know my mom's going to feed me meals—the food that I need—in a predictable way.” Even though we don't have to say that to our children, if it just happens, it can help evoke that felt safety for a child. For some kids, that might be a little bit more structure—they need that to feel more safe.Elizabeth Davenport (17:03)Mm-hmm. Mm-hmm.Anna Lutz (17:06)For some kids, it might be a little bit less structure—and that's where responsive feeding comes in. We can keep talking about that. But that's a big reason why structure is helpful. What popped into my mind is: so often in our practices, you and I see kids that may have been given the jobs of food a little too early—when they were too young. And for those children, it may have made them feel not so safe. They might not have been able to say, “Hey, I need some more structure with my food,”Elizabeth Davenport (17:18)Yeah. Okay.Anna Lutz (17:37)—but that's when we might see some concerns about their eating. And then, when the parents step in and are like, “I've got your food,” their eating might improve.Elizabeth Davenport (17:48)Right. I'm thinking now about the permissive feeding, and this is one where parents sometimes are so worried about their kids eating that they will say, “Do you want this, this, this, or—” which can be overwhelming for the child—or they want the child to decide. When in actuality, that's the parent's job. And that's where you can bring some of that structure back in. If you're giving your child a bunch of choices, practice either giving them two choices or just saying, “This is what we're having,” and not feeding them foods that you know are going to be problematic for them. That's not what I mean—I'm not serving them liver and onions.Anna Lutz (18:31)Right.Unless that is what your family has. Okay—okay, that makes sense for you to say that. Yeah, but I think what you're saying is: if someone's listening and they're like, “What do they mean by structure?” What we're talking about is the parents—Ellyn Satter's Division of Responsibility is a good place to start—Elizabeth Davenport (18:38)My mom used to make liver and onions. I did not like it.Okay, yeah.Anna Lutz (18:59)—the parents deciding when and what is served so that the child has regular, predictable meals and they're not having to make these kind of adult decisions of what to have at the meal.Elizabeth Davenport (19:13)Exactly. And I think, you know, I'm thinking about young kids, but it's important to make the point that this also applies to older kids. I see this so often—sorry.And if you listen to us on a regular basis, you know we talk about all of these things and these themes are woven through all of our podcast episodes. But it's also important for tweens and teens: they're often given these jobs before they're ready. They look like adults. They sound like adults sometimes. And so we think they can take on the task of—Anna Lutz (19:36)Right.Elizabeth Davenport (19:53)—making all the decisions about what they're eating and when to eat. And they often will need parents to come back in and give them some structure around that again. Yeah, I'm trying to think if there are some other examples of structure we could give that might—Anna Lutz (20:05)Well, something that came to mind was thinking about teenagers, where there might be times we're not preparing the food and handing it to them, but we're providing structure with asking questions and acknowledging. Just this morning, I was driving a child to school and I said, “Do you have your lunch? Do you have your pre-workout snack—or pre-athletic team snack?” Right? Those were packed the night before.Anna Lutz (20:42)But there's something in the structure of just saying, “This is important. I'm going to make sure you have it because it's so important for your day.” If a child's going out with friends, you might say, “Hey, what are your plans for dinner?” You're providing that structure in a reminder way. Yeah.Elizabeth Davenport (20:57)Exactly, exactly. I mean, I have to admit I'm doing a little bit of that with my college students—saying, instead of “Make sure to eat your fruits and vegetables,” I'm asking, “Are you finding any that you really like? Any that you don't like? What's available?” That kind of thing. Because part of me is worried, right? At least my youngest, who doesn't have an apartment to cook in—Anna Lutz (21:08)Great.Right.Elizabeth Davenport (21:28)—an apartment kitchen—is maybe not—right? So that's also a way to say it's totally natural to worry. And it's also totally okay to still be providing some structure—very lightly—even when they're older.Anna Lutz (21:31)Right. So that reminder—Yeah.That's right. And that's where you're slowly taking down the scaffolding as they get older and older and older. That's exactly right.Elizabeth Davenport (21:52)And every child has different needs.Anna Lutz (21:57)That's important—and personality. That's right.Elizabeth Davenport (21:59)And their needs can change. Needs can—right? There can be times where they don't need much structure, but certainly during a transition—the start of school, the start of a new after-school activity—Anna Lutz (22:13)Right.Yep. 100%.Elizabeth Davenport (22:16)—those can all be times where they might need a little more structure. All right. So what else do we need to chat about?Anna Lutz (22:19)Yep, exactly, exactly.Yeah, so I was thinking: let's talk a little bit about children's appetites since we're talking about parents worrying about how much a child eats. Are they eating too much? Are they eating too little? Let's talk a little bit about how much children's appetite—or their hunger and fullness—changes day to day.Elizabeth Davenport (22:33)Yeah.Oh my gosh. I mean, if we think about our own hunger and fullness as adults, right—it changes day to day.Anna Lutz (22:49)Right.Absolutely.Elizabeth Davenport (22:55)So if you're a parent and you're having a hard time with, “My gosh, my child is not eating three meals and two to three snacks a day—what is happening?” you might ask yourself—think about your own eating. I think it's important to say that it's completely normal, for lack of a better word for kids to eat more at some times and what we might think of as “too little” or “too much” at other times. They might be tired, so they might not eat as much. Certainly with little kids—toddlers, preschoolers—they're tired by the end of the day. They are just not going to eat much dinner, most likely. They're going to eat more when they come home from daycare or preschool—if that's what they're in—than they will at dinner.I also think of kindergartners. If you think of a kid who was in a half-day preschool and then they start kindergarten, they are probably going to be starving when they get home at the end of the day and just exhausted. They might not even make it to dinner. They might need to go to bed - when they're first starting kindergarten—before dinner. So there just might be something going on. I mean, we could have a whole episode on reasons that people eat different amounts. So I think the overarching message is to trust—going back to that—Anna Lutz (24:09)Right, right.Elizabeth Davenport (24:29)—step three in the feeding framework: really trust your children to eat and grow. And that can help parents feel like, “Okay, I don't have to try to control the exact amounts that my child is taking in.”Anna Lutz (24:46)That's right. That's right. It really goes back to that trust, which is hard, because every part of our culture is trying to pull us away from trusting our children on that. But if you can go back to—if a child eats a ton at a meal, they're probably really hungry and they—Elizabeth Davenport (24:54)Exactly.—really hungry! Or they love the food. Or both. Yeah.Exactly. Exactly.Yeah. It's very hard. It is very hard. And, you know, if you do find yourself worrying, “My gosh, is my kid eating too much or too little?” you can ask yourself: where is that coming from for you? I kind of jumped ahead here, but one of the things we wanted to ask is: what is one small step that parents can take today that can help them trust their children with food?Anna Lutz (25:48)One thing I think about is: if you feel like you could do more with just regular, predictable meals and snacks, say, “Okay, I'm going to really work on making sure I'm feeding my child breakfast and a morning snack and a lunch”—depending on the age of the child and a lot of other things—“in a very predictable way.”Elizabeth Davenport (26:08)Right, right.Anna Lutz (26:10)And I'm going to really—when I do that—try to take a deep breath and let my child decide how much they're going to eat at each time. That's one.Elizabeth Davenport (26:17)And what they're going to eat of what you serve.Anna Lutz (26:20)That's right.Another step you could take is to just really notice—notice when you start to get worried about your child eating too much or too little—and see if you can take a deep breath and be like, “Whoop, there I go again.” And not say anything, not do anything—just start to notice when that worry starts to bubble up.Elizabeth Davenport (26:25)Right.That's always my favorite recommendation to start with: really noticing what's happening—stepping back and noticing how you feel, noticing the thoughts that go through your head.Another action I was thinking of—and this goes back to us talking about how much feeding advice is out there, just so, so much—if you find yourself (and that includes our social media, right?) following some social media accounts that are making you feel stress and making you question—Anna Lutz (27:09)Right.Elizabeth Davenport (27:17)—that you feel is eroding your trust, or not helping build your trust in your child's ability to eat and grow—then unfollow that account. And just take a break and notice what comes up for you after you take that break—or while you're taking that break.Anna Lutz (27:27)Yep, absolutely.Yep. That's a great one.I love that. I love that.So, we've been talking a lot about parents worrying about how much their children eat and really focusing on trusting your child. I feel like we'd be remiss not to bring up when children are on ADHD medications or maybe they've been diagnosed with ARFID, which is an eating disorder—it stands for avoidant restrictive food intake disorder.Elizabeth Davenport (27:44)Mm-hmm.Yeah.Anna Lutz (28:03)When there are these conditions going on, for the parents out there who are saying, “Wait a minute, I'm worried my child doesn't eat enough—they're on ADHD medications and they never get hungry.” How can we talk a little bit to those parents? What can they keep in mind?Elizabeth Davenport (28:18)Right, right.Certainly with ADHD medication—those often do interfere with the child's appetite. And that's a situation where your child's not going to feel hungry, and some of that structure is going to be reminding them, “Okay, it's time to eat,” and eat—even though you don't feel hungry—because when the medication wears off, kids can feel overly hungry and almost out of control at times. So that's one.And then I think—it's such a complex situation. I'm trying to think of a specific example, but the situations are so different. The bottom line is: this is a situation where a kid is really not able to tolerate the foods, and so really working on initially allowing your child to eat the foods that they feel safe eating. And yes, I know that sounds like us contradicting what we said earlier, but this is a different situation.Anna Lutz (29:17)That's right.And that's when our hope is that you're getting very personalized, individualized support. So the advice we're giving here may not be for someone with an eating disorder—or it may need to be adapted for someone with an eating disorder—and then when medications come into play, too.These might be examples—tell me if you think this is too much to say—of where we can't unfortunately trust our child's hunger and fullness as much as we hope that one day we can, right? Or as much as we're saying, “Okay, just trust your child's body.” These might be situations where other things are going on, and so let's get a little bit more support in place so that your child is getting the food they need.Elizabeth Davenport (29:31)Yes.Exactly.Elizabeth Davenport (30:05)Right. Right. Yeah, at some point we can do a whole episode on ARFID.Anna Lutz (30:09)That would be great. We should probably do—Elizabeth Davenport (30:16)Would be. But I think—just a few reminders as we wrap up here. It is completely normal to worry about your child's eating. We all do it. Yes, I do too. I do too. And the strategies to try to control how much or how little they're eating—or what they're eating—backfire. Really, part of the structure is stepping back a little bit and trusting that they are going to—Anna Lutz (30:42)All right.Elizabeth Davenport (31:08)—continue to develop their eating skills. And remember that when you're worrying about how much or how little they're eating, how much kids eat varies—from meal to snack, day to day, week to week, month to month. It's going to change all the time. It's one thing if it's decreasing all the time and they're taking foods out—and that's for another episode, right? But—We'll be sure to link to relevant podcasts that we've done in the past and blog posts in the show notes. And if you'd like to join our membership, Take the Frenzy Out of Feeding, for a deeper dive into raising kids with a healthy relationship with food, we'd love for you to join us. You can find the link in the show notes, or on our website under the Courses tab. So—Anna Lutz (31:24)Yeah.That's right.Elizabeth Davenport (31:31)We didn't come up with what we wanted to end with. We usually end with a question or a—what's your favorite food? My favorite food right now is ice cream. I ordered—what's that?Anna Lutz (31:39)Yum. Is there a certain flavor you've been enjoying?Elizabeth Davenport (31:44)I mean, I'll tell you a certain— I got myself a gift and ordered ice cream from a shop in New York City. I've wanted to try their ice cream since they opened. Anytime we've been there, I just haven't been able to get there. So I thought, “Wait a minute, I can have it shipped to me.” I mean, it was not cheap, but I love ice cream, and it was such a—I've really loved having it around. I've loved it. Yeah. It's called Cafe Pana if you live in New York—Anna Lutz (31:51)Wow.Neat. That's so neat.What is it called again? Neat. Tell me the name of it again.Elizabeth Davenport (32:12)—or you're visiting New York. It's really—I mean, it's the real deal. What's that?Cafe Pana. Yep, yep. So, how about you?Anna Lutz (32:21)Very cool. That sounds awesome.I've been enjoying—I was just having some before we recorded—the truffle almonds from Trader Joe's.Elizabeth Davenport (32:32)I don't think I've ever had those. I need to get some and try them.Anna Lutz (32:33)And they are so much better than the ones you get at Whole Foods. And they're like half the price, but they're just perfect. Highly recommend.Elizabeth Davenport (32:39)Okay.Nice.Okay. All right. Ice cream and truffle almonds. Yeah. Yeah. All right—until next time. Bye.Anna Lutz (32:48)There you go.See you 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

Hi Loyal Readers. Thank you for opening this week's issue of Article Club.Today's issue is dedicated to a great conversation I had with Caitlin Moscatello, author of this month's featured article, “The Monster at the Dinner Table.” In case you hit a paywall, here's a gift link.About the articleThis is an article about a newish and very scary disorder that is affecting kids. It's called ARFID, which is short for Avoidant/Restrictive Food Intake Disorder. Kids with ARFID lose their interest in eating. Sometimes it's mild — maybe your kid eats only one type of food, like chicken nuggets. But in some cases, it's extreme — as in, your kid doesn't eat at all.About the authorMs. Moscatello is a features contributor to New York Magazine, and has also written for the New York Times, Vanity Fair, TIME, and Harper's Bazaar, among other outlets. She's a National Magazine Award finalist, and also the recipient of a Front Page Award. Her book SEE JANE WIN: The Inspiring Story of the Women Changing American Politics (Dutton) is a New York Times Editor's Choice selection, and has been called “a profoundly inspiring work of journalism” by Apple Books. Caitlin is co-executive producer of the three-part HBO docuseries “An Update on Our Family,” which premiered at the 2024 Tribeca Film festival. The series is inspired by her 2020 New York Magazine feature Un-Adopted.About the interviewI deeply appreciated speaking with Ms. Moscatello. We talked about a number of topics, including:* how this piece originated* how being a parent affected her reporting* how she built trust with her sources* how she balanced demonstrating compassion for the parents, while also making sure to be accurate about how ARFID manifestsIn addition, Ms. Moscatello shared how she approaches the writing process, including how she organizes her longform articles. For example, she knew that this piece couldn't begin with a medical examination of ARFID's causes and impact on families. That would be too much dense information too soon. That's why Ms. Moscatello decided to introduce Laura, Mark, and Amelia first. (Very effective, I thought.)I also liked hearing that Ms. Moscatello is a “top-to-bottom writer,” meaning she begins at the beginning and ends at the end, rather than writing different sections out of order. You can listen to her elaborate on that idea here: The way my brain works, I need to start at the top and go in in order. So it's really, I spend so much time on an opening paragraph. It is not abnormal for me to spend four days or five days on an opening paragraph. And the first part of a piece is always the densest and most difficult for me to get going.I hope you enjoy the interview. Once again, huge appreciation to Ms. Moscatello for generously saying yes to Article Club.An invitation to our discussion on October 26I warmly invite you to participate in our discussion on Sunday, October 26, 2:00 - 3:30 pm PT. We'll meet on Zoom. You can sign up below, it's free.Thank you for reading and listening to this week's issue. Hope you liked it.

Self-compassion is a powerful, learnable skill in eating disorder recovery. In this conversation with registered social worker, grain farmer, and mom of five, Carrie Pollard, MSW, we explore how compassion lowers shame, supports motivation, and helps people replace harmful coping with kinder, sustainable care. We talk about trauma-informed treatment, somatic awareness, DBT skills, and what self-compassion looks like in real sessions and real life. What You'll Learn What self-compassion really is: noticing suffering and responding to it with care, based on the Mindful Self-Compassion model by Kristin Neff and Christopher Germer. Why “the why” matters: exploring roots like trauma and chronic stress helps people understand why symptoms once protected them and how to meet those needs differently. Behavioral tools and deeper work together: how CBT, FBT, and skills work can sit alongside bottom-up, body-based approaches and insight-oriented therapy. Backdraft in self-compassion: why big feelings can surge when kindness finally lands, and how to ride emotional waves safely. Somatic cues and capacity: using body signals, boundaries, and micro-pauses to prevent overload, especially for high-achieving, people-pleasing clients. Rural and farmer mental health: unique barriers to care, higher anxiety and depression in farm communities, and why accessible, virtual support matters. Key Takeaways Self-compassion reduces shame and increases motivation, which supports behavior change in anorexia, bulimia, binge eating, ARFID, and long-term recovery. You can ask two steady questions throughout healing: What am I feeling? and What am I needing? Emotional waves peak and pass. Skills from DBT and mindful self-compassion help you surf them without self-criticism. Recovery grows when systems of care address trauma, body image, diet culture, and access barriers faced by rural, disabled, neurodivergent, and larger-bodied people. Guest Carrie Pollard, MSW is a registered social worker in Ontario, Canada, @compassionate_counsellor. She brings two decades of clinical experience, deep community ties in agriculture, and a trauma-informed lens to eating disorder treatment. She co-founded a national farmer mental health initiative and participates in the Waterloo-Wellington Eating Disorder Coalition. Instagram: @compassionate_counsellor Counseling for Ontario, Canada residents: flourishwithcompassion.com Waterloo-Wellington Eating Disorder Coalition: search the coalition site to find therapists, physicians, and dietitians, plus details for the professional development day on diversifying eating disorder perspectives (happening October 24, 2025). Notable Moments Naming self-compassion backdraft so clients can expect it and feel less afraid. Using hand-over-heart and paced breathing when words are hard. Reframing symptoms as once-useful survival strategies, then building new supports. Embracing imperfection in therapy and life to align with authenticity and values. Who This Episode Supports People in eating disorder recovery who feel stuck in shame or fear that kindness will make them “stop trying.” Clinicians seeking to integrate mindful self-compassion, somatic work, and DBT with behavioral protocols. Rural and farming families who need accessible, culturally aware care options. Neurodivergent folks and anyone navigating sensory overload, perfectionism, or people-pleasing. Resources Mentioned Mindful Self-Compassion Workbook by Kristin Neff and Christopher Germer DBT skills for emotion regulation and distress tolerance Waterloo-Wellington Eating Disorder Coalition directory and events Carrie's counseling: flourishwithcompassion.com Instagram: @compassionate_counsellor Related Episodes Self-Compassion in Eating Disorder Recovery with Harriet Frew, MSc @theeatingdisordertherapist_ on Apple & Spotify. Perfectionism & Eating Disorders on Apple & Spotify. Work With Dr. Marianne Miller If you are in California, Texas, or Washington, D.C., I offer therapy for binge eating, ARFID, anorexia, bulimia, OCD, and trauma. Learn more and book a consult at drmariannemiller.com. If ARFID is part of your story or your family's story, explore my self-paced ARFID & Selective Eating Course for practical, neurodivergent-affirming tools. Share This Episode If this conversation helped you, share it with a friend, a clinician, or a family member. Your share helps more people find self-compassionate, trauma-informed eating disorder support.

Clinical psychologist Dr. Dana Harron joins me to discuss how couples can approach difficult conversations about eating disorders with honesty, care, and mutual respect. Together we explore what makes these conversations emotionally charged, how to prepare for them, and how partners can support each other without taking on the role of therapist or monitor. Dr. Harron offers practical guidance from her book Loving Someone With an Eating Disorder and her work at Monarch Wellness & Psychotherapy. You'll learn what helps these conversations go more smoothly, how to create safety before and after hard talks, and when to bring in a therapist who understands both eating disorders and couples dynamics. Content Caution This episode discusses eating disorders, disordered eating behaviors, and relationship stress that can arise during recovery. Some listeners may find certain details activating. Please take care of yourself while listening, and pause or skip ahead as needed. About Our Guest Dana Harron, PsyD is a clinical psychologist and founder of Monarch Wellness & Psychotherapy in Washington, D.C. She specializes in trauma, parenting, and eating disorders. She is the author of Loving Someone With an Eating Disorder: Supporting, Nurturing, and Connecting With Your Partner and is currently writing Parenting Beyond Trauma. You can find her work at monarchwellness.com and on Instagram at @monarchwellnesspsychotherapy. What You'll Learn How to prepare before opening up about your eating disorder to a partner Why I-statements and emotional honesty matter more than having all the answers The best times and places for difficult conversations about food and body image What to say when your partner asks questions you cannot answer yet How to plan a follow-up discussion and build routine check-ins Why post-conversation decompression helps the nervous system reset What couples therapy can look like when one partner struggles with an eating disorder How to balance support and autonomy without creating a power differential Conversation Highlights Dr. Harron shares how her book was inspired by the lack of resources for partners of adults with eating disorders. Tips for partners on when to speak, when to listen, and how to avoid meal-time conversations about food behaviors. The importance of humor, co-regulation, and small moments of levity in recovery. How systemic patterns in relationships can reinforce eating disorder behaviors. Why “honesty” in recovery is about emotional congruence, not just full disclosure. Key Takeaways for Couples Prime the moment: Let your partner know a sensitive topic is coming and ask for what you need—listening, reassurance, or space. Avoid high-stress times: Skip conversations around meals or when one partner is emotionally depleted. Plan ongoing conversations: Short, consistent check-ins build predictability and reduce tension. Use shared recovery language: I-statements and gentle curiosity create safety and understanding. Involve professionals: A therapist or dietitian trained in eating disorders can guide communication and prevent relational burnout. Related Episodes You're Not Too Much: Setting Boundaries & Asking for What You Need in Eating Disorder Recovery on Apple & Spotify. "Boundaries, Therapy While Black, & Eating Disorders" on Apple & Spotify Work With Dr. Marianne If you or your partner are navigating eating disorder recovery and want support that honors both of your needs, I offer therapy in California, Texas, and Washington, D.C., and global coaching for couples and individuals. My approach is neurodivergent-affirming, sensory-attuned, trauma-informed, and consent-based. Learn more or schedule a consultation at drmariannemiller.com. Learn With Me Explore my ARFID & Selective Eating Course to understand sensory challenges, reduce distress around meals, and improve communication within your household. Episode Credits Host: Dr. Marianne Miller, LMFT Guest: Dr. Dana Harron, Monarch Wellness & Psychotherapy (@monarchwellnesspsychotherapy) If this episode resonates, share it with a partner, therapist, or loved one who may benefit from a more compassionate way to talk about eating disorders and recovery.

Is ARFID genetic? In this episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, Dr. Marianne Miller explores the newest 2025 research on Avoidant/Restrictive Food Intake Disorder (ARFID) and what it means for diagnosis and treatment. You will hear how twin studies show that ARFID has a strong genetic component, why large projects like EDGI2 and the ARIES study are changing the research landscape, and how updated diagnostic criteria in 2025 are helping clinicians better identify and support people with ARFID. The episode also highlights brain scan findings that explain why food can feel overwhelming, threatening, or unappealing, and treatment studies that show real recovery progress through virtual care and ARFID-specific tools. Key Findings from ARFID Research Genetics play a big role in ARFID but do not determine your destiny 2025 research reveals important connections between ARFID, brain differences, gut health, and sensory processing Updated diagnostic criteria are improving accuracy and access to treatment ARFID-specific tools such as the PARDI-AR-Q and EDY-Q provide a more accurate picture of progress Treatment outcomes for children, teens, and adults are encouraging, including in virtual care settings Why ARFID Diagnosis and Treatment Matter ARFID is not caused by poor parenting or lack of willpower. It reflects the way a sensitive brain and body respond to the world. With consent-based, sensory-attuned, and neurodivergent-affirming care, meaningful recovery is possible. Related Podcast Episodes on ARFID Why Sensory-Attuned Care Matters More Than Exposure in ARFID Treatment on Apple & Spotify. ARFID, PDA, and Autonomy: Why Pressure Makes Eating Harder on Apple & Spotify. Complexities of Treating ARFID: How a Neurodivergent-Affirming, Sensory-Attuned Approach Works on Apple & Spotify. Adult ARFID Explained: Real-Life Strategies for Managing Food & Nutrition with Caroline Holbrook, RD on Apple & Spotify. ARFID and Selective Eating Course If you are ready for practical, step-by-step tools to support ARFID, explore my ARFID and Selective Eating Course at drmariannemiller.com/arfid. This course is designed for families and professionals who want compassionate and effective strategies for ARFID care.

Adam creates a hypnosis session to help a client with ARFID - avoidant/restrictive food intake disorder to feel more empowered and confident to respond to foods in new ways. Adam uses parts therapy and suggestions to create a low-stakes environment where trying new foods is a shot to nothing.

What if your body size determined whether or not doctors believed you had anorexia? In this solo episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, Dr. Marianne Miller, LMFT, challenges the diagnosis of atypical anorexia and reveals why this label fails people who deserve to be taken seriously. This category is not about atypical symptoms. It is about anti-fat bias. People in larger bodies who restrict food, obsess about weight, and experience medical complications are often told they cannot truly have anorexia because they do not look emaciated. This episode explains why that belief is harmful, how it delays treatment, and the real medical risks that exist at any body size. Dr. Marianne also explores how anti-fat bias, weight stigma, and cultural stereotypes erase the experiences of marginalized people, especially fat, queer, neurodivergent, disabled, and BIPOC communities. She challenges providers and listeners to recognize anorexia for what it is: a serious illness in every body, not only in those that match the stereotype. If you have ever been given the label “atypical anorexia,” this episode will affirm what you may already know. Your suffering is valid, you deserve care, and you do not need to prove how sick you are in order to receive treatment. What You'll Learn in This Episode Why the label “atypical anorexia” exists and how it reinforces anti-fat bias The medical risks of anorexia that occur across all body sizes How stereotypes harm people in larger bodies with eating disorders The role of intersectionality in who gets overlooked and dismissed How to move toward weight-inclusive eating disorder treatment Who This Episode Is For People in recovery from atypical anorexia or restrictive eating Families supporting a loved one with an eating disorder Providers seeking to understand anti-fat bias in treatment settings Anyone who has ever been told they were not “sick enough” Related Episodes Atypical Anorexia Explained: Why Restriction Happens at Every Body Size on Apple or Spotify. 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. Connect With Dr. Marianne Miller I am Dr. Marianne Miller, LMFT, a fat eating disorder therapist specializing in anorexia, ARFID, bulimia, and binge eating disorder. I provide therapy in California, Texas, and Washington, D.C., and offer online resources worldwide.

In today's episode, I'm pulling back the curtain on my everyday experience being AuDHD (Autistic and ADHD). I share how trapped I feel in this body, how overwhelmed I am by my own mind, and how masking & giftedness play a role in it all. Discovery resources for you:

Dear Article Clubbers,We had a great discussion last Sunday. Thank you to everyone who made it so!At Article Club, we do two main things:* Every week, we read great articles on race, education, and culture.* Every month, we do a deep dive on one article.This means reading and annotating the article, interviewing the author, and gathering together for a discussion on Zoom on the last Sunday of the month.This week's issue has both components. Let's dive in.First, I'm pleased to announce October's article of the month. It is “The Monster at the Dinner Table,” by Caitlin Moscatello. New York Magazine's cover story in July, the piece explores ARFID, or avoidant / restrictive food intake disorder. A relatively new phenomenon, the condition is affecting young children, shutting off their instinct to eat. And it's incredibly shocking and scary. We're not talking picky eating here, or when your kid goes through a only-chicken-nugget phase. This is something altogether different. You'll find more info below. If you're already intrigued, feel free to sign up for our discussion on October 26.Second, I'm including an article about fruitarians, whose diet relies entirely on eating fruit. If you've been a longtime subscriber, you know I've included tongue-in-cheek articles that warn about the health hazards of consuming fruit smoothies and fruit juice. Well, this piece is decidedly not funny. But it's a wake-up call for anyone seeking the promise of “clean eating” or finding the essence of truth via an Internet influencer in Bali. I hope you'll consider reading it.1️⃣ The Monster At The Dinner TableCaitlin Moscatello, on ARFID, yet another reason to freak out about raising children:Previously, Amelia ate a wide-ranging diet, but after the chicken-nugget incident, she began to refuse solid foods. Within a week, she would consume only yogurt and liquids. “We would buy every drink that she could possibly want — chocolate milk, juice. We were desperate,” said Laura. “And it got worse every single day.” Amelia cut out the yogurt, convinced she would choke on it. A couple of weeks later, she rejected liquids, too. She began spitting into a napkin, unable to swallow her own saliva. It felt like something was stuck in her throat, Amelia said. She believed if she did try to swallow, she would choke, suffocate, and die.Dinner turned into a nightly standoff: Amelia on one side of the table, growing thinner and frailer, Mark and Laura on the other, their panic mounting. Sometimes, they tried coaxing her. Other times, they couldn't help but yell. “We didn't know how to deal with it. Like, ‘Why can't you eat?'” said Laura. It felt like a failure. They tried to quiet their terror by leaning on what one may believe to be a biological fact — that humans are wired for survival and, eventually, a child will get hungry and want food. “I kept thinking, Mother Nature's going to kick in here,” said Mark. Instead, Amelia's hunger response seemed to have shut off. If they tried to feed her, she would spit out the food.By Caitlin Moscatello • New York Magazine • 26 min • Gift Link➕ We're discussing this article on Zoom on Sunday, October 26, 2:00 - 3:30 pm PT. It's free and easy to sign up. All you need to do is click the button below.2️⃣ The Woman Who Ate Only FruitEj Dickson, on people who believe that eating fruit is the pathway toward nirvana:Fruitarians make up a smaller, even more fringe part of the raw-vegan community and subsist almost exclusively on uncooked fruit. Many followers believe that fruit is nutritionally complete and contains the most prana, the Sanskrit word for “life force,” of any food on the planet.As Karolina wasted away, her loyal followers cheered her on. “I truly believe that you have the right answers. You know what's good for you even if right now seems like chaos,” one wrote on a selfie she posted in 2023. “Nice neck and collarbones,” a fan wrote on a photo she posted where her clavicle juts out of her skin. “It is so nice to see you so happy,” another posted on a video of an Instagram Live she did last September. She would be dead less than three months later.By Ej Dickson • The Cut • 10 min • Gift LinkThank you for reading and listening to this week's issue. Hope you liked it.

Is your kid extremely resistant to the simplest of requests? Or completely impossible to wake up in the morning? Or sure their peers don't like them, despite pretty clear evidence to the contrary? All of these are extremely typical kid behaviors. All of these also have more intense manifestations—PDA, DSWPD, and RSD, respectively— which meet clinical definitions and which may require more concrete support, for both you and your kid. In this episode, Amy and Margaret discuss the amorphous lines that often exist between typical child behavior and an issue that may need more attention and scaffolding. From afterschool restraint collapse to ARFID, Amy and Margaret explore the moments when everyday challenges start to interfere with family life, friendships, or school—and what parents can do to respond from a place of understanding and clarity. You'll learn: How certain behaviors can sometimes point to larger patterns. The value of having names for behaviors—reducing shame, guiding next steps, and helping parents advocate for their kids. Practical strategies parents can use at home to reduce stress, manage transitions, and support kids in ways that actually work. If you've ever wondered, is this typical, or is it more?—this episode is for you. We love the sponsors that make this show possible! You can always find all the special deals and codes for all our current sponsors on our website: ⁠⁠⁠https://www.whatfreshhellpodcast.com/p/promo-codes/ Get 50% Off Monarch Money, the all-in-one financial tool at ⁠www.monarchmoney.com/FRESH parenting podcast, kids behavior issues, child tantrums, picky eating help, rejection sensitivity dysphoria, disruptive mood dysregulation disorder, ARFID in kids, pathological demand avoidance, delayed sleep wake phase disorder, typical vs atypical child behavior, parenting strategies for behavior Learn more about your ad choices. Visit podcastchoices.com/adchoices

BIG BREAKDOWN - Bryan Kohberger's Pathetic INSECURITIES Exposed New revelations are pulling back the curtain on Bryan Kohberger's life immediately after the Idaho student murders, and they raise disturbing questions about how this case may be understood. The night after the killings, Kohberger's mother sent him a news article detailing the horrific injuries of victim Zana Kernodle — including bruises that showed she fought back. Was it a mother simply sharing a local crime story with her son? Or, knowing what we know now, was there something darker in the tone of those conversations? Investigators and analysts are asking whether Kohberger and his mother spoke in coded ways about the crimes, with his obsession shifting between gruesome details and a “sweet girl at the coffee shop” — eerily similar to the barista he allegedly made uncomfortable by stalking her. But that's not all. Newly released images from Kohberger's apartment offer a rare look inside his private world. Far from the clutter of a normal graduate student, his space was stripped down to bare walls, minimal belongings, and an almost sterile environment. Retired FBI Special Agent Jennifer Coffindaffer joins us to break down what that could mean: Was it evidence of a personality detached from normal human connection, or a deliberate “scrubbing” to hide traces of blood and evidence — just like how investigators said he dismantled his car after the murders? Perhaps most startling: investigators discovered a prescription in his apartment for levothyroxine, a thyroid medication. While commonly used and safe for millions, in the context of Kohberger's other self-reported conditions — autism spectrum, OCD, ADHD, ARFID — it raises questions about whether he was properly medicated, mismedicated, or even taking it at all. Could untreated or poorly managed health conditions have fed into his volatile state of mind? From his mother's unsettling messages to the sterile emptiness of his apartment, each new detail deepens the puzzle of Bryan Kohberger. Was this careful planning, psychological unraveling, or both? Subscribe to Hidden Killers for the latest unfiltered true crime analysis and let us know your take in the comments. Hashtags #BryanKohberger #Idaho4 #HiddenKillers #TrueCrime #KohbergerTrial #MoscowMurders #JenniferCoffindaffer #TrueCrimeCommunity #KohbergerEvidence #TrueCrimePodcast Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspod Instagram https://www.instagram.com/hiddenkillerspod/ Facebook https://www.facebook.com/hiddenkillerspod/ Tik-Tok https://www.tiktok.com/@hiddenkillerspod X Twitter https://x.com/tonybpod Listen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872

BIG BREAKDOWN - Bryan Kohberger's Pathetic INSECURITIES Exposed New revelations are pulling back the curtain on Bryan Kohberger's life immediately after the Idaho student murders, and they raise disturbing questions about how this case may be understood. The night after the killings, Kohberger's mother sent him a news article detailing the horrific injuries of victim Zana Kernodle — including bruises that showed she fought back. Was it a mother simply sharing a local crime story with her son? Or, knowing what we know now, was there something darker in the tone of those conversations? Investigators and analysts are asking whether Kohberger and his mother spoke in coded ways about the crimes, with his obsession shifting between gruesome details and a “sweet girl at the coffee shop” — eerily similar to the barista he allegedly made uncomfortable by stalking her. But that's not all. Newly released images from Kohberger's apartment offer a rare look inside his private world. Far from the clutter of a normal graduate student, his space was stripped down to bare walls, minimal belongings, and an almost sterile environment. Retired FBI Special Agent Jennifer Coffindaffer joins us to break down what that could mean: Was it evidence of a personality detached from normal human connection, or a deliberate “scrubbing” to hide traces of blood and evidence — just like how investigators said he dismantled his car after the murders? Perhaps most startling: investigators discovered a prescription in his apartment for levothyroxine, a thyroid medication. While commonly used and safe for millions, in the context of Kohberger's other self-reported conditions — autism spectrum, OCD, ADHD, ARFID — it raises questions about whether he was properly medicated, mismedicated, or even taking it at all. Could untreated or poorly managed health conditions have fed into his volatile state of mind? From his mother's unsettling messages to the sterile emptiness of his apartment, each new detail deepens the puzzle of Bryan Kohberger. Was this careful planning, psychological unraveling, or both? Subscribe to Hidden Killers for the latest unfiltered true crime analysis and let us know your take in the comments. Hashtags #BryanKohberger #Idaho4 #HiddenKillers #TrueCrime #KohbergerTrial #MoscowMurders #JenniferCoffindaffer #TrueCrimeCommunity #KohbergerEvidence #TrueCrimePodcast Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspod Instagram https://www.instagram.com/hiddenkillerspod/ Facebook https://www.facebook.com/hiddenkillerspod/ Tik-Tok https://www.tiktok.com/@hiddenkillerspod X Twitter https://x.com/tonybpod Listen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872

Parenting a child with OCD, anxiety, and ARFID changes you in ways you can't fully understand until you're living it. Over the years, I've learned some powerful lessons — often the hard way — that have reshaped how I show up for my child and for myself. In this episode, I'm opening up about five insights that have made the biggest difference in our journey, and how you can begin to apply them in your own life.If you're looking for deeper support, practical tools, and a community of parents who truly understand, join us inside the AT Parenting Community at www.atparentingcommunity.com. Doors close on Thursday, August 4, 2025.***This podcast episode is sponsored by NOCD. NOCD provides online OCD therapy in the US, UK, Australia and Canada. To schedule your free 15 minute consultation to see if NOCD is a right fit for you and your child, go tohttps://go.treatmyocd.com/at_parentingThis podcast is for informational purposes only and should not be used to replace the guidance of a qualified professional.Parents, do you need more support?