Dr. Marianne-Land: An Eating Disorder Recovery Podcast

ARFID & PDA: Why Eating Can Feel Like a Demand Even When No One Is Pressuring You 18.09.2026 15мин

ARFID and PDA can make eating feel like a demand. Learn how autism, sensory needs, autonomy, and demand avoidance affect eating and ARFID recovery.

Tradwives, Disordered Eating, & the Thin Ideal: Why Young Women Are Being Told to Shrink Again 16.09.2026 20мин

Tradwives, purity culture, and the thin ideal collide with disordered eating. Dr. Marianne explores what this means for young women and eating disorder recovery.

Is Eating Disorder Recovery a Form of Neurodivergence? Diet Culture, Hunger, & Body Trust With Shira Collings, LPC 14.09.2026 27мин

Shira Collings explains how eating disorder recovery can be a form of neurodivergence that rejects diet culture, anti-fat bias, and fear of hunger.

Autism, Food Rigidity, & Eating Disorders: How Autistic Traits Can Help & Hinder Recovery 11.09.2026 19мин

Autism, food rigidity, and eating disorder recovery: how autistic traits, sensory needs, routines, and ARFID can help or hinder healing.

Why Is Eating Disorder Recovery So Scary? Understanding Fear, Safety, & Letting Go 09.09.2026 15мин

Eating disorder recovery can feel scary. Learn how fear, food anxiety, weight gain, safety, control, autism, and ADHD can shape recovery.

How to Help Your Child With an Eating Disorder: Replacing Control With Connection With Dr. Tom Wooldridge 07.09.2026 32мин

How parents can support a child with an eating disorder through connection, attachment, emotional safety, and compassionate recovery.

Anorexia & Binge Eating: The Binge-Restrict Cycle in Long-Term Eating Disorder Recovery 04.09.2026 10мин

Can you have anorexia and struggle with binge eating, too? If you find yourself moving between food restriction and binge eating, you may wonder whether your eating disorder has changed or whether you're somehow failing at recovery. In this solo episode, Dr. Marianne talks about the binge-restrict cycle, why eating disorder symptoms can shift over time, and what it means when binge eating shows up during anorexia recovery. Binge eating after restriction does not automatically mean you have binge eating disorder (BED). Extreme hunger, reactive eating, subjective binges, and eating that feels out of control can all occur in the context of restriction and long-term eating disorder recovery. WHAT YOU’LL LEARN Dr. Marianne discusses why restriction can make food feel increasingly urgent, why returning to restriction after a binge can keep the cycle going, and why subtle forms of restriction are easy to miss. She also explains why restriction may feel safer or more familiar than binge eating, especially for people who have lived with anorexia nervosa or other eating disorders for years or decades. For neurodivergent people with ADHD, autism, or AuDHD, food restriction can also become intertwined with routine, sensory needs, predictability, executive functioning, autonomy, and nervous system regulation. You’ll learn why binge eating doesn't erase a history of anorexia, why eating more isn't automatically evidence of BED, and why the goal isn't necessarily to determine which eating disorder you "really" have. BREAKING THE BINGE-RESTRICT CYCLE What happens after a binge or an episode of eating more than you intended matters. Skipping meals, delaying breakfast, cutting portions, avoiding certain foods, or exercising to compensate can restart the restriction-binge cycle. Instead, Dr. Marianne discusses returning to consistent nourishment, identifying hidden restriction, getting curious about what preceded the binge, and resisting the pull to romanticize anorexia when binge eating feels frightening. For people with chronic or long-term eating disorders, progress may mean recognizing the cycle sooner, reducing its intensity, and responding to difficult eating experiences without punishment or compensation. EATING DISORDER THERAPY & SUPPORT If you’re navigating anorexia, binge eating, bulimia, ARFID, or a long-term eating disorder that doesn't fit neatly into one diagnostic category, Dr. Marianne offers neurodivergent-affirming, sensory-attuned, trauma-informed eating disorder therapy. Learn more about eating disorder therapy, working with Dr. Marianne, and additional resources at drmariannemiller.com. Topics include: anorexia, anorexia recovery, binge eating, binge eating disorder, BED, binge-restrict cycle, restriction-binge cycle, restrictive eating, extreme hunger, reactive eating, chronic eating disorders, long-term eating disorder recovery, neurodivergent eating disorders, autism and eating disorders, ADHD and eating disorders, eating disorder therapy, and eating disorder recovery. RELATED EPISODES ADHD & Bulimia: Dopamine, Impulsivity, & the Hidden Link to Binge Eating With Kirsten Book, PMHNP-BC on Apple and Spotify. Beyond Anorexia: The Truth About Long-Term Restrictive Eating on Apple and Spotify. Why Eating Feels So Chaotic With ADHD: Binge Eating, Bulimia, & Executive Function Challenges on Apple and Spotify.

Why Do I Need to Save Food? Eating Disorders, Food Rationing, & Scarcity Fears 02.09.2026 15мин

Food rationing and scarcity fears can show up in eating disorders in surprising ways. You might save the last few bites even though you’re still hungry, carefully make favorite foods “last,” become anxious when safe foods run low, or hesitate to eat something because you’re worried you won’t have it later. In this solo episode, Dr. Marianne explores how food scarcity anxiety can affect people with anorexia, bulimia, ARFID, and other eating disorders. Restriction can teach the brain and body that food is scarce, even when food is physically available. Over time, saving food may start to provide a sense of certainty, predictability, or safety. WHAT YOU’LL LEARN You’ll hear about why people with anorexia may ration foods they enjoy, how the restrict-binge-purge cycle in bulimia can create a sense of food urgency, and why ARFID safe foods may become especially difficult to use when someone fears running out. Dr. Marianne also discusses how autism, ADHD, sensory differences, executive functioning, and food insecurity can shape scarcity fears. For neurodivergent people, keeping backup foods may actually support eating. The important question is whether those foods remain available to eat or become so protected that using them creates anxiety. ARFID, AUTISM, & SAFE FOODS For people with ARFID and autism, food availability can carry additional meaning. A brand change, discontinued product, altered texture, different packaging, or unavailable restaurant item can eliminate a previously reliable food. Protecting or stocking safe foods may therefore reflect a genuine need for sensory predictability rather than weight or body image concerns. Understanding the reason behind the behavior can help parents, providers, and people with ARFID respond with more flexibility and less pressure. If you want to learn more, Dr. Marianne’s self-paced ARFID and Selective Eating course covers ARFID treatment through a neurodivergent-affirming, sensory-attuned, trauma-informed approach, including autism, ADHD, PDA, autonomy, safe foods, sensory differences, and nervous system regulation. Learn more at drmariannemiller.com/arfid. KEY TAKEAWAYS Food rationing isn’t always about restriction. Sometimes you’re saving certainty, sensory predictability, pleasure, permission, or tomorrow’s sense of safety. Rather than immediately trying to eliminate the behavior, consider asking: What am I afraid will happen if this food is gone? That answer can help identify whether you need more consistent nourishment, greater access to safe foods, support with anorexia or bulimia recovery, practical backup foods, or repeated experiences of learning that food can be eaten today and become available again tomorrow. If you’re looking for eating disorder therapy, ARFID therapy, anorexia treatment, bulimia treatment, or neurodivergent-affirming eating disorder support, visit drmariannemiller.com to learn more about working with Dr. Marianne. RELATED EPISODES Food Allergy Anxiety & ARFID: When Safety Fears Shape Eating & Family Life With Tamara Hubbard @foodallergycounselor on Apple & Spotify. Eating Disorders as Safety Systems: Why Letting Go Can Trigger Fear on Apple and Spotify. If Recovery Feels Unsafe Right Now: A Guided Moment for Eating Disorder Recovery Fear on Apple and Spotify.

ADHD, Autism, & Eating Disorders: When Feeling “Too Much” Makes You Want to Be Smaller With Stacie Fanelli, LCSW 31.08.2026 33мин

What happens when years of hearing that you talk too much turn into the belief that you are simply too much? In this episode, Dr. Marianne welcomes back eating disorder therapist Stacie Fanelli for a conversation about hyperverbalism, ADHD, autism, and eating disorders. They discuss why some neurodivergent people process thoughts and emotions through talking, why hyperverbal communication is often misunderstood, and how repeated messages about being “too loud,” “too emotional,” or “too much” can create lasting shame. Stacie explains how this shame can extend beyond communication and relationships into body image and eating disorder behaviors. For some autistic and ADHD people, the desire to become smaller, quieter, less visible, or less burdensome can become intertwined with food restriction, weight loss, and eating disorder symptoms. They also discuss neurodivergent masking and unmasking, rejection sensitivity, fear of being misunderstood, anti-fat bias, and the vulnerability that can follow sharing a lot with another person. Hyperverbalism does not cause eating disorders or body shame. Instead, this conversation looks at how eating disorders can capitalize on an existing belief that your natural way of existing is excessive. WHAT YOU’LL LEARN Stacie and Dr. Marianne discuss how hyperverbalism can show up in autistic and ADHD adults, why talking can serve as a form of processing and regulation, and why traditional expectations about communication can leave neurodivergent people feeling ashamed of how they naturally connect with others. You’ll also hear how “I talk too much” can gradually become “I take up too much space,” why eating disorders may offer the illusion of becoming less visible or burdensome, and how neurodivergent-affirming eating disorder therapy can address these experiences without encouraging more masking. They also examine why eating disorder recovery is not about teaching neurodivergent people to communicate more like neurotypical people. Healing can include learning how to navigate relationships, advocate for your needs, and take up physical and conversational space without believing you must become a smaller version of yourself to deserve connection. WHO THIS EPISODE IS FOR This conversation may especially resonate with autistic, ADHD, and other neurodivergent adults who struggle with eating disorders, body shame, masking, rejection sensitivity, or the persistent feeling of being “too much.” It may also be helpful for eating disorder therapists, dietitians, clinicians, partners, and loved ones who want to better understand neurodivergent communication and eating disorder recovery. CONNECT WITH STACIE FANELLI Stacie Fanelli is an eating disorder therapist whose work focuses on the intersection of eating disorders, ADHD, autism, and neurodivergence. You can read her blog, including “The Loneliness of Being Hyper Verbal,” and learn more about her work at autonomousmindstherapy.com. Follow Stacie on Instagram: @EDADHD_therapist RELATED EPISODES WITH STACIE “Stuck” Isn’t Lazy: Inertia in ADHD, Autism, & Eating Disorder Recovery on Apple and Spotify. Recovering Again: Navigating Eating Disorders After a Late Neurodivergent Diagnosis (Part 1) on Apple and Spotify. Recovering Again: Navigating Eating Disorders After a Late Neurodivergent Diagnosis (Part 2) on Apple and Spotify. Minding the Gap: The Intersection Between AuDHD & Eating Disorders on Apple and Spotify. WORK WITH DR. MARIANNE Looking for neurodivergent-affirming eating disorder support? Dr. Marianne Miller is an eating disorder therapist specializing in ARFID, binge eating, anorexia, bulimia, and neurodivergence, including autism and ADHD. Learn more about eating disorder therapy, coaching, and Dr. Marianne’s self-paced ARFID & Selective Eating course at drmariannemiller.com.

Night Eating Syndrome, ADHD, & Autism: Why Neurodivergent People Eat More at Night 28.08.2026 21мин

Night Eating Syndrome, ADHD, and autism: Learn why neurodivergent people may eat more at night due to hunger cues, masking, and sensory needs.

Eating Disorder Recovery When You Feel Stuck: 5 Strategies for Chronic Anorexia & Bulimia 26.08.2026 21мин

Feeling stuck in eating disorder recovery? Learn 5 strategies for long-term anorexia and bulimia, including restriction, bingeing, and purging.

How to Stop Binge Eating Without Dieting: ADHD, Body Image, & Food Freedom With Marcelle Rose 24.08.2026 35мин

Learn how to stop binge eating without dieting with Marcelle Rose. Explore ADHD, body image, restriction, food freedom, and binge eating recovery.

Why Food Feels So Regulating: Autism, ADHD, Eating Disorders, & the Nervous System 21.08.2026 23мин

Explore how autism, ADHD, stimming, sensory regulation, and the nervous system can shape eating and eating disorder recovery.

Anorexia in a Larger Body: How to Talk About Your Eating Disorder When Others Don't Understand 19.08.2026 17мин

Anorexia in a Larger Body: How to Talk About Your Eating Disorder When Others Don't Understand Can you have anorexia in a larger body? Yes. Yet weight stigma and stereotypes about what an eating disorder "looks like" can make it difficult to feel believed, receive appropriate anorexia treatment, or talk about your experience with others. In this solo episode, Dr. Marianne discusses anorexia in larger bodies from both a clinical and lived-experience perspective. As an eating disorder therapist who has experienced anorexia and now lives in a larger body, she understands the complicated experience of having an eating disorder history that other people may not recognize. Anorexia, Atypical Anorexia, and Weight Stigma Anorexia and restrictive eating disorders occur across the weight spectrum. Body size cannot tell you how much someone restricts, how distressed they feel around food, or how much support they need. Dr. Marianne explores atypical anorexia, weight stigma, eating disorder recovery, and the painful experience of receiving compliments about weight loss when restriction is harming your health. How to Talk About Anorexia With Others What do you say when someone tells you that you "don't look anorexic"? Learn practical ways to talk about anorexia with family, friends, and healthcare providers, set boundaries around weight and body comments, advocate for weight-inclusive care, and respond when people don't understand your eating disorder. Work With Dr. Marianne If you're navigating anorexia, atypical anorexia, restrictive eating, or eating disorder recovery, Dr. Marianne offers neurodivergent-affirming, trauma-informed, weight-inclusive support. Learn more about eating disorder therapy, coaching, and consultation at drmariannemiller.com.

Harm Reduction & The Middle Place of Eating Disorder Recovery With "Slip" Author Mallary Tenore Tarpley, MFA 17.08.2026 27мин

Eating disorder harm reduction, anorexia recovery, and redefining full recovery with Slip author Mallary Tenore Tarpley.

How to Manage Weight Restoration When Your Autistic Child Has Anorexia, ARFID, & a PDA Profile 14.08.2026 11мин

Learn how to support weight restoration in autistic children and teens with PDA, ARFID, or anorexia using neurodivergent-affirming care.

My Eating Disorder Recovery Story Continued: Internalized Weight Bias in the Age of Ozempic 12.08.2026 20мин

Explore eating disorder recovery, internalized weight bias, fatphobia, and body image struggles in the Age of Ozempic and GLP-1s.

Is Healthmaxxing Disordered Eating? Protein, Fitness Trackers, & Eating Disorder Recovery With Amy Ornelas, RD 10.08.2026 33мин

Healthmaxxing, protein obsession, fitness trackers, and diet culture: Amy Ornelas, RD, discusses their role in eating disorder recovery.

Why Lived Experience Matters in Anorexia & Bulimia Recovery for Neurodivergent People: 5 Things I've Learned as Both a Therapist & Someone in Recovery 07.08.2026 14мин

Learn how lived experience shapes neurodivergent-affirming anorexia and bulimia recovery for autistic and ADHD adults.

Is It OCD, Perfectionism, or Both? Why It Matters in Eating Disorder Recovery 05.08.2026 14мин

Learn how OCD, perfectionism, autism, and anxiety overlap in eating disorder recovery and why accurate assessment matters.