Dr. Marianne-Land: An Eating Disorder Recovery Podcast

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 la...

In this episode of Dr. Marianne-Land, Dr. Marianne Miller explores one of the most misunderstood experiences in eating disorder recovery: binge eating and shame. She explains why binge eating is not caused by lack of willpower. It develops from deprivation, unmet emotional needs, and internalized shame. You will learn how restriction fuels binge urges, how shame keeps you stuck, and how compassion...

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...

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 cli...

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 lifelo...

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 merg...

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...

Have you ever wondered why recovery feels stuck, no matter how hard you try? When eating disorder behaviors keep returning despite your best efforts, unresolved trauma may be part of the reason. In this episode of Dr. Marianne-Land, Dr. Marianne Miller, LMFT, explores the deep connection between trauma and long-lasting eating disorders. Unresolved trauma often lives in the body, shaping the nervou...

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-co...

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...

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 researc...

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 large...

In this candid conversation, couples and sex therapist Dr. Nicole Van Ness, LMFT joins Dr. Marianne to explore how developmental trauma shapes attachment styles, body image, sexual desire, and day-to-day intimacy. Dr. Nicole explains what developmental trauma is, how it differs from or overlaps with complex PTSD, and why chronic misattunement in childhood can echo through adult relationships, stre...

Standard eating disorder treatment often assumes that one model will work for everyone. But for neurodivergent people, such as autistic folks, ADHDers, and those with sensory processing differences, this approach can feel like being handed a map that doesn’t match the terrain you’re actually walking. Instead of support, clients often experience shame, retraumatization, or the sense that recovery i...

Recovery is often described as freedom, joy, and relief. But for people who have lived with eating disorders for many years or even decades, the reality is much more complicated. In this episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, Dr. Marianne explores why recovery can feel unsafe and why ambivalence is such a common part of the process. You will hear about how eating disord...

Licensed clinical psychologist Dr. Courtney Crisp (@drcourtneycrisp) joins Dr. Marianne to talk about eating disorders during pregnancy and postpartum. We discuss how body changes, medical weight stigma, breastfeeding pressure, and sensory sensitivities can trigger old patterns or spark new struggles. Dr. Courtney shares insights from her work with athletes and perinatal clients, along with lived...

Eating in the morning sounds simple, but for many people in eating disorder recovery it feels nearly impossible. Breakfast can bring up anxiety, sensory overwhelm, executive functioning struggles, and old diet culture narratives that equate delaying food with being “good.” In this episode, Dr. Marianne Miller explores why breakfast is so hard, what’s happening in the body and mind during mornings,...

Avoidant/Restrictive Food Intake Disorder (ARFID) is one of the most misunderstood eating disorders. Although many people assume it is about being a “picky eater,” the truth is far more complex. ARFID can involve overwhelming sensory sensitivities, intense fears of choking or vomiting, and nervous system responses that make eating feel unsafe. For those living with ARFID, every meal can feel like...

Author and fat liberation advocate Amanda Martinez Beck @thefatdispatch joins me to share what it’s like to navigate eating disorder treatment while taking a GLP-1 medication for diabetes care. She opens up about her lived experience with atypical anorexia in a larger body, the challenges of muted hunger cues on Ozempic, and how she’s learning to embrace nourishment with compassion. This conversat...

What if your sensory needs around food were not something to fix, but something to honor? In this solo episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, Dr. Marianne Miller explores how taste, texture, and smell can shape food experiences for autistic people, especially those struggling with ARFID or longstanding selective eating. For many neurodivergent folks, eating is not just...

What happens when the most painful wounds from childhood were not physical but verbal (or were both)? In this solo episode, Dr. Marianne Miller explores how childhood verbal abuse shapes our relationship with food, body image, and self-worth. Words like "You're too much," "Are you really going to eat that?" or "You’d be pretty if you lost weight" do not just pass through us. They often take root a...

What does it mean for men to navigate eating disorders in systems often designed without them in mind? In this conversation, George Mycock, PhD student and founder of MyoMinds, returns to Dr. Marianne-Land for the third time to share the evolution of his research and lived experience. Together, Dr. Marianne and George unpack what his multi-year studies reveal about barriers men face in seeking hel...

Feeding yourself with ADHD often feels more complicated than it should. From standing in front of the fridge with a blank mind to forgetting groceries until they spoil, the everyday steps of planning, cooking, and cleaning can feel overwhelming. In this episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, Dr. Marianne Miller shares practical strategies that make food less of a battle...

Living with an eating disorder for years or even decades can feel overwhelming, discouraging, and isolating. In this solo episode, Dr. Marianne explores what it means to navigate a long-term eating disorder, including the grief of lost time, the way it shapes daily life and identity, and how neurodivergence and trauma often play a role in keeping patterns in place. Dr. Marianne also brings in two...

In this conversation, disability advocate, artist, and author Jayne Mattingly joins Dr. Marianne to explore body grief: the very real mourning that happens when your body, health, or identity do not match the life you imagined. Jayne traces how she coined the term from years of counseling work in eating disorders and body image, and from her own shift into disability after sudden illness and 19 br...