Dr. Marianne-Land: An Eating Disorder Recovery Podcast

Exposure therapy often emerges as the gold standard for ARFID treatment, but for many neurodivergent people it does not address the full picture. In this episode of Dr. Marianne-Land, Dr. Marianne Miller explains why exposure therapy on its own often fails and how sensory-attuned, trauma-informed, and autonomy-honoring care creates a more effective path forward. CONTENT CAUTION This episode discus...

Have you ever reached for food when you were stressed, lonely, or overwhelmed, only to feel guilty afterward? In this episode of Dr. Marianne-Land, Dr. Marianne Miller, LMFT, explores the guilt so many people carry around emotional eating and why that guilt does more harm than the eating itself. She shares how comfort eating has always been a part of human connection, memory, and regulation, and w...

What if recovery isn’t about a finish line but about finding meaning in the messy middle? In this episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, Dr. Marianne Miller welcomes journalist, professor, and author Mallary Tenore Tarpley to talk about her groundbreaking new book, Slip: Life in the Middle of Eating Disorder Recovery . Mallary shares her powerful story of developing ano...

How do you feed yourself when cooking feels overwhelming, grocery shopping is exhausting, and you forget to eat until you're already past the point of hunger? In this episode, Dr. Marianne explores what it means to create a truly ADHD-affirming relationship with food. It isn't about meal plans or rigid rules. It’s about honoring the way ADHD brains actually work and making food more accessible, su...

What happens when you're no longer engaging in dangerous eating disorder behaviors, but food still feels like it controls your life? In this episode, Dr. Marianne Miller unpacks the concept of quasi-recovery, a space that can feel both safer than active illness and yet not fully free. Quasi-recovery often includes improved behaviors, such as more regular meals or weight restoration, but leaves beh...

What happens when perfectionism, academic pressure, and athletics collide with body image struggles? In this powerful episode of Dr. Marianne-Land, I sit down with Dr. Amanda Marie, a psychologist, educator, and mental health advocate who shares her story of battling bulimia throughout her teen years, college, and into her PhD program. Amanda opens up about how her eating disorder began at 15, fue...

Why does pressuring someone to eat often make things worse, especially when they are neurodivergent? In this solo episode, Dr. Marianne Miller explores the intersection of ARFID (Avoidant/Restrictive Food Intake Disorder) and PDA, which can be understood as either Pathological Demand Avoidance or Pervasive Drive for Autonomy. She breaks down how demands around eating, even gentle ones, can increas...

Why does letting go of food restriction feel unsafe, even when you're ready to recover? In this solo episode, Dr. Marianne explores how restriction can become a form of survival. She discusses the ways restriction may provide a sense of control, structure, or identity, especially for those who are neurodivergent, live in marginalized bodies, or have trauma histories. You will learn about the diffe...

In this inspiring and candid interview, Dr. Marianne Miller speaks with psychiatric mental health nurse practitioner Kirsten Book @bookconciergepsych about her powerful journey from living with bulimia for more than a decade to building a successful career in mental health care. Kirsten reveals how her early struggles were shaped by inadequate treatment, provider misconceptions, and the absence of...

Have you ever wondered why binge eating can suddenly begin or return in your 30s, 40s, or 50s, even if you thought you had moved past it? In this episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, Dr. Marianne Miller explores why binge eating often emerges or resurfaces during midlife and why this experience is far more common than most people realize. She unpacks the combustive mi...

Have you ever wondered why recovery feels unsafe if you are autistic, or why masking can look like restriction? In this episode, Dr. Marianne examines the overlooked intersection of autism and anorexia. She explains how autistic masking, the survival strategy of hiding or suppressing traits to “fit in,” can overlap with food restriction and why recovery often feels unsafe in treatment spaces that...

Dr. Marianne Miller is joined by Chelsea Levy, RDN (@chelsealevynutrition), a certified intuitive eating counselor, registered dietitian nutritionist, and fat-positive healthcare provider based in New York City. Chelsea shares her powerful journey from "diet rock bottom" to embracing intuitive eating and becoming a leading advocate for weight-inclusive and fat-positive care in eating disorder trea...

Content Caution: This episode discusses childhood trauma, eating disorders, and body shame. Please listen with care and take breaks if needed. Episode Overview: Eating disorders are not about willpower or personal failure. They are survival responses rooted in trauma, body shame, and environments where safety or acceptance were missing. In this episode of Dr. Marianne-Land: An Eating Disorder Reco...

For too long, eating disorders have been falsely framed as illnesses that only affect white, thin, affluent girls. This narrow stereotype erases countless people’s experiences and blocks them from diagnosis and treatment. In this episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, Dr. Marianne Miller dismantles this damaging myth and explores the liberation truth: eating disorders a...

ARFID is not just a childhood diagnosis. In this episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, I am joined by registered dietitian Caroline (Callie) Holbrook, RD, to discuss what Avoidant/Restrictive Food Intake Disorder looks like in adults and how to navigate food and nutrition in ways that feel safe and supportive. Callie shares her expertise in working with adults with ARF...

Eating disorders are not just about food. They often begin as survival strategies...ways to manage overwhelming emotions, cope with trauma, or create a sense of control in a world that feels unpredictable. In this powerful episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, I sit down with Amy Ornelas, RD (@amyornelasrd), an eating disorder dietitian and somatic therapist, to explor...

In this essential solo episode, Dr. Marianne challenges the narrow and harmful narrative that eating disorders primarily affect girls and women. She explores how toxic masculinity shapes, and often hides, disordered eating and body shame in boys and men. Backed by recent research, this episode unpacks how muscle dysmorphia, bingeing, and restriction are frequently dismissed as “normal” male behavi...

What happens when someone is both neurodivergent and fat in a world that punishes difference? In this solo episode, Dr. Marianne unpacks how fatphobia and ableism intersect to create barriers in medical care, mental health treatment, and everyday life for people with ADHD, autism, PDA, and other forms of neurodivergence. She explores why fat liberation and neurodivergent rights must go hand-in-han...

In this raw and emotionally charged solo episode, Dr. Marianne unpacks why thinness continues to be equated with goodness in mainstream culture. Drawing on the New York Times opinion piece The Unrepentant Return of Christian Diet Culture by Jessica Grose, Dr. Marianne explores how weight loss is still moralized through religious teachings, wellness trends, and political rhetoric. This episode crit...

Diet culture thrives in isolation. It tells us we must heal alone, control ourselves into wellness, and avoid burdening others with our food struggles. But what if true recovery depends not on control, but on connection? In this solo episode, Dr. Marianne explores how co-regulation—the experience of nervous system safety in relationship—can be a radical force for healing. She explains how eating d...

TikTok claims to have banned “SkinnyTok,” but disordered eating content continues to thrive under rebranded hashtags, edited images, and wellness culture language. In this eye-opening episode of Dr. Marianne-Land, Dr. Marianne Miller is joined by eating disorder prevention advocate and educator Jenny Tomei (@askjenup) to unpack the rise of SkinnyTok and its harmful influence on teens and adults al...

In this solo episode, Dr. Marianne Miller, LMFT, breaks down the reality of atypical anorexia and challenges the damaging myth that only thin people struggle with restrictive eating. Despite the name, atypical anorexia is far from rare—and for many people in mid-sized and fat bodies, it goes undetected, misdiagnosed, or even encouraged by medical providers because of weight stigma. Dr. Marianne ex...

Still feeling stuck in recovery, even after therapy, nutrition work, or intuitive eating? You are not alone. In this solo episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, Dr. Marianne Miller explores a common but often overlooked reason why recovery can feel incomplete: the possibility of living with more than one eating disorder at the same time. Through a trauma-informed and ne...

In this soul-nourishing and deeply insightful episode, Dr. Marianne Miller sits down with fat liberationist author and activist Amanda Martinez Beck to unpack what it really means to live with diabetes in a fat body—especially in a medical system steeped in anti-fat bias. Amanda shares her personal journey of being diagnosed with type 2 diabetes while navigating eating disorder recovery, medical g...

Struggling to tell the difference between OCD and ARFID—or wondering if you or your client might be dealing with both? You’re not alone. In this episode of Dr. Marianne-Land, Dr. Marianne explores the nuanced relationship between Obsessive-Compulsive Disorder (OCD) and Avoidant/Restrictive Food Intake Disorder (ARFID)—two conditions that often overlap and require very different support. Learn how...