Dr. Marianne-Land: An Eating Disorder Recovery Podcast

Feeling like a burden can make asking for ARFID support harder than staying silent. Dr. Marianne discusses food anxiety, shame, and the fear of drawing attention to your eating needs, with practical language for requesting safe foods and setting boundaries.
ARFID, Food Anxiety, & Feeling Like a Burden
Living with avoidant/restrictive food intake disorder can mean checking restaurant menus, planning around familiar foods, and anticipating comments about your plate. Past criticism or pressure may make asking for accommodations feel vulnerable. Dr. Marianne addresses how guilt can lead you to hide your needs, even when that means going without food you can eat.
Autism, ADHD, & Hiding Your Food Needs
For autistic people and ADHDers, ARFID self-advocacy may connect with a longer history of masking sensory needs and trying to avoid inconveniencing others. Learn how these experiences can shape your willingness to request support and why needing a different approach to eating deserves understanding.
How to Ask for Safe Foods & ARFID Accommodations
Hear practical scripts for choosing a restaurant, requesting a specific food or preparation, and bringing familiar foods to gatherings. Dr. Marianne also shares ways to communicate through text or with help from a trusted person when speaking in the moment feels difficult.
Setting Boundaries Around Food Comments
Support can include less attention to your eating. Learn how to ask others to stop commenting on your plate, decline pressure to try foods, and respond when someone keeps questioning your needs. Clear requests can help you stay connected while protecting your privacy.
Who This ARFID Podcast Is For
Adults and teens with ARFID, autistic people, ADHDers, parents, partners, caregivers, and providers will find language for more supportive conversations about food. Content includes food-related criticism, shame, social eating anxiety, and difficulty accessing enough food.
ARFID Support & Resources
Learn more about Dr. Marianne’s neurodivergent-affirming, sensory-attuned, trauma-informed ARFID and Selective Eating course. Adults with ARFID, parents and caregivers, and providers will benefit.
For eating disorder therapy in California and Washington, D.C., visit drmariannemiller.com. Follow @drmariannemiller on Instagram.
This episode provides education and does not replace individualized care. If eating difficulties regularly prevent you from getting enough food or fluids, seek medical and ARFID-informed support.
Related ARFID Podcast Episodes
When Safe Foods Stop Working: ARFID Plateaus, Burnout, & What Helps on Apple & Spotify.
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.

Long-term eating disorder recovery can feel exhausting, especially when you wonder whether your body and mind can still heal. Dr. Marianne shares five small steps to support physical and emotional well-being while making room for uncertainty, ongoing symptoms, and individualized care.
Chronic Eating Disorder Recovery: Finding Hope After Years of Struggling
Years of living with anorexia, bulimia, binge eating disorder, or ARFID do not determine your future. Dr. Marianne offers a compassionate, weight-neutral perspective on healing, acknowledging that some complications require ongoing treatment and that meaningful progress can take different forms.
Five Small Steps to Support Your Body & Mind
Learn how to ask for medical support, make eating more predictable, reduce daily overload, understand the functions of eating disorder behaviors, and recognize specific signs of progress. These manageable starting points can complement a treatment plan without turning recovery into another performance standard.
Autism, ADHD & Accessible Eating Disorder Support
Sensory overwhelm, executive functioning challenges, and unclear hunger cues can make eating harder. Dr. Marianne discusses mechanical eating, familiar foods, convenience foods, and accommodations that help autistic people and ADHDers make nourishment more accessible.
Understanding Eating Disorder Behaviors Without Shame
Restriction, binge eating, and purging may serve different functions, including temporary relief, comfort, or certainty. Understanding what happens before an urge can help you identify nutritional, emotional, sensory, and relational needs with your treatment team.
Recognizing Progress in Long-Term Eating Disorder Recovery
Asking for help sooner, accepting meal support, or returning to your care plan after a difficult day can represent meaningful change. Persistent symptoms still deserve attention, even as you acknowledge improvements in daily functioning and quality of life.
Content Cautions & Medical Safety
Includes discussion of chronic eating disorders, restriction, binge eating, purging, and physical symptoms. Educational content does not replace individualized treatment. Increasing nutrition after significant restriction may require medical supervision.
Related Episodes
Anorexia & Binge Eating: The Binge-Restrict Cycle in Long-Term Eating Disorder Recovery on Apple & Spotify.
Beyond Anorexia: The Truth About Long-Term Restrictive Eating on Apple & Spotify.
Anorexia & Bulimia Recovery: 5 Ways to Manage Eating Overwhelm in Long-Term Eating Disorders on Apple & Spotify.
Eating Disorder Therapy & ARFID Resources
Dr. Marianne offers eating disorder therapy in California and Washington, D.C. Her neurodivergent-affirming ARFID and Selective Eating course provides education for adults, parents, caregivers, and providers.
Learn more at DrMarianneMiller.com and find the course at DrMarianneMiller.com/arfid. Follow @drmariannemiller on Instagram.

Transitioning from residential eating disorder treatment, partial hospitalization (PHP), or intensive outpatient treatment (IOP) can bring relief, uncertainty, and new demands. For autistic people and ADHDers, losing built-in meal support while navigating changes in routines, sensory environments, and daily responsibilities can make eating disorder recovery feel harder than expected.
Dr. Marianne, an AuDHD eating disorder therapist with nearly 30 years of experience as a therapist, discusses how to build a transition plan that supports your brain, nourishment, and ongoing care.
Autism, Transitions & Eating Disorder Recovery
For many autistic people, even positive changes require significant adjustment. Leaving familiar providers, schedules, and spaces can add stress alongside the everyday transitions involved in preparing and eating meals. Learn how advance notice, written plans, predictable routines, and opportunities to practice can support the move toward outpatient eating disorder care.
ADHD, Executive Function & Meal Support
Remembering meals, switching tasks, grocery shopping, and preparing food require executive-function skills. Dr. Marianne explains why following a nutrition plan can become more difficult when program support decreases and how accessible foods, practical reminders, and help from trusted people can reduce barriers.
Sensory Needs, ARFID & Recovery Accommodations
Sensory overload, unfamiliar foods, and unpredictable household expectations can complicate eating after treatment. Hear how sensory accommodations, familiar foods, and convenient meals may support nourishment, with guidance from your eating disorder treatment team. The conversation also addresses distinguishing supportive accommodations from patterns that maintain restriction.
Discharge Planning & Ongoing Eating Disorder Support
A useful discharge plan identifies who will provide medical monitoring, nutrition support, therapy, and practical help. Dr. Marianne discusses communicating treatment experiences, adjusting responsibilities, and recognizing early signs that support needs to change. Needing additional care does not erase your progress.
Who This Episode Is For
Autistic adults, ADHDers, and people with both autism and ADHD who are transitioning between levels of eating disorder care will find practical support here. Parents, partners, caregivers, and providers supporting recovery from anorexia, bulimia, binge eating disorder, or ARFID may also benefit.
Content Cautions & Medical Guidance
Includes discussion of eating disorder treatment, missed meals, binge urges, restriction, and compensatory behaviors, without graphic details. This episode provides education and does not replace individualized care. Consult your treatment team about nutrition, medical monitoring, and changes in your level of care.
Related Episodes
Eating Disorder Recovery, Higher Level of Care, & Renourishment With Amy Ornelas, RD on Apple & Spotify.
Eating Disorder Therapy & ARFID Resources
Dr. Marianne offers neurodivergent-affirming eating disorder therapy in California and Washington, D.C. Learn more at drmariannemiller.com.
For adults with ARFID, caregivers, and providers, find the ARFID and Selective Eating course at drmariannemiller.com/arfid.
Follow @drmariannemiller on Instagram.

Dating in a larger body can bring up body image struggles, dating anxiety, and fears of rejection. Messages from diet culture can convince you that you have to lose weight before someone will find you attractive or want a relationship with you.
In this episode of Dr. Marianne-Land, Dr. Marianne welcomes back body image educator and licensed mental health counselor Bri Campos for an honest conversation about dating while fat, body grief, and making room for connection without waiting for your body to change.
Body Image, Dating Anxiety, & Fear of Rejection
Bri shares how she spent years believing her body size stood between her and finding love. She reflects on hiding her body, questioning whether someone could genuinely find her attractive, and learning to approach dating with greater self-trust.
Dr. Marianne and Bri explore how body image concerns can become a focus when dating brings up vulnerability. They discuss the fear of rejection that can remain even after substantial body image work, and why difficult feelings deserve curiosity and compassion.
Body Grief & Letting Go of the Thinness Requirement
Body grief can include grieving the experiences you postponed while waiting to become thin. Bri discusses how her body grief work helped her question the belief that love, attraction, and belonging require a smaller body.
The conversation also explores fat representation in romance novels, narrow beauty standards, and the cultural messages that make it harder to imagine yourself as someone’s romantic lead.
ADHD, Autism, Masking, & Dating
Dr. Marianne and Bri discuss how neurodivergence can shape dating and social experiences. Unfamiliar places, sensory overwhelm, small talk, and pressure to mask can create discomfort that you might attribute to your body size.
They reflect on the importance of recognizing your actual needs, choosing more comfortable environments, and questioning whether the desire for thinness sometimes connects to a desire for social acceptance.
Small Steps Toward Connection
You can explore dating at a pace that respects your capacity. Bri shares examples of manageable starting points, such as creating a dating profile before committing to a date.
Together, Dr. Marianne and Bri discuss treating emotional reactions as information, making space for uncertainty, and recognizing that a hard body image day does not erase your progress.
About Bri Campos
Bri Campos is a licensed mental health counselor based in New Jersey, a body image educator, and the founder of Body Image With Bri. She combines clinical experience and lived experience through a fat-positive approach, with a particular focus on body grief.
You can follow Bri on Instagram @bodyimagewithbri.
Explore her podcast, free seven-step body image and body grief guide, Body Grievers course, and resources for providers through Body Image With Bri at her website: https://www.bodyimagewithbri.com/
Related Episodes
Fat Vulnerability & Our Eating Disorder Recovery Stories With Bri Campos @bodyimagewithbri on Apple & Spotify.
Eating Disorders in Midlife: Ageism, Body Image, & the Pressure to Stay Thin & Young With Deb Benfield, RDN @agingbodyliberation on Apple & Spotify.
Resilience Skills for Body Image & Disordered Eating: Cultivating Confidence With Rachelle Heinemann, LMHC, LPC on Apple & Spotify.
Work With Dr. Marianne
Dr. Marianne offers neurodivergent-affirming, trauma-informed, weight-neutral support for body image concerns and eating disorders. She provides therapy in California and Washington, D.C., including in-person sessions in the Scripps Ranch/Mira Mesa area of San Diego, and virtual coaching for clients worldwide.
Visit drmariannemiller.com to learn about working with Dr. Marianne. For sensory-attuned education about ARFID and neurodivergent eating experiences, explore her ARFID & Selective Eating Course.
Subscribe to Dr. Marianne-Land for more conversations about body image, neurodivergence, and eating disorder recovery.

AI chatbots can offer quick answers and a sense of support, but they can also reinforce food rules, reassurance seeking, and eating disorder behaviors. Dr. Marianne examines how AI use can complicate eating disorder recovery and where these tools might provide limited, practical support.
AI & Eating Disorder Recovery: Benefits and Risks
Learn how chatbot responses can reinforce restriction, exercise compensation, and weight stigma in people with anorexia, bulimia, and binge eating disorder. Dr. Marianne also discusses why a reassuring answer may still undermine recovery and how repeated questions about food can become a checking ritual.
Autism, ADHD, ARFID & AI Support
For autistic people and ADHDers, chatbots may offer an accessible way to organize thoughts, draft messages, and break everyday tasks into smaller steps. However, generic advice can overlook sensory needs, executive functioning challenges, and the complexity of ARFID. Hear examples of possible uses that support communication and existing care plans.
What Research Says About Eating Disorder Chatbots
Dr. Marianne explains the distinction between open-ended AI chatbots and structured tools developed specifically for eating disorder support. Early findings from a small chatbot trial offer promise, but they do not establish that everyday AI tools can safely replace eating disorder therapy or medical care.
Recognizing When AI Use Undermines Recovery
Consider whether chatbot use helps you take a supported recovery step or increases checking, secrecy, body comparison, and food anxiety. Learn why bringing AI conversations to your treatment team can help you assess their role in your recovery.
Eating Disorder Therapy With Dr. Marianne
Dr. Marianne provides eating disorder therapy in California and Washington, D.C., including neurodivergent-affirming support for ARFID, anorexia, bulimia, and binge eating. Visit drmariannemiller.com to learn about working with her.
Content Cautions
Includes discussion of restriction, binge eating, compensatory behaviors, weight stigma, and body image without numbers or behavioral instructions. This conversation provides education and does not replace individualized treatment or medical assessment.

Eating disorder recovery happens within your daily life. For autistic people and ADHDers, sensory overload, executive functioning challenges, masking, and demanding schedules can make consistent nourishment harder. Building a life that fits your brain means taking those needs seriously and creating support that makes recovery more accessible.
Dr. Marianne shares how neurodivergent-affirming eating disorder recovery can include changes to your routines, relationships, work environment, and expectations of yourself.
Sensory Needs, Executive Functioning, & Regular Eating
Learn how quieter eating spaces, predictable meals, convenient foods, and practical help can reduce barriers to nourishment. Dr. Marianne discusses why reminders alone may fall short when choosing, preparing, and accessing food require more energy than you have available.
For people with autism, ADHD, ARFID, bulimia, or binge eating disorder, individualized support can help make recovery practices more manageable.
Boundaries, Masking, & Neurodivergent Support
Protecting meal breaks, allowing time to rest, and communicating sensory needs can create more room for recovery. Hear how to ask for concrete help, approach unmasking with attention to safety, and discuss the difference between supportive accommodations and restrictive eating disorder rules with your treatment team.
Work With Dr. Marianne
Dr. Marianne offers neurodivergent-affirming eating disorder therapy for clients in California and Washington, D.C., including in-person appointments in San Diego and telehealth in both locations. Visit drmariannemiller.com to learn about working with her.
Take the ARFID & Selective Eating Course
For more support understanding ARFID, autism, ADHD, and sensory food challenges, take Dr. Marianne’s ARFID and Selective Eating Course. This self-paced course offers neurodivergent-affirming, sensory-attuned, and trauma-informed education for adults, parents, caregivers, and providers.

Do chewing, crunching, or slurping sounds make you feel anxious, overwhelmed, disgusted, or desperate to leave? In this episode of Dr. Marianne-Land, Dr. Marianne welcomes clinical psychologist and author Dr. Tom to explore misophonia, sound triggers, and their impact on eating, relationships, and everyday life.
Drawing on his personal experience with misophonia and his book, Stop That Chewing, Dr. Tom shares coping approaches and discusses how families can respond with understanding and compassion.
What Is Misophonia?
Misophonia involves strong emotional and physical reactions to specific sounds. Chewing sounds and other mouth noises are common triggers, but reactions vary. Some people experience anxiety or disgust, while others feel anger, overwhelm, or an urgent need to escape.
Dr. Marianne and Dr. Tom discuss how recognizing these experiences can help people explain their needs and reduce shame.
Misophonia, ARFID, & Sensory Sensitivities
When eating sounds feel unbearable, sharing a meal can become overwhelming. Dr. Marianne and Dr. Tom explore how misophonia can complicate mealtimes for some people with ARFID—avoidant restrictive food intake disorder.
The conversation also touches on autism, ADHD, and sensory sensitivities, including the distinction between specific misophonia triggers and broader sensitivity to sound.
Misophonia in Kids & Teens: Supporting Families Without Blame
A child or teen who avoids family dinner may be struggling with sound triggers they cannot easily explain. Parents may feel rejected, while their child feels misunderstood. These experiences can create tension and disconnection around meals.
Dr. Marianne and Dr. Tom discuss a collaborative, blame-free approach that includes family education, flexible meal arrangements, background sound, and communication. The goal is to support sensory needs while strengthening family relationships.
Misophonia Coping Strategies & Treatment Approaches
Dr. Tom introduces his ABCD approach and “five-second plan” for responding to misophonia triggers. He describes environmental adjustments, breathing, muscle relaxation, and ways to address self-critical thoughts or assumptions that others are making sounds intentionally.
The conversation also explores cognitive behavioral therapy (CBT), carefully paced exposure, and possible medication as topics to discuss with qualified providers. Dr. Marianne emphasizes the value of choice, including knowing you can pause or leave an overwhelming situation.
Self-Compassion When Chewing Sounds Feel Overwhelming
A strong reaction to eating sounds does not make you a bad person. Understanding your triggers and responding to yourself with compassion can help reduce the shame that often accompanies misophonia.
Dr. Marianne and Dr. Tom explore how families can acknowledge distress without blaming either the person experiencing misophonia or the person making the sound.
About Dr. Tom Phelan & Stop That Chewing
Dr. Tom Phelan is a clinical psychologist with more than 40 years of experience working with children, families, and adults. He is the author of a widely read parenting book called 1-2-3 Magic. Stop That Chewing is his recent book, which explores misophonia and approaches to support individuals and families.
Learn more at StopThatChewing.com.
Contact Dr. Marianne for Misophonia Support
Are sound triggers affecting your meals, relationships, or daily life? Contact Dr. Marianne to discuss misophonia support and explore your needs, sensory experiences, and options for care.
You deserve space to talk about what feels overwhelming and support that takes your experience seriously.
Explore Dr. Marianne’s ARFID & Selective Eating Course
If you or someone you support struggles with ARFID or selective eating, explore Dr. Marianne’s ARFID and Selective Eating Course. The course offers deeper education about ARFID, sensory experiences, and neurodivergent perspectives on eating.
Visit Dr. Marianne’s website to learn more about the course and contact her for support.

Certain foods can become closely connected to binge eating because they provide more than taste or energy. For people with ADHD or autism, these foods may offer sensory stimulation, predictability, emotional regulation, comfort, or relief after a demanding day.
Dr. Marianne explains why binge foods are not random and why removing them rarely addresses the full problem. She examines the connections among ADHD and binge eating, autism and eating disorders, bulimia, binge eating disorder, sensory processing, interoception, executive dysfunction, and food restriction.
ADHD, Executive Dysfunction, and Binge Eating
ADHD can make consistent eating difficult. Time blindness, hyperfocus, decision fatigue, appetite changes from medication, and the many steps involved in preparing food can lead to delayed meals or inadequate nourishment. By evening, intense hunger may combine with a need for stimulation and immediate energy.
Crunchy, sweet, salty, creamy, cold, or strongly flavored foods can provide rapid sensory input. These foods may help an ADHD brain feel more alert, focused, soothed, or engaged. What appears to be a lack of self-control may actually reflect hunger, executive-function challenges, and a nervous system seeking regulation.
Autism, Sensory Regulation, and Binge Foods
For autistic people, familiar foods can provide sensory safety and predictability. Packaged foods often offer the same flavor, texture, and appearance every time. That consistency may feel especially regulating after sensory overload, masking, social demands, or unexpected changes.
Repetitive eating may also function as stimming. Specific textures, temperatures, and flavors can help an autistic person feel grounded or organized. Interoception differences may make it harder to recognize hunger and fullness until those sensations become intense.
Bulimia vs. Binge Eating Disorder
Bulimia and binge eating disorder both involve recurrent binge-eating episodes and significant distress. Bulimia also includes compensatory behaviors such as vomiting, fasting, excessive exercise, or laxative misuse.
People with binge eating disorder may not use regular compensatory behaviors, but they may still diet, skip meals, or restrict food between binges. Restriction, scarcity, and labeling foods as forbidden can increase preoccupation and intensify the binge-restrict cycle.
Understanding the Function of Binge Eating
Instead of asking only, “How do I stop eating this food?” Dr. Marianne encourages listeners to ask what the food is helping them do. It may provide energy after under-eating, interrupt racing thoughts, soothe emotional distress, support a transition into rest, or meet a sensory need.
Recovery may include mechanical eating, low-effort foods, executive-function accommodations, sensory support, regular nourishment, and less moral judgment around food. Understanding the function of binge foods does not minimize the distress or medical risks of bulimia and binge eating disorder. It creates a more compassionate and effective place to begin.
Who This Eating Disorder Recovery Episode Is For
This episode is for autistic people, ADHDers, and other neurodivergent adults who experience binge eating, bulimia, binge eating disorder, food restriction, delayed eating, sensory-seeking eating, or difficulty recognizing hunger and fullness cues. Eating disorder therapists, dietitians, and other providers may also benefit from this neurodivergent-affirming perspective.
Work With Dr. Marianne
Dr. Marianne provides neurodivergent-affirming, sensory-attuned, trauma-informed, and weight-neutral eating disorder therapy for clients in California and Washington, D.C. She also offers virtual coaching and parent consultations worldwide.
Learn more at drmariannemiller.com.
This podcast provides education and cannot replace individualized medical, nutritional, or mental health care. Bulimia and other eating disorders can cause serious medical complications. Seek medical support if you are purging, severely restricting, or experiencing concerning physical symptoms.
Related Episodes
ADHD & Binge Eating: Why You Feel Like a Bottomless Pit (And Why Traditional CBT Often Fails) on Apple and Spotify.
ADHD & Bulimia: Dopamine, Impulsivity, & the Hidden Link to Binge Eating With Kirsten Book, PMHNP-BC on Apple and Spotify.
Why Eating Feels So Chaotic With ADHD: Binge Eating, Bulimia, & Executive Function Challenges on Apple and Spotify.
Autism, Food Rigidity, & Eating Disorders: How Autistic Traits Can Help & Hinder Recovery on Apple and Spotify.

Chronic pain can make eating disorder recovery more complicated. Pain, fatigue, brain fog, medication side effects, nausea, limited mobility, and sensory overload can interfere with shopping, preparing food, recognizing hunger, and eating consistently.
In this solo episode of Dr. Marianne-Land, Dr. Marianne explains why these challenges reflect real barriers to nourishment, not a lack of motivation or commitment to recovery. Drawing from her clinical experience and more than two decades of living with lower back pain, she discusses how chronic pain can become intertwined with food restriction, binge eating, purging, compulsive movement, and body-image distress.
Interoception, Hunger, and Fullness Cues
Chronic pain can affect interoception, or the ability to notice and interpret signals from inside the body. When pain remains loud and persistent, quieter hunger and fullness cues may become harder to recognize.
Hunger may feel like nausea, shakiness, irritability, anxiety, or general physical distress. Fullness may be confused with pain, bloating, or sensory discomfort. Someone may know that something feels wrong without knowing whether they need food, rest, medication, hydration, or another form of support.
Dr. Marianne explains why relying entirely on hunger cues may not provide enough structure during a pain flare. Flexible mechanical eating, reminders, and predictable eating opportunities can support nourishment when internal signals feel inconsistent or confusing.
Chronic Pain, Food Restriction, and Binge Eating
Eating disorder behaviors can serve understandable functions when someone lives with persistent pain. Restriction may create numbness or a temporary sense of control. Binge eating may offer comfort, stimulation, distraction, or emotional regulation. Purging may feel like a release, and compulsive movement may continue despite pain because rest triggers fear or guilt.
Understanding what a behavior provides can help identify the unmet need underneath it. That understanding does not make a harmful behavior safe, but it can create a more compassionate and effective path toward change.
Medical Weight Stigma and Chronic Illness
People in larger bodies often receive weight-loss advice before healthcare professionals fully investigate their pain. For someone with an eating disorder history, restrictive medical advice can reactivate food rules, obsessive thoughts, compensatory behaviors, and body shame.
Dr. Marianne discusses why people deserve pain treatment that looks beyond body size and why intentional weight loss is not a neutral recommendation in eating disorder recovery.
Accessible Eating During Pain and Fatigue
Recovery may require practical accommodations. Frozen meals, packaged snacks, nutrition drinks, prepared ingredients, repetitive foods, and delivery all count as nourishment.
Creating options for lower-pain, moderate-pain, and severe-pain days can reduce the physical and executive-function demands of eating. Keeping food near the bed, couch, or desk can also make nourishment more accessible. The goal is not to create an ideal meal. The goal is to make eating possible.
Who This Eating Disorder Podcast Episode Is For
This episode is for people navigating chronic pain, chronic illness, fatigue, disrupted hunger and fullness cues, anorexia, bulimia, binge eating disorder, ARFID, compulsive movement, or long-term eating disorder recovery. It may also help therapists, dietitians, caregivers, and medical professionals understand why conventional recovery advice does not always fit people living with pain.
This content provides general education and support, not individualized medical, nutritional, or mental health care. Seek support from qualified professionals who understand your specific medical and eating disorder needs.
Work With Dr. Marianne
Dr. Marianne provides eating disorder therapy for clients in California and Washington, D.C., along with virtual coaching for people worldwide. She specializes in ARFID, binge eating, anorexia, bulimia, neurodivergence, chronic pain, sensory needs, and long-term eating disorder recovery.
Learn more about therapy, coaching, the self-paced ARFID and Selective Eating Course on her website, drmariannemiller.com.
Related Episodes
Chronic Illness, Wellness Culture, & Eating Disorder Recovery: Taking an Anti-Diet Approach With Abbie Attwood, MS, @abbieattwoodwellness on Apple and Spotify.
Anti-Fat Bias in Healthcare & Chronic Illness: Healing Body Image in a Marginalized Body With Ivy Felicia @iamivyfelicia on Apple and Spotify.

Attachment patterns can shape how we seek comfort, respond to uncertainty, and relate to food. Dr. Marianne welcomes back Vanessa Scaringi, PhD, and Kathryn Garland, LCSW, to discuss eating disorder recovery, emotional eating, and finding connection when the world feels unsafe.
The co-owners of CALM Counseling share insights from their book, Hungry for Connection: Heal Your Relationships with Food and People in an Insecurely Attached World. Together, they discuss how supportive relationships, self-compassion, and repair can help us build greater trust with food and ourselves.
ATTACHMENT STYLES & EATING DISORDERS
Learn about secure, anxious, avoidant, and fearful-avoidant attachment patterns and how they may show up in relationships with food and people. Vanessa and Kathryn explain why attachment styles can change and why a particular eating behavior does not automatically correspond to one attachment pattern.
EMOTIONAL EATING, FOOD ANXIETY & SAFETY
Eating behaviors can serve different functions, including seeking comfort and avoiding distress. The conversation considers how isolation, societal uncertainty, and disconnection can intensify food anxiety and disordered eating. Understanding what a behavior does for you can create space for curiosity and additional ways to meet your needs.
INTUITIVE EATING, DIET CULTURE & SELF-TRUST
Diet culture and wellness messaging often encourage people to question their bodies and fear food. The guests discuss intuitive eating, health optimization, and the moral judgments embedded in “clean eating.” Their alternative, “messy eating,” makes room for flexibility, imperfection, and a more compassionate relationship with food.
GLP-1s, FOOD NOISE & UNMET NEEDS
Dr. Marianne, Vanessa, and Kathryn discuss GLP-1 medications and the complexity of “food noise.” They consider biological hunger, cultural messaging, and emotional needs while encouraging ongoing conversation about food and eating, including when medication changes someone’s appetite.
EATING DISORDER RECOVERY THROUGH CONNECTION & REPAIR
Secure relationships allow room for disappointment, conflict, and reconnection. Vanessa and Kathryn explain how rupture and repair can support healing and why sustainable change takes time. Recovery can include building community, expanding coping strategies, and practicing a kinder internal voice.
WHO THIS CONVERSATION IS FOR
People navigating eating disorder recovery, emotional eating, food anxiety, or a difficult relationship with food may find this conversation helpful. Eating disorder therapists, dietitians, and loved ones can also gain insight into an attachment-informed approach to support.
CONTENT CAUTIONS
Discussion includes restrictive eating, compulsive exercise, orthorexia, diet culture, food insecurity, food fear, GLP-1 medications, weight-loss messaging, and purity culture. No specific weights, calorie counts, or instructions for eating disorder behaviors are provided.
CONNECT WITH VANESSA & KATHRYN
Learn about CALM Counseling and Hungry for Connection at keepcalmatx.com. Follow them on Instagram @keepcalmatx.
CONNECT WITH DR. MARIANNE
Visit drmariannemiller.com to learn about eating disorder therapy in California and Washington, D.C., global virtual coaching, and additional recovery resources. Find her on Instagram at @drmariannemiller.
If this episode resonates with you, follow Dr. Marianne-Land on Apple Podcasts, on Spotify, or wherever you listen. Share it with someone who could use a more compassionate perspective on food, relationships, neurodivergence, and recovery.
RELATED EPISODES
Attachment Theory & Our Relationship With Food, Eating, & Body Image With Dr. Vanessa Scaringi & Kathryn Garland, LCSW-S on Apple & Spotify.