Dr. Marianne-Land: An Eating Disorder Recovery Podcast
Welcome to this mental health and eating disorder podcast by Dr. Marianne Miller, who is an eating disorder therapist and binge eating and ARFID course creator. In this podcast, Dr. Marianne explores the ins and outs of eating disorder recovery. It’s a top podcast for people struggling with anorexia, bulimia, binge eating disorder, ARFID (avoidant restrictive food intake disorder), and any sort of distressed eating. We discuss topics like neurodiversity and eating disorders, self-compassion in eating disorder recovery, lived experience of eating disorders, LGBTQ+ and eating disorders, as well as anti-fat bias, weight-neutral fitness, muscularity-oriented issues, and body image. Dr. Marianne has been an eating disorder therapist for 13 years and has created a course on ARFID and selective eating, as well as a membership to help you recover from binge eating disorder and bulimia. Dr. Marianne has been in mental health for 28 years. Dr. Marianne is neurodivergent and works with a lot of neurodivergent folks. She has fully recovered from an eating disorder that lasted 25 years, and she wants to share her experience, knowledge, and recovery joy with you! Her interview episodes with top eating disorder professionals drop on Tuesdays. You can also tune in on Fridays when Dr. Marianne’s SOLO episodes that come out. You’ll hear personal stories, tips, and strategies to help you in your eating disorder recovery journey. If you’re struggling with food, eating, body image, and mental health, this podcast is for you!
Episodes
41 minutes ago
41 minutes ago
14 min
ARFID in young adults can make university, new careers, relationships, and daily eating feel overwhelming. Changes in routines, unfamiliar food environments, and pressure to become independent can create challenges that others don’t always see.
Dr. Marianne discusses navigating adulthood with avoidant/restrictive food intake disorder, asking for help while maintaining autonomy, and building self-compassion around eating needs.
ARFID AT UNIVERSITY & IN THE WORKPLACE
Dining halls, shared kitchens, unpredictable schedules, and workplace lunches can disrupt access to familiar foods. Learn how to identify the routines and practical supports that make eating more manageable, including food preparation help, predictable eating breaks, and conversations with university accessibility services.
ASKING FOR HELP WHILE KEEPING YOUR AUTONOMY
Needing support with groceries, cooking, or remembering to eat does not make you less of an adult. Dr. Marianne shares ways to make specific requests, communicate boundaries, and choose support that respects your decisions. For autistic young adults and ADHDers, sensory needs and executive functioning challenges deserve consideration.
SOCIAL EATING, FRIENDSHIPS, & DATING WITH ARFID
Restaurant invitations, shared meals, and questions about food can add pressure when you have ARFID. Hear ways to communicate food limitations, plan for social situations, and build connection without making every interaction revolve around eating.
BUILDING SELF-COMPASSION THROUGH CHANGE
Feeling ashamed of your eating challenges can make asking for support harder. Learn how to respond to self-criticism with curiosity, recognize when transitions increase your support needs, and pursue greater flexibility while keeping familiar foods available.
ARFID SUPPORT & RESOURCES
Dr. Marianne offers eating disorder therapy and ARFID therapy in California, including in-person appointments in San Diego, plus global coaching. Her self-paced ARFID and Selective Eating Course provides neurodivergent-affirming, sensory-attuned education for adults, families, and providers.
Visit DrMarianneMiller.com to learn about working with Dr. Marianne, or explore the ARFID and Selective Eating Course.
This episode provides education and does not replace individualized medical, nutritional, or mental health care.
2 days ago
2 days ago
10 min
How to Stop Binge Eating Without Dieting or Restricting Food
Struggling to stop binge eating without falling back into dieting, food restriction, or rigid food rules? The binge-restrict cycle can make binge eating worse, even when you're trying to regain control over your eating. But binge eating recovery doesn't have to involve weight loss, deprivation, or more food rules.
In this solo episode of Dr. Marianne-Land, eating disorder therapist Dr. Marianne explains how to reduce binge eating without dieting, why physical and psychological restriction can fuel binge eating episodes, and how a Health at Every Size (HAES) approach supports sustainable recovery. Learn why binge eating often decreases gradually, how to recognize meaningful progress, and why self-compassion is essential to breaking the binge-restrict cycle.
WHY RESTRICTING FOOD CAN MAKE BINGE EATING WORSE
Food restriction isn't always intentional. Skipping meals, avoiding certain foods, eating too little, or struggling with ADHD-related executive functioning can leave your body inadequately nourished. Psychological restriction, including labeling foods as bad or forbidden, can also intensify cravings and binge eating urges.
Dr. Marianne explains how consistent nourishment, food flexibility, and mechanical eating can help reduce binge eating without creating another set of restrictive rules.
HOW TO BREAK THE BINGE-RESTRICT CYCLE
Trying to compensate after binge eating by skipping meals, exercising excessively, or restricting food can perpetuate the cycle. Binge eating recovery involves learning to nourish yourself consistently, including after a binge episode.
Rather than focusing on controlling food intake, Dr. Marianne discusses how to address the underlying biological, emotional, and sensory factors that contribute to binge eating.
HEALTH AT EVERY SIZE (HAES) AND BINGE EATING RECOVERY
A Health at Every Size approach shifts the focus away from weight loss and toward reducing and eventually eliminating binge eating episodes, supporting adequate nourishment, and improving your relationship with food.
This weight-neutral approach is especially important for people in larger bodies who experience pressure to diet, even when food restriction contributes to their binge eating.
WHY BINGE EATING RECOVERY TAKES TIME
Stopping binge eating rarely happens overnight. As recovery progresses, binge eating episodes may gradually become less frequent, involve smaller amounts of food, or feel less intense. Eventually, episodes may stop altogether.
Dr. Marianne explains why reducing the frequency and intensity of binge eating represents meaningful progress, even when episodes haven't completely stopped. Recovery isn't linear, and setbacks don't erase the changes you've made.
SELF-COMPASSION AND EMOTIONAL REGULATION IN BINGE EATING RECOVERY
Binge eating can provide emotional comfort, sensory regulation, stimulation, or relief from distress. This can be particularly relevant for autistic people and ADHDers who experience sensory overwhelm, executive functioning challenges, or difficulty recognizing hunger cues.
Instead of responding to binge eating with shame or punishment, learn how curiosity, emotional regulation, and self-compassion can support long-term recovery. Being patient with yourself is part of the process, not something you have to earn after binge eating stops.
WORK WITH DR. MARIANNE
Dr. Marianne is an eating disorder therapist with nearly 30 years of experience in mental health. She provides weight-neutral, neurodivergent-affirming, trauma-informed therapy for binge eating disorder, bulimia, anorexia, and ARFID.
Binge Eating Disorder Therapy: Available via telehealth throughout California and Washington, D.C., and in person in the San Diego area.
Binge Eating Recovery Membership: Explore Dr. Marianne's self-paced membership for support with binge eating recovery, emotional regulation, and developing a more compassionate relationship with food.
Visit drmariannemiller.com to learn more about therapy, coaching, and binge eating recovery resources.
Remember: You can work toward stopping binge eating without dieting, restricting food, or pursuing weight loss. Recovery takes time, and self-compassion is an essential part of lasting change.
3 days ago
3 days ago
26 min
Binge eating recovery can feel challenging when weight loss messages surround you. Registered dietitian Toni Rudd joins Dr. Marianne to discuss finding food freedom, navigating body image struggles, and healing your relationship with food amid growing pressure to take GLP-1 medications for weight loss.
Drawing on their professional and personal experiences, Toni and Dr. Marianne discuss how a non-diet approach can support recovery from binge eating while helping you build a life with less food guilt and more room for what matters.
BINGE EATING, FOOD NOISE & THE RESTRICTION CYCLE
Toni explains why her approach begins with eating regularly and eating enough. The conversation addresses binge eating shame, secretive eating, and the exhausting cycle of dieting and restriction. Food freedom includes greater flexibility, trusting yourself around food, and spending less mental energy questioning what you eat.
BODY IMAGE & WEIGHT LOSS PRESSURE
How do you work toward body acceptance when people around you are pursuing weight loss? Toni and Dr. Marianne discuss social comparison, social media boundaries, and separating your self-worth from the number on the scale. Body neutrality can offer a place to begin, even when loving your body feels out of reach.
GLP-1 MEDICATIONS & EATING DISORDER SUPPORT
The conversation considers eating disorder screening, nutrition support, and medical monitoring for people taking GLP-1 medications. Toni shares concerns about access without adequate assessment while acknowledging the benefits she has seen in diabetes care. They also discuss the emotional pull of weight loss promises when you struggle with binge eating or body dissatisfaction.
WHAT FOOD FREEDOM CAN LOOK LIKE
Recovery takes time and unlearning. Toni and Dr. Marianne reflect on having more space for relationships, enjoying shared meals, and being present without constant calculations about food or exercise. They share why moving away from restriction can create possibilities beyond the scale.
ABOUT TONI RUDD
Toni Rudd is a UK registered dietitian who specializes in eating disorders, particularly binge eating. Based in Manila, she offers virtual support to clients internationally. Her compassionate, non-diet approach helps people improve their relationship with food and work toward body acceptance.
Connect with Toni on Instagram: @the.binge.dietitian
Connect with Toni on her website: https://www.thebingedietitian.com/
RELATED EPISODES WITH TONI
Food Neutrality & Binge Eating Recovery: Apple & Spotify
ADHD & Binge Eating Disorder: Apple & Spotify.
Reasons Behind Binge Eating & What To Do After a Binge: Apple & Spotify
WORK WITH DR. MARIANNE
Dr. Marianne offers eating disorder therapy in California, including in-person support in San Diego, plus virtual coaching worldwide. Learn about support for binge eating, bulimia, anorexia, and ARFID at drmariannemiller.com.
For neurodivergent-affirming, sensory-attuned education for adults, parents, and providers, visit the ARFID & Selective Eating Course.
CONTENT NOTES
Includes discussion of binge eating, restrictive eating, eating disorder histories, body dissatisfaction, weight loss pressure, and GLP-1 medications. This conversation provides education and does not replace individualized medical, nutrition, or mental health care.
7 days ago
7 days ago
8 min
Intuitive eating can feel frustrating when hunger cues are unclear, meals slip your mind, or sensory needs make food difficult to tolerate. In this solo episode of Dr. Marianne-Land, Dr. Marianne discusses why “just listen to your body” may leave autistic people and ADHDers needing more practical support during eating disorder recovery.
Why Intuitive Eating Can Feel Difficult With ADHD & Autism
Recognizing hunger and responding to it involve different skills. ADHD executive functioning challenges can make remembering meals, choosing food, and starting preparation difficult. For autistic people, sensory sensitivities and interoception differences can complicate identifying hunger, fullness, and foods that feel manageable.
Dr. Marianne explains how these experiences can affect eating without making them a personal failure.
Hunger & Fullness Cues in Eating Disorder Recovery
Recovery from anorexia, bulimia, binge eating disorder, or ARFID may require support beyond internal cues. Low appetite, early fullness, and difficulty recognizing hunger can make consistent nourishment challenging.
Learn why hunger and fullness provide only part of the picture, and how a treatment team can help you meet your nutritional needs.
Mechanical Eating, Meal Structure & Neurodivergent Support
Mechanical eating uses planned eating times and structure to support nourishment when internal cues aren’t enough. Flexible routines, familiar meals, accessible snacks, and reminders can reduce the work involved in eating.
Needing ongoing structure or sensory accommodations does not make your recovery less meaningful. Support can respect your autonomy while helping you eat adequately.
Who This Episode Is For
This conversation is for autistic adults, ADHDers, people with ARFID, and anyone who feels discouraged by intuitive eating during eating disorder recovery. Providers and loved ones will also find language for understanding eating challenges and offering practical support.
Work With Dr. Marianne
Dr. Marianne offers neurodivergent-affirming, sensory-attuned eating disorder therapy in California and Washington, D.C., including support for ARFID, binge eating, anorexia, and bulimia.
Visit DrMarianneMiller.com to learn about working together.
For adults, parents, and providers seeking a deeper understanding of ARFID, visit the ARFID & Selective Eating Course.
Follow @drmariannemiller on Instagram and subscribe to Dr. Marianne-Land for more conversations about autism, ADHD, and eating disorder recovery.
Oct 28, 2026
Oct 28, 2026
15 min
Food waste guilt can make eating feel like an obligation. When you have ARFID or binge eating disorder, the pressure to clean your plate may intersect with sensory sensitivities, scarcity fears, family food rules, and anxiety about grocery costs.
Dr. Marianne discusses making peace with throwing away food while supporting nourishment, autonomy, and eating disorder recovery. With a neurodivergent-affirming approach, she considers how autism and ADHD can complicate leftovers, food preparation, and the expectation to finish everything.
ARFID, Sensory Sensitivities, & Food Waste Guilt
A familiar food can become difficult to eat when its texture, temperature, or smell changes. For someone with avoidant/restrictive food intake disorder, discarding that food may bring up shame about money or frustration with their sensory needs. Learn how shifting the question to “What would help me eat now?” can support access to food without adding pressure.
Binge Eating & the Pressure to Clean Your Plate
Thoughts like “I need to finish this before it goes bad” or “I won’t be allowed to eat this tomorrow” can make food decisions feel urgent. Dr. Marianne examines food waste guilt, restrictive food rules, and permission to save food for later. She also explains why eating past comfortable fullness does not automatically mean someone has binge eating disorder.
Food Scarcity, Family Rules, & Eating Disorder Recovery
Childhood messages about gratitude, money, and finishing every bite can remain powerful in adulthood. Current food insecurity also deserves practical support. Hear ways to identify the fear beneath the guilt and respond with greater self-compassion.
ADHD, Autism, & Practical Food Support
Visible leftovers, accessible safe foods, freezing portions, and convenient packaging may make food management easier. The focus stays on accommodations that fit your sensory needs, executive functioning, budget, and capacity.
Permission to discard food does not create a requirement to leave food behind. Adequate nourishment and your individual recovery needs remain central.
Work With Dr. Marianne
Dr. Marianne offers eating disorder therapy, including ARFID and binge eating disorder support, in California and Washington, D.C., with in-person appointments in San Diego and virtual coaching available worldwide. Visit DrMarianneMiller.com to learn more.
For adults with ARFID, parents, caregivers, and providers, the ARFID and Selective Eating Course offers neurodivergent-affirming, sensory-attuned education.
Follow Dr. Marianne on Instagram @drmariannemiller and follow Dr. Marianne-Land on Apple Podcasts for more conversations about ARFID, binge eating, autism, ADHD, and eating disorder recovery.
Oct 27, 2026
Oct 27, 2026
15 min
Living in a larger body doesn’t mean eating comes easily. Sensory issues with food, difficulty recognizing hunger, and the executive functioning demands of preparing meals can make eating challenging. Anti-fat bias can leave those struggles unseen or dismissed.
Dr. Marianne brings her perspective as an eating disorder therapist, a fat autistic woman, and someone with lived experience of eating disorders and recovery to this conversation about body size, autism, ADHD, and food struggles.
Autism, Sensory Issues With Food, and Body Size
Food textures, smells, temperatures, and unpredictable ingredients can make eating overwhelming for autistic people in any body size. Familiar brands, packaged foods, and repeated meals can provide predictability. Learn why sensory needs deserve respect and how pressure to eliminate accessible foods can make eating harder.
ADHD and Executive Functioning Challenges With Eating
Meal planning, grocery shopping, remembering to eat, and preparing food involve multiple executive functioning skills. ADHD can make it difficult to start cooking, shift away from a task, or choose a meal. Being in a larger body doesn’t make those barriers disappear.
Weight Stigma and Unrecognized Eating Struggles
Assumptions about weight can prevent people from receiving support for restrictive eating, ARFID, and other eating difficulties. Dr. Marianne discusses how anti-fat bias adds shame and why providers and loved ones need to ask about someone’s experience rather than make assumptions based on appearance.
Neurodivergent-Affirming Support for Eating
Making eating more accessible may involve convenient meals, sensory accommodations, fewer preparation steps, and practical support. Hear ways to communicate your needs, set boundaries around food commentary, and build eating routines that fit your autistic or ADHD brain.
Eating Disorder Therapy and ARFID Resources
Dr. Marianne offers neurodivergent-affirming, weight-neutral eating disorder therapy in California and Washington, D.C. Visit DrMarianneMiller.com to learn about support for eating disorders, ARFID, and eating challenges.
For sensory-attuned education for adults, parents, and providers, visit the ARFID and Selective Eating Course. Follow @drmariannemiller on Instagram.
Share this episode with someone who wants to better understand autism, ADHD, and struggling to eat in a larger body.
Oct 26, 2026
Oct 26, 2026
36 min
Eating disorder recovery needs trust, connection, and care that sees the whole person. Dr. Melissa Spann joins Dr. Marianne to discuss why the therapeutic relationship matters in eating disorder treatment and body image therapy, alongside nutrition support, medical stabilization, and evidence-based interventions.
Drawing from nearly 25 years in the eating disorder field, Dr. Spann shares insights from her book, Building and Maintaining Authentic Relationships in Eating Disorders and Body Image Therapy. Together, they discuss therapist authenticity, feeling seen in treatment, and how weight stigma can undermine recovery.
WHY CONNECTION MATTERS IN EATING DISORDER RECOVERY
The therapeutic alliance is the collaborative relationship between a clinician and the person receiving care. Dr. Spann explains why a treatment manual cannot replace presence, attunement, and trust. How a therapist listens, responds, and connects shapes the experience of eating disorder therapy.
Dr. Marianne and Dr. Spann also discuss “common factors,” the elements that different therapy approaches share, and why those relational foundations deserve attention alongside specific treatment techniques.
EVIDENCE-BASED TREATMENT AND THE PERSON RECEIVING CARE
Eating disorder treatment often emphasizes measurable outcomes, including nutritional and medical stabilization. Those needs matter, and so does the person experiencing treatment.
The conversation considers how clinicians can use approaches such as family-based treatment and cognitive behavioral therapy while staying responsive to individual needs. Dr. Spann reflects on the pressures of higher levels of care and the importance of maintaining human connection within structured programs.
WEIGHT STIGMA AND BODY IMAGE THERAPY
Weight bias can appear within eating disorder care, including treatment team conversations, family expectations, and inaccessible spaces. Dr. Spann and Dr. Marianne discuss how anti-fat bias affects both clients and clinicians, and why addressing it belongs in conversations about authentic, respectful care.
They also address the challenges of supporting young people when parents fear weight gain, and why eating disorder recovery requires examining the messages families receive about body size.
AUTHENTICITY AND FEELING SEEN IN THERAPY
Showing up authentically creates room for honest conversations about shame, identity, and vulnerability. Dr. Marianne shares reflections on autistic and ADHD masking, expectations to please others, and practicing as a therapist in a larger body.
A trusting therapeutic relationship can also offer a starting point for recognizing and building safer connections beyond therapy.
ABOUT DR. MELISSA SPANN
Melissa Spann, PhD, MBA, is a certified eating disorder specialist, clinical supervisor, educator, and healthcare leader specializing in complex eating disorders, trauma, and adolescent development. She serves as an adjunct professor at the University of Miami. Her book, Building and Maintaining Authentic Relationships in Eating Disorders and Body Image Therapy, addresses the relational foundations of clinical care.
WORK WITH DR. MARIANNE
Dr. Marianne is an eating disorder therapist with nearly 30 years of experience as a therapist. She offers neurodivergent-affirming, trauma-informed, weight-neutral therapy in California and Washington, D.C., including in-person appointments in San Diego.
Visit drmariannemiller.com to learn about eating disorder therapy, global coaching, and parent consultation. Her ARFID & Selective Eating Course offers self-paced education for adults, parents, caregivers, and providers.
CONTENT CAUTIONS
This episode includes discussion of eating disorders, weight stigma, anti-fat discrimination, parental comments about body size, treatment experiences, and brief references to GLP-1 medications and “food noise.”
Oct 22, 2026
Oct 22, 2026
12 min
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.
Oct 21, 2026
Oct 21, 2026
9 min
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.
Oct 20, 2026
Oct 20, 2026
13 min
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.




