Dr. Marianne-Land: An Eating Disorder Recovery Podcast

PDA & Eating Disorders: Why the Pervasive Drive for Autonomy Matters in Recovery

What if your “resistance” in eating disorder recovery isn’t resistance at all—but a deeply wired need for safety, control, and agency? In this solo episode, Dr. Marianne explores the intersection of PDA (Pervasive Drive for Autonomy) and eating disorders, especially in neurodivergent individuals navigating ARFID, anorexia, bulimia, or binge eating disorder. While traditional eating disorder treatment often emphasizes structure and compliance, these approaches can backfire for folks with a strong drive for autonomy.
We unpack what PDA actually is (hint: it’s not defiance), how it shows up in treatment spaces, and why honoring autonomy through co-regulation, collaboration, and consent can open the door to more sustainable recovery. You’ll also learn how internalized demands, sensory sensitivities, and trauma histories shape eating behaviors—and what truly affirming, flexible support looks like.
Whether you're a clinician, caregiver, or someone in recovery, this conversation offers insight into neurodivergent-affirming, autonomy-respecting care that centers safety instead of compliance.
👉 Learn more about my ARFID and Selective Eating Course for providers, adults with ARFID, and parents at https://www.drmariannemiller.com/arfid
CHECK OUT OTHER EPISODES ON NEURODIVERGENT-AFFIRMING, EATING DISORDER TREATMENT!
The Invisible Hunger: How Masking Shows Up in Eating Disorder Recovery on Apple & Spotify.
The Complexities of Treating ARFID: How a Neurodivergent-Affirming, Sensory-Attuned Approach Works on Apple & Spotify.
Rejection Sensitivity Disorder (RSD) & Eating Disorders: The Emotional Toll of Feeling "Too Much" on Apple & Spotify.
When Eating Disorder Care is NOT Neurodivergent-Affirming on Apple & Spotify.
Personal Neurodivergent Stories on Apple & Spotify.
INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND?
Follow me on Instagram @drmariannemiller
Check out my virtual, self-paced ARFID and Selective Eating course
Look into my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership.
Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, 15-minute phone consultation HERE or via my website, and I'll get you to where you need to be!
Check out my blog.
Want more information? Email me at hello@mariannemiller.com

ADHD & Eating Disorders: The Overlooked Link

Why is ADHD so often overlooked in eating disorder treatment—and how can that gap cause more harm than healing?
In this solo episode, Dr. Marianne explores the connection between ADHD and eating disorders, highlighting why traditional treatment approaches often fall short for neurodivergent individuals. You’ll learn how executive dysfunction, impulsivity, time blindness, and sensory sensitivities can all shape eating patterns—and why behaviors like binge eating, erratic meal timing, or food rigidity may reflect nervous system needs, not a lack of willpower.
If you’ve struggled with meal consistency, emotional eating, or feeling unseen in standard recovery spaces, this episode offers insight and validation. Discover how neurodivergent-affirming and sensory-attuned eating disorder recoverycan help you reconnect with food in ways that actually support your brain and body.
🎧 Listen now for compassionate, shame-free support that centers your lived experience.
CHECK OUT OTHER EPISODES ON ADHD, NEURODIVERSITY, & EATING DISORDERS!
ADHD & Binge Eating Disorder on Apple & Spotify.
Overexercising, ADHD, and eating disorders via Apple and Spotify.
Set-Shifting, AuDHD, & Eating Disorders on Apple & Spotify.
The Complexities of Treating ARFID: How a Neurodivergent-Affirming, Sensory-Attuned Approach Works on Apple & Spotify.
Navigating ADHD, Eating Disorders, & Sensory Sensitivities on Apple & Spotify.
INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND?
Follow me on Instagram @drmariannemiller
Check out my virtual, self-paced ARFID and Selective Eating course
Look into my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership.
Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, 15-minute phone consultation HERE or via my website, and I'll get you to where you need to be!
Check out my blog.
Want more information? Email me at hello@mariannemiller.com
 

How Diet Culture & Purity Culture Fuel Eating Disorders: Unpacking the Trauma Behind the Rules With Cassie Krajewski, LCSW @inneratlastherapy

How do diet culture and purity culture work together to shape—and shame—our relationships with food, body, and self? In this thought-provoking episode, Dr. Marianne is joined by Cassie Krajewski, LCSW (@inneratlastherapy), to unpack the trauma that often hides beneath the surface of “clean eating” and “moral” behavior. They explore how religious teachings, modesty expectations, and diet rules can become deeply intertwined, reinforcing eating disorder patterns and disconnecting people from their own needs. Whether you’ve experienced religious trauma, struggled with body image, or felt trapped in all-or-nothing thinking, this episode offers validation and insight.
ABOUT CASSIE
Cassie is known for her authenticity, warmth, and compassion, which shows up in her work as a business, owner, therapist, consultant, and podcaster. As the founder of Inner Atlas, Cassie is passionate about helping people heal from the impacts of trauma and disembodiment. Cassie's personal history and healing experiences drove her to pursue a career in social work. Her training emphasized the importance of context, culture, and systems upon mental health. This lead to her dream of opening a practice centered on anti-oppressive, holistic, and trauma-responsive care. Her professional experiences inform her understanding that working with the body's inherent wisdom takes clients further, faster. She is rooted in the belief that she is not a guru but a guide. ‍Outside of her clinical work, Cassie is actively involved in mentoring and teaching other therapists. Her approachable nature and deep empathy ensure that her practice remains a space where clients and colleagues from all walks of life feel seen, heard, and valued.
FOLLOW AND CONTACT CASSIE
IG: https://www.instagram.com/inneratlastherapy/
E-mail: hello@inneratlastherapy.com
Website: https://www.inneratlastherapy.com
CHECK OUT OTHER EPISODES ON DIET CULTURE!
Let's Talk Recovery: Ditching Diet Culture & Crushing Eating Disorder Thoughts on Apple & Spotify.
Just Say NO to Dieting: A Weight-Neutral Approach to Fitness on Apple & Spotify.
The Diet/Wellness Industry, Accessibility, & Diet Culture on Apple & Spotify.
INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND?
Follow me on Instagram @drmariannemiller
Check out my virtual, self-paced ARFID and Selective Eating course
Look into my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership.
Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, 15-minute phone consultation HERE or via my website, and I'll get you to where you need to be!
Check out my blog.
Want more information? Email me at hello@mariannemiller.com

Ozempic, Zepbound, Wegovy, & the Future of Body Diversity: What We’re Losing in the Weight Loss Hype

In this solo episode, Dr. Marianne explores how the growing popularity of GLP-1 medications like Ozempic, Wegovy, Zepbound, and Mounjaro is reshaping the body diversity movement. As weight loss drugs become more widely used and celebrated, messages of fat liberation and weight-inclusive care are being challenged in new and complex ways.
Dr. Marianne discusses the cultural effects of GLP-1s, the pressure many people feel to conform to changing body ideals, and what this means for fat humans, eating disorder recovery, and those committed to body autonomy. This episode offers a compassionate and honest look at the grief, confusion, and questions arising in this new era.
If you're navigating the intersection of weight stigma, eating disorders, and the rise of GLP-1 medications, this conversation will help you feel grounded, supported, and less alone.
🔗 Learn more about the Binge Eating Recovery Membership: drmariannemiller.com
CHECK OUT OTHER EPISODES ON BODY DIVERSITY & BODY LIBERATION!
Breaking Free: Body Liberation After Binge Eating Disorder on Apple & Spotify.
Body Acceptance, Size Diversity, & Body Liberation on Apple & Spotify.
Body Liberation, Intersectionality, & Soul Work on Apple & Spotify.
INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND?
Follow me on Instagram @drmariannemiller
Check out my virtual, self-paced ARFID and Selective Eating course
Look into my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership.
Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, 15-minute phone consultation HERE or via my website, and I'll get you to where you need to be!
Check out my blog.
Want more information? Email me at hello@mariannemiller.com

Why Is Anorexia Showing Up Again in Midlife? You're Not Imagining It.

Anorexia isn’t just a teen or young adult diagnosis. For many people, it’s resurfacing or emerging for the first time in their 30s, 40s, 50s, and beyond. In this solo episode, Dr. Marianne explores the resurgence of anorexia in midlife through a neurodivergent-affirming, trauma-informed, and sensory-attuned lens. We unpack why these restrictive patterns may return (or appear for the first time), how anorexia often presents differently later in life, and what kind of support can actually help.
Whether you are navigating body image distress, a changing identity, hormonal shifts, grief, or caregiving burnout—this conversation will help you feel seen, validated, and not alone.
🎧 Plus, if you’re exploring binge-restrict cycles or emotional eating patterns in midlife, check out Dr. Marianne’s Binge Eating Recovery Membership—a virtual, self-paced space for gentle, non-shaming support.
LISTEN TO OTHER EPISODES ON ANOREXIA
The Nitty Gritty on Family-Based Treatment for Anorexia (Maudsley Method) on Apple & Spotify.
Understanding Anorexia: Causes, Solutions, & Coping Strategies on Apple & Spotify.
Anorexia, Accessibility to Care, & Intuitive Eating on Apple & Spotify.
INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND?
Follow me on Instagram @drmariannemiller
Check out my virtual, self-paced ARFID and Selective Eating course
Look into my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership.
Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, 15-minute phone consultation HERE or via my website, and I'll get you to where you need to be!
Check out my blog.
Want more information? Email me at hello@mariannemiller.com
 

Secondary Traumatic Stress (STS), Burnout, & Eating Disorders With Dr. Danielle Hiestand, LMFT

How does secondary traumatic stress (STS) affect eating disorder providers, and how can we care for ourselves without bypassing the realities of burnout, exhaustion, and systemic overwhelm? Dr. Marianne sits down with Dr. Danielle Hiestand, LMFT (@drdaniellehiestand), to unpack the intersection of STS, vicarious trauma, burnout, and disordered eating in helping professionals.
Whether you're a therapist, dietitian, coach, or caregiver working in high-empathy roles, this episode explores how chronic exposure to others’ pain can show up somatically, emotionally, and in our relationships with food and body. Dr. Hiestand shares research insights and lived-experience wisdom on setting sustainable boundaries, navigating ethical self-care, and creating healing spaces that also protect the healer.
🎧 Tune in for validating conversation, practical strategies, and a much-needed reminder: your humanity doesn’t have to be hidden to do this work well.
HEAR FROM DANIELLE ABOUT DANIELLE!
I have been passionate about learning and helping others most of my life. I am originally from Northern California and was overjoyed to study at University of California, San Diego and to live near the ocean. After receiving my Bachelors of Science in Cognitive Science, Neuroscience and Psychology I stayed in San Diego to complete my doctorate in Marital and Family Therapy at Alliant International University and become a licensed Marriage and Family Therapist (LMFT #48529).
​While at college, I took a course on eating disorders and began to volunteer with a program that focused on eating disorder prevention. I knew I wanted to be a therapist and help people heal and recover from their eating disorders. I planted my roots in San Diego and began working at an eating disorder treatment program. It was clear early on that most of my clients had a trauma history. Some had never called what they went through “trauma,” but could see how their life experiences had contributed to the development of their eating disorder. Others knew they had gone through something that still bothered them in the present, but didn’t know how to talk about it or how to heal. 
​During this time I acquired extensive experience treating anorexia, bulimia, binge eating disorder, complex PTSD, dissociative disorders, depression, and anxiety. I also began my training in EMDR therapy; a treatment that has become crucial to my therapeutic approach. To help clients on their journey toward healing I also utilize systems theory, dialectical behavioral therapy (DBT), acceptance commitment therapy (ACT), and mindfulness. My overall goal is to work collaboratively with clients in order to honor their treatment goals.
In 2013 Kelly Hinds, RDN and I created Savor Podcast. For three years we recorded episodes on nutrition, body image, mindfulness, yoga, eating disorders, dieting, EMDR therapy and beyond. Past Savor podcast episodes are available here.
Before starting my family, I was an adjunct professor at University of California, San Diego, Alliant International University and San Diego State University. I taught classes on eating disorders, stress management, social psychology, and assessment. After my family started to grow, I decided to slow down and work part-time in my Mission Valley private practice in San Diego, California. 
I work toward providing a calm, safe and grounded space for you to feel comfortable sharing your successes and your struggles. A journey back to self always has ups, downs and surprises. Together we can navigate how to find tools and strategies to help you cope and make space for yourself.
In my free time I enjoy spending time with my husband and two daughters. I also love swimming, paddle boarding, and hiking.
CONTACT DANIELLE
 Website: https://www.drdaniellehiestand.com
(fill out a contact form there)
Retreat Information: https://www.drdaniellehiestand.com/retreats
CHECK OUT OTHER PODCAST EPISODES WITH DANIELLE AND ON TRAUMA & EATING DISORDERS
Using EMDR & Polyvagal Theory to Treat Trauma & Eating Disorders With Dr. Danielle Hiestand, LMFT on Apple & Spotify.
Wounds We Carry, Hunger We Feel: Complex PTSD & Eating Disorders on Apple & Spotify.
Trauma, Eating Disorders, & Levels of Care on Apple & Spotify.
INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND?
Follow me on Instagram @drmariannemiller
Check out my virtual, self-paced ARFID and Selective Eating course
Look into my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership.
Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, 15-minute phone consultation HERE or via my website, and I'll get you to where you need to be!
Check out my blog.
Want more information? Email me at hello@mariannemiller.com
 
 

Why Am I Eating at Night? Understanding Night Eating Syndrome in Your 30s, 40s, & 50s

In this solo episode, Dr. Marianne unpacks Night Eating Syndrome (NES): what it is, how it differs from binge eating disorder, and why it so often emerges or intensifies in your 30s, 40s, and 50s. From hormonal shifts to chronic stress, neurodivergence, caregiving burnout, and sensory overload, we explore the deeper reasons behind nighttime eating patterns—and why they’re not a sign of failure.
Whether you're struggling to sleep without eating, feeling ashamed about late-night food rituals, or just trying to understand your body better, this episode offers shame-free insight and compassionate support.
🎧 Tune in to learn:
What Night Eating Syndrome really is (and isn’t)
Why it’s common in midlife and among neurodivergent folks
What your nighttime eating might be trying to communicate
How to begin supporting yourself with care—not control
💛 Looking for support that meets you where you are? Learn more about Dr. Marianne’s Binge Eating Recovery Membership:drmariannemiller.com/binge-eating-101-class-1
 
CHECK OUT MY MOST POPULAR EPISODE OF ALL TIME...
Night Eating Syndrome on Apple and Spotify.
 
INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND?
Follow me on Instagram @drmariannemiller
Check out my virtual, self-paced ARFID and Selective Eating course
Look into my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership.
Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, 15-minute phone consultation HERE or via my website, and I'll get you to where you need to be!
Check out my blog.
Want more information? Email me at hello@mariannemiller.com

Autonomy-Affirming or Authoritative? Where’s the Line in Eating Disorder Treatment?

What does it really mean to respect someone’s autonomy in eating disorder treatment—and where’s the line between support and control? In this solo episode, Dr. Marianne explores the difference between autonomy-affirming care and more authoritative, top-down approaches. She shares why this matters so much for neurodivergent people, who are often pushed into treatment styles that ignore their needs, sensory experiences, or communication differences.
Whether you're a provider wanting to offer more collaborative care or someone in recovery who's felt misunderstood or pressured by treatment before—this conversation offers validation, insight, and new ways to think about healing.
✨ Learn more about this approach in Dr. Marianne’s ARFID and Selective Eating Course at drmariannemiller.com/arfid.
CHECK OUT OTHER EPISODES ON NEURODIVERSITY & EATING DISORDERS!
> On when eating disorder care is NOT neurodivergent-affirming via Apple and Spotify.
> On navigating ADHD, eating disorders, and sensory sensitivities via Apple and Spotify.
> On overexercising, ADHD, and eating disorders via Apple and Spotify.
> On personal neurodivergent stories via Apple and Spotify.
 
INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND?
Follow me on Instagram @drmariannemiller
Check out my virtual, self-paced ARFID and Selective Eating course
Look into my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership.
Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, 15-minute phone consultation HERE or via my website, and I'll get you to where you need to be!
Check out my blog.
Want more information? Email me at hello@mariannemiller.com

Queer Mental Health & Eating Disorders: How Stress Shows Up in the Body & Brain With Winter Groeschl, NCC, LPC (@eatingdisorderrevealed)

What does stress actually do to our bodies and brains—and how does that intersect with queerness and eating disorders? In this conversation, I’m joined by therapist and educator Winter Groeschl (they/them), who brings both clinical insight and lived experience to the complex realities of being queer in a world that often pathologizes our identities.
We explore how chronic stress—especially from anti-LGBTQIA+ environments—can shape nervous system responses, affect eating patterns, and lead to trauma adaptations that are so often misdiagnosed or misunderstood. Winter also shares their thoughts on what truly affirming care looks like and how providers can stop doing harm to queer humans in treatment.
Whether you're a queer person navigating recovery, or a clinician looking to offer more inclusive care, this episode offers both validation and practical takeaways.
ABOUT WINTER GROESCHL, NCC, LPC
Winter is passionate about providing care and support for those facing substance use disorders, eating disorders, depression, anxiety, trauma, and more. They utilize an integration of modalities and inclusive approaches with their clients, pulling from ACT, mindfulness-based approaches, DBT/CBT, polyvagal theory, Compassion Focused therapy, and Client Centered modalities.
 
Winter said, "As a human who is in recovery from my own eating disorders, it has been an honor and privilege to help others navigate their own journey, whatever that looks like, through therapy."
 
Winter is located and practices in Arizona, in the United States.
 
You can contact and follow Winter through the following links:
Instagram @eatingdisorderrevealed
Website https://eatingdisorderrevealed.com/revealed-team
Listen to other episodes with Winter Groeschl, NCC, LPC:
Navigating Social Media in Eating Disorder Recovery & How to Stay True to Your Values: Apple & Spotify
LGBTQIA+, the Coming Out Process, & Eating Disorders: Apple & Spotify
LGBTQIA+ & Eating Disorders: Apple & Spotify
INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND?
Follow me on Instagram @drmariannemiller
Check out my virtual, self-paced ARFID and Selective Eating course
Look into my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership.
Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, individual 15-minute phone consultation via my website, and I'll get you to where you need to be!
Check out my blog.
Want more information? Email me at hello@mariannemiller.com

Body Dysmorphic Disorder

In this solo episode of Dr. Marianne-Land, we’re exploring Body Dysmorphic Disorder (BDD)—a mental health condition that often hides in plain sight. BDD isn’t just about disliking how you look; it’s a deeply distressing experience where perceived flaws in appearance become all-consuming. For many, it leads to rituals like mirror checking, avoiding social situations, or even seeking cosmetic procedures—none of which ease the internal pain for long.
We’ll unpack how BDD shows up, how it differs from eating disorders like anorexia and bulimia, and why it’s so often misdiagnosed—especially in fat folks, neurodivergent people, and those with trauma histories. This episode offers clarity, compassion, and concrete ways to begin untangling appearance-based distress.
💛 If binge eating feels like part of your experience too, check out my Binge Eating Recovery Membership—a supportive space to heal your relationship with food without shame or restriction. Learn more here: drmariannemiller.com/binge-eating-101-class-1
CHECK OUT OTHER EPISODES ON BODY IMAGE
How to Improve Your Body Image: An Eating Disorder Recovery Story via Apple or Spotify
Body Grief & Body Peace via Apple or Spotify
Body Acceptance, Size Diversity, & Body Liberation via Apple or Spotify
Sex & Body Image (Part 1) via Apple or Spotify
Sex & Body Image (Part 2) via Apple or Spotify
INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND?
Follow me on Instagram @drmariannemiller
Check out my virtual, self-paced ARFID and Selective Eating course
Look into my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership.
Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, 15-minute phone consultation HERE or via my website, and I'll get you to where you need to be!
Check out my blog.
Want more information? Email me at hello@mariannemiller.com