Dr. Marianne-Land: An Eating Disorder Recovery Podcast

Why Eating Disorder Recovery Feels Unsafe: Facing Ambivalence in Long-Term Struggles

Recovery is often described as freedom, joy, and relief. But for people who have lived with eating disorders for many years or even decades, the reality is much more complicated. In this episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, Dr. Marianne explores why recovery can feel unsafe and why ambivalence is such a common part of the process.
You will hear about how eating disorders become entangled with identity, daily routines, and survival, and why letting go can feel destabilizing even when it is necessary for healing. Dr. Marianne explains how trauma, systemic oppression, sensory sensitivities, and executive functioning struggles can all make recovery feel threatening to the nervous system. She also shares how grief and ambivalence show up in long-term recovery and why both deserve compassion instead of shame.
This episode highlights the importance of trauma-informed, neurodivergent-affirming, and fat-affirming care, and it offers practical ways to build a sense of safety through sensory supports, executive functioning tools, and pacing change.
What You Will Learn in This Episode:
Why recovery often feels unsafe instead of freeing
How ambivalence is a normal and intelligent survival response
The role of trauma in making recovery feel threatening
How intersectionality and systemic oppression shape recovery experiences
Why grief is an important but overlooked part of long-term recovery
Sensory and executive functioning strategies that can support safer eating experiences
Related Episodes
Stages of Change & Ambivalence Around Change in Eating Disorder Recovery with Harriet Frew, MSc, @theeatingdisordertherapist_ on Apple & Spotify.
Orthorexia, Quasi-Recovery, & Lifelong Eating Disorder Struggles with Dr. Lara Zibarras @drlarazib on Apple & Spotify.
Navigating a Long-Term Eating Disorder on Apple & Spotify.
Work With Dr. Marianne
If this episode resonates with you and you are ready for support, Dr. Marianne Miller offers eating disorder therapy in California, Texas, and Washington, D.C. Her approach is trauma-informed, sensory-attuned, and affirming of neurodivergent and marginalized identities. Learn more and connect with her at drmariannemiller.com.

Pregnancy & Postpartum Eating Disorders: Body Image, Weight Stigma, & Recovery With Dr. Courtney Crisp @drcourtneycrisp

Licensed clinical psychologist Dr. Courtney Crisp (@drcourtneycrisp) joins Dr. Marianne to talk about eating disorders during pregnancy and postpartum. We discuss how body changes, medical weight stigma, breastfeeding pressure, and sensory sensitivities can trigger old patterns or spark new struggles. Dr. Courtney shares insights from her work with athletes and perinatal clients, along with lived experience of pregnancy nausea, food aversions, and postpartum adjustment. We also explore how neurodiversity, ADHD, and autistic sensory needs shape care, and why weight-inclusive, consent-based support matters for parents.
What You’ll Learn
How pregnancy, medical monitoring, and rapid body changes can activate perfectionism, control seeking, and body dissatisfaction
The effects of weight stigma in prenatal and postpartum care, and what weight-inclusive providers do differently
Why severe nausea and food aversions can persist after birth, and how to support flexible, adequate nourishment
Breastfeeding, pumping, and formula choices through a nonjudgmental, mental health first lens
Sensory overload in pregnancy and the fourth trimester, including smell sensitivity and tactile overwhelm
Athletes, performance culture, and disordered eating patterns that can resurface in the perinatal period
How to protect recovery when social media pushes “bounce back” messages
Building a trusted, affirming care team that honors intersectionality and neurodiversity
Key Takeaways
Your body will change during pregnancy and after birth, and that reality deserves compassion, not comparison.
Weight-inclusive prenatal and postpartum care improves outcomes by removing shame and centering consent.
Feeding decisions work best when they support the caregiver’s mental health and the baby’s needs, not a rigid ideal.
Sensory supports reduce distress. Use smell blockers, quieter environments, comfortable fabrics, and predictable routines.
Curate your feeds. Unfollow “get your body back” influencers and follow licensed, values-aligned clinicians.
Recovery helps you show up for your baby and for yourself. Nourishment and rest are part of caring for your family.
Timestamp Guide
00:00 Meet Dr. Courtney Crisp and her background in athletics and psychology
06:40 Why sports culture can model both body awareness and perfectionism
10:45 Pregnancy triggers, medical encounters, and weight stigma
14:40 Severe nausea, limited safe foods, and lingering food aversions
18:55 Postpartum body image, grief, and the pressure to snap back
21:40 Breastfeeding, pumping, formula, and mental health first choices
24:30 Sensory sensitivities in pregnancy and postpartum
26:45 Building a trusted, affirming care team for your unique family
28:20 Neurodiversity, ADHD, and autistic masking in assessment and care
29:30 Where to find Dr. Crisp online
Resources Mentioned
Guest site: drcourtneycrisp.com
Instagram: @drcourtneycrisp
Substack: The Pop Culture Psychologist at drcourtneycrisp.substack.com
For Listeners in Recovery
Create a simple postpartum nourishment plan with two or three easy options per meal, low lift snacks you tolerate, and a backup shelf-stable choice. Add sensory aids you find regulating. Ask your care team to avoid blind weighing and to discuss numbers only with consent. Invite a partner or friend to support meals, hydration, and rest.
Work With Dr. Marianne
If you want weight-inclusive, neurodivergent-affirming therapy for eating disorders, OCD, and body image concerns in California, Texas, or Washington, D.C., learn more and connect through my website. I also offer specialized support for ARFID, binge-type patterns, and long-term recovery.
Suggested Episodes To Queue Next
Eating Disorders & Athletes: The Pressure to Perform on Apple & Spotify.
Pregnancy, Postpartum, & Eating Disorder Recovery with Jaren Soloff, RD on Apple & Spotify.
Overexercising, ADHD, and Eating Disorders with @askjenup Jenny Tomei on Apple & Spotify.

Morning Eating Challenges in Eating Disorder Recovery: Why Breakfast Feels So Hard

Eating in the morning sounds simple, but for many people in eating disorder recovery it feels nearly impossible. Breakfast can bring up anxiety, sensory overwhelm, executive functioning struggles, and old diet culture narratives that equate delaying food with being “good.” In this episode, Dr. Marianne Miller explores why breakfast is so hard, what’s happening in the body and mind during mornings, and how oppression and neurodivergence can amplify these challenges.
WHAT THIS EPISODE COVERS
Why hunger cues may be blunted in the morning for those healing from anorexia, ARFID, binge eating disorder, bulimia, or atypical anorexia.
How anxiety, sensory sensitivities, and executive functioning difficulties make mornings especially tough.
Why low-lift and “zero spoons” food strategies are key for ADHDers and neurodivergent folks.
How systemic oppression and diet culture messages intensify morning eating struggles.
Practical steps for making mornings less overwhelming and building breakfast into your routine.
CONTENT CAUTION
This episode discusses eating disorder recovery challenges and mentions binge urges, food avoidance, and systemic oppression. Please take care of yourself as you listen.
WHY THIS MATTERS
Morning eating struggles are not a personal failing. They’re a reflection of body rhythms, trauma, and cultural messages around food and bodies. Understanding the intersection of physiology, psychology, and oppression allows recovery to be rooted in compassion rather than shame. Whether you’re working on ARFID recovery, managing binge urges, or navigating long-term eating disorder challenges, starting the day with nourishment can support stability and healing.
EXPLORE MY ARFID & SELECTIVE EATING COURSE
If mornings feel like an impossible hurdle, I created the ARFID & Selective Eating Course to support you. It’s designed for people who struggle with food avoidance, sensory sensitivities, or anxiety around eating, as well as for parents and providers seeking neurodivergent-affirming strategies. The course is self-paced and packed with practical tools to make eating less overwhelming and more possible. Learn more at drmariannemiller.com/arfid.
ABOUT DR. MARIANNE MILLER
Struggling with eating breakfast is a common challenge in eating disorder recovery, whether you’re healing from anorexia, bulimia, binge eating disorder, ARFID, or atypical anorexia. In this episode, Dr. Marianne Miller, an eating disorder therapist based in San Diego, California, as well as serving eating disorder clients in Los Angeles, the San Francisco Bay Area, Texas, and Washington, D.C., unpacks the biology, psychology, and cultural conditioning that make morning eating so difficult. With a neurodivergent-affirming lens, she offers low-lift strategies for ADHD and autistic folks, highlights how systemic oppression and anti-fat bias amplify these struggles, and provides practical tools for building safety and consistency with food in the mornings.
CHECK OUT OTHER EPISODES ON MECHANICAL AND INTUITIVE EATING:
Anorexia, Accessibility to Care, & Intuitive Eating with @the.michigan.dietitian Lauren Klein, RD on Apple & Spotify.
Intuitive vs. Mechanical Eating: Can They Coexist? on Apple & Spotify.
From Diet Rock Bottom to Intuitive Eating & Fat-Positive Care: A Eating Disorder Recovery Story with Chelsea Levy, RDN @chelsealevynutrition on Apple & Spotify.
ABOUT DR. MARIANNE MILLER & HER WORK
Struggling with eating breakfast is a common challenge in eating disorder recovery, whether you’re healing from anorexia, bulimia, binge eating disorder, ARFID, or atypical anorexia. In this episode, Dr. Marianne Miller, an eating disorder therapist based in San Diego, California, as well as serving eating disorder clients in Los Angeles, the San Francisco Bay Area, Texas, and Washington, D.C., unpacks the biology, psychology, and cultural conditioning that make morning eating so difficult. With a neurodivergent-affirming lens, she offers low-lift strategies for ADHD and autistic folks, highlights how systemic oppression and anti-fat bias amplify these struggles, and provides practical tools for building safety and consistency with food in the mornings.

ARFID Explained: What It Feels Like, Why It’s Misunderstood, & What Helps

Avoidant/Restrictive Food Intake Disorder (ARFID) is one of the most misunderstood eating disorders. Although many people assume it is about being a “picky eater,” the truth is far more complex. ARFID can involve overwhelming sensory sensitivities, intense fears of choking or vomiting, and nervous system responses that make eating feel unsafe. For those living with ARFID, every meal can feel like navigating a minefield. Shame, isolation, and years of being dismissed by others often add to the struggle.
WHAT'S IN THIS EPISODE
In this episode, Dr. Marianne Miller explores what ARFID really feels like from the inside, why it is so often overlooked or misdiagnosed, and how to shift from shame to self-compassion. She discusses the intersectional barriers that people with ARFID face, from fat folks being dismissed by providers, to autistic and ADHD individuals being mislabeled as “quirky eaters,” to cultural stigma in BIPOC communities. By unpacking these misconceptions, Dr. Marianne shines a light on why ARFID deserves serious recognition and care.
Midway through the episode, Dr. Marianne shares details about her self-paced ARFID and Selective Eating Course at drmariannemiller.com/arfid. This resource supports parents, adults, and providers alike with a neurodivergent-affirming, sensory-attuned, and trauma-informed framework. It includes practical tools for creating safety around food, reducing shame, and building flexibility without force.
Listeners will also hear about strategies that actually help people with ARFID: validating experiences instead of minimizing them, using sensory-based bridges to expand safe foods, providing trauma-informed care that honors fear as protective, and integrating low-lift routines that work with executive functioning needs. Dr. Marianne explains how true healing is not about eating everything, but about gaining more freedom, more nourishment, and more autonomy.
ARFID is not a choice, and it is not a phase. It is a real eating disorder that deserves respect, compassion, and effective support. Tune in to learn why understanding ARFID matters, and how shifting the conversation can open new pathways for care.
LISTEN TO OTHER EPISODES ON ARFID
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.
Adult ARFID Explained: Real-Life Strategies for Managing Food & Nutrition with Caroline Holbrook, RD on Apple & Spotify.
Stuck on Empty: Autistic Inertia, ARFID & the Struggle to Eat 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

Atypical Anorexia Recovery on Ozempic: One Woman’s Story of Self-Compassion & Nourishment With Amanda Martinez Beck @thefatdispatch

Author and fat liberation advocate Amanda Martinez Beck @thefatdispatch joins me to share what it’s like to navigate eating disorder treatment while taking a GLP-1 medication for diabetes care. She opens up about her lived experience with atypical anorexia in a larger body, the challenges of muted hunger cues on Ozempic, and how she’s learning to embrace nourishment with compassion. This conversation highlights the nuance of recovery, the complexities of body change, and the importance of choosing curiosity over judgment.
CONTENT CAUTION
This episode discusses eating disorders, fat stigma, and experiences with GLP-1 medications. Please take care while listening.
WHAT WE COVER
How atypical anorexia is often overlooked in larger bodies
Why Ozempic can suppress hunger cues and mimic anorexia symptoms
Building structured meals and snacks when appetite cues are muted
Holding nuance in fat liberation while navigating diabetes care
Practicing curiosity instead of judgment when bodies change
Fat accessibility in professional settings and advocating for support
The creation of Nozempic Mondays as a community resource on Substack
KEY TAKEAWAYS
Eating disorder recovery requires intentional nourishment, regardless of body size.
GLP-1 medications are not a “miracle cure” and can complicate eating disorder treatment.
Choosing curiosity over judgment creates space for healing and body acceptance.
Accessibility and advocacy matter in workplaces and communities.
GUEST
Amanda Martinez Beck is a fat author, disability advocate, and fat liberationist whose work centers on embodiment, faith, and justice. She writes The Fat Dispatch on Substack and is the author of Lovely: How I Learned to Embrace the Body God Gave Me and More of You: The Fat Girl’s Field Guide to the Modern World. She also hosts Nozempic Mondays, a resource for people navigating GLP-1 medications in weight-stigmatizing environments.
CONNECT WITH AMANDA
Substack: thefatdispatch.com
Instagram: @thefatdispatch
Threads: @thefatdispatch
OTHER EPISODES WITH AMANDA AND ON ATYPICAL ANOREXIA
Diabetes in a Fat Body: Navigating Stigma, Care, & Self-Trust with Amanda Martinez Beck @thefatdispatch on Apple or Spotify.
Atypical Anorexia with Amy Ornelas, RD on Apple or Spotify.
Atypical Anorexia: Mental & Physical Health Risks, Plus How the Term is Controversial on Apple or Spotify.
What Is Atypical Anorexia? Challenging Weight Bias in Eating Disorder Treatment with Emma Townsin, RD @food.life.freedom on Apple or Spotify.
RESOURCES MENTIONED
Dr. Rachel Milner’s comparison of GLP-1 side effects and anorexia symptoms
SUGGESTED CHAPTERS
0:00 Welcome and introduction3:20 Atypical anorexia in a larger body9:10 Hunger cues, food noise, and Ozempic14:40 Starting eating disorder treatment20:00 Choosing curiosity over judgment25:30 Accessibility and fat advocacy at work35:00 Nozempic Mondays and community care39:30 Closing reflections and resources
QUOTABLE
“Curiosity instead of judgment has been the most valuable part of my journey. I ask if I am nourished, and I let my body be.” – Amanda Martinez Beck
WHO THIS EPISODE IS FOR
People navigating eating disorder recovery while on GLP-1s for diabetes
Those in larger bodies seeking validation and support
Clinicians interested in fat-affirming, non diet, and neurodivergent-aware treatment
Families and loved ones supporting someone through recovery
WORK WITH DR. MARIANNE
If you’re seeking eating disorder therapy and anorexia treatment that is fat-positive, sensory-attuned, and neurodivergent-affirming, I offer services in California, Texas, and Washington, D.C.
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

Taste, Texture, & Smell: How Sensory Sensitivities Affect Autistics' Experiences With Food

What if your sensory needs around food were not something to fix, but something to honor?
In this solo episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, Dr. Marianne Miller explores how taste, texture, and smell can shape food experiences for autistic people, especially those struggling with ARFID or longstanding selective eating. For many neurodivergent folks, eating is not just about hunger or nutrition. It is about navigating an overwhelming sensory world where food can trigger discomfort, distress, or shutdown.
In this episode, Dr. Marianne challenges the idea that “picky eating” (not a fan of this term) is a behavioral issue. She instead centers a neurodivergent-affirming lens. Dr. Marianne explains why certain tastes may be too intense, why some textures are intolerable, and how even the smell of cooking can completely derail someone’s ability to eat. Rather than dismissing these experiences, she offers a framework that respects the wisdom of the sensory system and centers bodily autonomy.
Throughout the episode, Dr. Marianne also highlights how intersecting identities influence whose sensory needs get honored and whose get ignored. Fat autistic people are more likely to be accused of bingeing instead of being screened for ARFID. Autistic people of color may be labeled as oppositional instead of recognized as overwhelmed. Trans and nonbinary folks may feel especially vulnerable to dysphoria or sensory shutdown. When treatment spaces fail to consider these intersections, they increase the risk of harm and deepen eating-related trauma.
Listeners will come away with a greater understanding of what sensory-based food aversions really are and how we can create supportive environments that do not rely on compliance, but rather collaboration, compassion, and choice.
Content Caution
About halfway through the episode, Dr. Marianne discusses common invalidating experiences autistic people have in treatment, including being coerced into eating foods that feel unsafe, ignored by providers, or misdiagnosed because of anti-fat bias or racism. There are no graphic food descriptions, but this part may be activating for folks who have experienced treatment trauma or food-related distress.
Related Episodes on Autism and Eating
Autism & Eating Disorders Explained: Signs, Struggles, & Support That Works on Apple & Spotify.
The Invisible Hunger: How Masking Shows Up in Eating Disorder Recovery on Apple & Spotify.
How Masking Neurodivergence Can Fuel Eating Disorders on Apple & Spotify.
Autism & Anorexia: When Masking Looks Like Restriction, & Recovery Feels Unsafe on Apple & Spotify.
Ready to Learn More?
If you or someone you care about is navigating ARFID or sensory-based eating struggles, Dr. Marianne’s virtual, self-paced course, ARFID & Selective Eating offers an accessible and affirming starting point. Built on her NIT-AR model (Neurodivergent-Affirming Integrative Therapy for ARFID), this course is ideal for autistic individuals, parents, and providers alike. It offers tools for supporting sensory needs without shame, and helps you rebuild trust with food on your terms.
Learn more at drmariannemiller.com
Keywords for Searchability
autistic sensory eating, ARFID sensory sensitivity, taste aversion autism, texture sensitivity eating, food smell sensory autism, selective eating autism, autistic ARFID treatment, neurodivergent eating disorder support, trauma-informed ARFID course, sensory food aversions, autism and feeding challenges, liberation eating disorder therapy, autism sensory tools for eating, affirming ARFID support

When Words Harm: The Link Between Childhood Verbal Abuse & Disordered Eating (Content Caution)

What happens when the most painful wounds from childhood were not physical but verbal (or were both)?
In this solo episode, Dr. Marianne Miller explores how childhood verbal abuse shapes our relationship with food, body image, and self-worth. Words like "You're too much," "Are you really going to eat that?" or "You’d be pretty if you lost weight" do not just pass through us. They often take root and become beliefs that fuel restriction, binge eating, ARFID, and body distrust. These early messages are rarely named in traditional eating disorder care, yet they are at the center of how so many people learn to disconnect from their own needs.
This episode also takes a close look at intersectionality and how verbal abuse is often amplified when it lands on marginalized identities. Fat children, neurodivergent kids, BIPOC youth, disabled teens, and queer or trans kids often receive more frequent and more punishing verbal messages about food, emotions, and appearance. These experiences are not isolated. They are shaped by broader systems that devalue certain bodies and behaviors while demanding compliance and control. Dr. Marianne outlines how those messages become internalized and how they show up decades later in eating struggles that are often misunderstood or minimized by standard care.
Rather than framing recovery around food rules or rigid programs, this episode invites you to imagine a different path. One that centers truth, autonomy, compassion, and body liberation. Whether you are navigating ARFID, binge eating, restriction, or an unnameable discomfort with food, this conversation offers validation and a starting point for deeper healing.
WHAT YOU'LL HEAR IN THIS EPISODE
The many forms verbal abuse can take in childhood
How shaming language around food and body shapes long-term eating patterns
Why intersectionality matters in recovery
How internalized shame drives disordered eating
Why traditional eating disorder treatment often fails marginalized clients
What a neurodivergent-affirming, sensory-attuned, liberation-focused approach looks like
CONTENT CAUTION
This episode discusses verbal abuse, body shaming, disordered eating, and childhood trauma. Please care for your nervous system while listening. Take breaks, skip, or pause when needed.
THIS EPISODE IS FOR YOU IF . . .
You were criticized or mocked for your body, eating habits, or emotions as a child
You live in a larger body or identify as neurodivergent, BIPOC, disabled, queer, or trans
You experience food restriction, binge eating, or fear-based eating
You are seeking eating disorder recovery that respects your lived experience
You want support that centers your nervous system and autonomy
RELATED EPISODES
Childhood Trauma and Eating Disorders on Apple & Spotify.
How Childhood Trauma Shapes Eating Disorders & Body Shame (Content Caution) on Apple & Spotify.
Using EMDR & Polyvagal Theory to Treat Trauma & Eating Disorders with Dr. Danielle Hiestand, LMFT, CEDS-S on Apple & Spotify.
WORK WITH DR. MARIANNE
Dr. Marianne Miller is a Licensed Marriage and Family Therapist (LMFT) who works with teens and adults in California, Texas, and Washington, D.C. She specializes in trauma-informed eating disorder therapy that is sensory-attuned, neurodivergent-affirming, and centered on body liberation. Her clients often come to her after feeling dismissed or harmed by traditional treatment models. Many are working through ARFID, binge eating disorder, bulimia, anorexia, or mixed experiences that do not fit neatly into diagnostic boxes.
Dr. Marianne supports clients in larger bodies, those navigating chronic illness, sensory sensitivities, and those who live at the intersection of multiple marginalized identities. She believes recovery should not be about compliance or perfection. It should be about truth, autonomy, and building a relationship with food and body that is rooted in safety and dignity.
If you are seeking a therapist who will honor your complexity and offer support that aligns with your values, you can schedule a free 15-minute consultation call at:👉 drmariannemiller.com
In this episode, you will hear conversations relevant to anyone searching for a neurodivergent-affirming therapist for eating disorders, trauma-informed ARFID therapy in California, Texas, or Washington D.C., support for binge eating and body shame, or eating disorder therapy for marginalized communities. This episode includes key themes like internalized shame and food, fat liberation in recovery, body trust, verbal abuse and disordered eating, sensory-attuned care, and the role of systemic harm in eating struggles.
 

Lived Experiences of Men With Eating Disorders: Research & Reflection With George Mycock @myo_minds

What does it mean for men to navigate eating disorders in systems often designed without them in mind? In this conversation, George Mycock, PhD student and founder of MyoMinds, returns to Dr. Marianne-Land for the third time to share the evolution of his research and lived experience.
Together, Dr. Marianne and George unpack what his multi-year studies reveal about barriers men face in seeking help, how treatment systems may unintentionally exclude them, and what can be done to make services more inclusive and effective. From the absence of representation in outreach materials to clinician bias in diagnosing and treating men, George highlights systemic gaps—and the hope that comes from centering men’s own voices in solutions.
In This Episode:
Why George has structured his PhD around muscularity-oriented issues such as muscle dysmorphia, exercise addiction, and disordered eating
Findings from his studies on organizational and systemic barriers that prevent men from accessing eating disorder care
How imagery and outreach materials often alienate men, and what services can do differently
The importance of lived experience research and co-designing resources with men themselves
How messages of “it’s okay not to be okay” may fall short, and why men often need purpose-driven, hopeful framing instead
Practical ways providers can support men without pigeonholing their experiences
George reminds us that there is no one “male experience” of eating disorders, and shares why focusing on diversity, autonomy, and agency is essential in both research and treatment.
Content Caution
This episode discusses eating disorders, body image concerns, and systemic barriers to care. Please listen with care.
Previous Episodes With George
When we chatted about George's first wave of research on exercise, eating disorders, & muscularity-oriented issues on Apple or Spotify.
When we discussed George's overall focus on muscularity-oriented issues, men, and eating disorders on Apple or Spotify.
When we talked about George's second wave of research on men, muscularity, exercise, & eating disorder stigmas on Apple or Spotify.
About George & Connect With George
George consulted on these issues for the Netflix show Everything Now.
 
George lives and works out of Malvern, England, in the United Kingdom.
 
You can contact and follow George through the following links:
Website: MyoMinds.com
Twitter/X: @myominds
Instagram: @myo_minds
INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND?
Follow me on Instagram @drmariannemiller
Look into my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership.
Check out my blog.
Want more information? Email me at hello@mariannemiller.com

Low-Lift Eating Tools for ADHDers

Feeding yourself with ADHD often feels more complicated than it should. From standing in front of the fridge with a blank mind to forgetting groceries until they spoil, the everyday steps of planning, cooking, and cleaning can feel overwhelming. In this episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, Dr. Marianne Miller shares practical strategies that make food less of a battle and more of a support.
Building on episode 200, Creating an ADHD-Affirming Relationship With Food, this follow-up dives into seven tools for low-lift eating. These strategies are designed to lower barriers, reduce decision fatigue, and help you get fed with less stress.
You will learn:
How Two-Minute Meals provide quick nourishment when energy is low.
Why Food Pairing simplifies nutrition into easy combinations.
Ways to Outsource Decision-Making with default meals and visual lists.
How Asking for Support and Practicing Shortcuts can save executive functioning energy.
Why Environmental Cues help ADHDers remember to eat consistently.
How Community and Body Doubles create accountability and connection.
What to do on Zero-Spoon Days, including an explanation of spoon theory and survival strategies.
ADHD and eating can be especially challenging because executive functioning, planning, and sensory processing all intersect with food. Low-lift eating tools are a way to meet your body’s needs while honoring your neurodivergence. These strategies are helpful for ADHD meal planning, reducing overwhelm at mealtimes, and creating ADHD-friendly food systems that actually work in daily life.
This episode offers ADHD-affirming, liberation-focused tools that honor your brain’s reality instead of working against it. Eating does not have to be complicated, and low-lift supports are not just valid, they are essential.
Content Caution: This episode discusses the challenges of eating with ADHD and includes mentions of executive functioning struggles, skipped meals, and the overwhelm that can come with food. Please take care while listening and skip this episode if today is not the right time for you.
RELATED EPISODES
Creating an ADHD-Affirming Relationship With Food (episode #200) on Apple & Spotify.
Overexercising, ADHD, and Eating Disorders with @askjenup Jenny Tomei on Apple & Spotify.
ADHD & Eating Disorders: The Overlooked Link on Apple & Spotify.
If this conversation resonates with you, explore Dr. Marianne’s ARFID and Selective Eating Course at drmariannemiller.com/arfid. The course is built on a neurodivergent-affirming, sensory-attuned framework and is helpful for both adults and parents of kids who struggle with eating, as well as providers wanting to learn more about how to treat ARFID.
INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND?
Follow me on Instagram @drmariannemiller
Look into my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership.
Check out my blog.
Want more information? Email me at hello@mariannemiller.com

Navigating a Long-Term Eating Disorder

Living with an eating disorder for years or even decades can feel overwhelming, discouraging, and isolating. In this solo episode, Dr. Marianne explores what it means to navigate a long-term eating disorder, including the grief of lost time, the way it shapes daily life and identity, and how neurodivergence and trauma often play a role in keeping patterns in place.
Dr. Marianne also brings in two often overlooked dimensions:
AGING AND EATING DISORDERS: how struggles can persist into midlife and older adulthood, and the ways ageism, body changes, and health conditions intersect with recovery.
SYSTEMIC OPPRESSION: how racism, anti-fat bias, heterosexism, ableism, and other forms of marginalization amplify harm, delay diagnosis, and create barriers to care.
This episode emphasizes that there is no timeline for recovery. Whether you have lived with anorexia, bulimia, binge eating disorder, or ARFID for a few years or many decades, your healing matters. Recovery may not erase every thought or behavior, but loosening the eating disorder’s grip and reclaiming your life on your own terms is possible.
In this podcast episode on long-term eating disorders, Dr. Marianne highlights the unique challenges of navigating eating disorders across the lifespan. Listeners will hear about aging and eating disorders, how neurodivergence and trauma influence recovery, and the role systemic oppression plays in prolonging symptoms. These insights are especially valuable for people who have struggled with eating disorders for decades and are seeking affirming, trauma-informed support.
CONTENT CAUTION: This episode discusses eating disorders, long-term struggles, aging, and systemic oppression. Please take care while listening.
WHAT YOU’LL LEARN IN THIS EPISODE
Why recovery feels more complex after years of living with an eating disorder
How grief shows up when looking back on time lost
The connection between long-term eating disorders, neurodivergence, and trauma
Why aging can both challenge and shift recovery
How systemic oppression creates barriers and delays access to care
What recovery can look like when you have been struggling long-term
RELATED EPISODES ON LONG-TERM EATING DISORDERS
Orthorexia, Quasi-Recovery, & Lifelong Eating Disorder Struggles with Dr. Lara Zibarras @drlarazib on Apple & Spotify.
Why is Anorexia Showing Up in Midlife? You're Not Imagining It on Apple & Spotify.
Midlife Bulimia Recovery: Coping With the Internal Chaos on Apple & Spotify.
Binge Eating in Midlife: Why It Starts (or Resurfaces) in Your 30s, 40s, 50s on Apple & Spotify.
NEXT STEPS
If today’s episode resonates with you, explore my resources and support offerings. My work is rooted in a sensory-attuned, trauma-informed, neurodivergent-affirming approach. For adults navigating long-term eating disorders and parents supporting teens, I offer therapy in California, Texas, and Washington, D.C., as well as consultations worldwide.
Check out my ARFID and Selective Eating Course, helpful for both adults and parents, at drmariannemiller.com/arfid. You deserve care that honors your lived experience and helps you reclaim peace with food and body at every age.