Dr. Marianne-Land: An Eating Disorder Recovery Podcast

Why Thinness Still Equals “Goodness”: Exposing the Morality Behind Wellness, MAHA, & Christian Diet Culture

In this raw and emotionally charged solo episode, Dr. Marianne unpacks why thinness continues to be equated with goodness in mainstream culture. Drawing on the New York Times opinion piece The Unrepentant Return of Christian Diet Culture by Jessica Grose, Dr. Marianne explores how weight loss is still moralized through religious teachings, wellness trends, and political rhetoric.
This episode critically examines the resurgence of Christian diet culture, the backlash against weight-loss medications like Ozempic, and the deeper implications of the Make America Healthy Again (MAHA) campaign led by Robert F. Kennedy Jr. Dr. Marianne reveals how these systems are not just about health, but about control, obedience, and purity. She discusses how thinness is still framed as a sign of self-discipline and spiritual worth, while fatness is treated as failure or sin.
Using a liberationist lens, Dr. Marianne also highlights the historical roots of fatphobia in white supremacy, referencing Dr. Sabrina Strings’ groundbreaking book Fearing the Black Body: The Racial Origins of Fat Phobia. This episode challenges listeners to question how religion, politics, and public health are deeply entangled in oppressive narratives about bodies and morality.
For neurodivergent people, those raised in religiously rigid environments, and anyone recovering from body shame, this conversation offers both validation and a call to resistance. You may want to listen in short segments, especially if you’re prone to sensory overload or religious trauma responses.
CONTENT CAUTION:In this episode, Dr. Marianne discusses anti-fat bias, Christian purity and wellness culture, diet culture, disordered eating, white supremacy, and weight-loss medications. Please take care while listening and pause as needed.
WHAT YOU'LL LEARN IN THIS EPISODE:
How Christian diet culture can moralize thinness and spiritualizes weight loss
Why Ozempic and similar medications are being rejected by some conservative groups
The political motives and fatphobic messaging behind MAHA
How alt-right Christian nationalism reinforces thinness as virtue
The white supremacist roots of fatphobia, based on Dr. Sabrina Strings’ research
Why these systems disproportionately harm fat, neurodivergent, disabled, and BIPOC individuals
What it means to reclaim body autonomy in a culture that demands control
RELATED EPISODES:
How Diet Culture & Purity Culture Fuel Eating Disorders: Unpacking the Trauma Behind the Rules with Cassie Krajewski, LCSW @inneratlastherapy on Apple & Spotify.
When Faith Hurts: Religious Trauma & Eating Disorders in Neurodivergent Communities with Victoria Leon, LCSW, on Apple & Spotify.
Breaking Up With Diet Culture with Dr. Lisa Folden, @healthyphit on Apple & Spotify.
WORK WITH DR. MARIANNE:Dr. Marianne offers therapy to individuals in California, Texas, and Washington, D.C., specializing in eating disorders, ARFID, body image healing, religious trauma, and fat liberation. She is neurodivergent-affirming and is LGBTQIAA+ affirming. Learn more or inquire about working together at drmariannemiller.com.
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.
Check out my blog.
Want more information? Email me at hello@mariannemiller.com

What Is Co-Regulation? How Healing Connection Disrupts Diet Culture & Supports Recovery

Diet culture thrives in isolation. It tells us we must heal alone, control ourselves into wellness, and avoid burdening others with our food struggles. But what if true recovery depends not on control, but on connection?
In this solo episode, Dr. Marianne explores how co-regulation—the experience of nervous system safety in relationship—can be a radical force for healing. She explains how eating disorders often develop in the absence of relational safety and why diet culture reinforces disconnection and shame. Through the lens of nervous system science, trauma-informed care, and body liberation, this episode centers the power of healing in community.
Dr. Marianne also shares why co-regulation can look different for neurodivergent people, especially those with PDA (Pervasive Drive for Autonomy). You'll learn how autonomy and co-regulation are not opposites, and how spacious, consent-based connection can be life-changing in recovery.
Whether you are navigating ARFID, anorexia, bulimia, binge eating, or a complex relationship with food and body, this episode offers a compassionate, liberation-oriented approach to healing that honors your boundaries, your needs, and your nervous system.
WHAT YOU’LL LEARN IN THIS EPISODE:
Why diet culture depends on disconnection and control
How eating disorders often emerge from a lack of safe, attuned relationships
What co-regulation is and why it supports sustainable recovery
How co-regulation can be tailored for neurodivergent folks, including those with PDA
Why autonomy and connection are both essential for healing
Ways to build nervous system safety in recovery without pressure or compliance
How community-based healing challenges shame, perfectionism, and diet culture
LISTEN TO RELATED EPISODES:
Stuck on Empty: Autistic Inertia, ARFID & the Struggle to Eat on Apple & Spotify.
PDA & Eating Disorders: Why the Pervasive Drive for Autonomy Matters in Recovery on Apple & Spotify.
Recovering Again: Navigating Eating Disorders After a Late Neurodivergent Diagnosis (Part 1) with Stacie Fanelli, LCSW @edadhd_therapist on Apple & Spotify.
Recovering Again: Navigating Eating Disorders After a Late Neurodivergent Diagnosis (Part 2) with Stacie Fanelli, LCSW @edadhd_therapist on Apple & Spotify.
MENTIONED IN THIS EPISODE:
Looking for therapy with Dr. Marianne? She offers trauma-informed eating disorder therapy in California, Texas, and Washington, D.C. Learn more or reach out at drmariannemiller.com
Supporting someone with ARFID or navigating it yourself? Explore the self-paced ARFID and Selective Eating course, grounded in sensory-attuned, neurodivergent-affirming care: drmariannemiller.com/arfid
CONTENT CAUTIONS:This episode includes discussion of eating disorders, food trauma, PDA, and sensory distress. Please listen with care and pause if needed.
Subscribe to Dr. Marianne-Land wherever you get your podcasts. If today’s episode resonated with you, consider rating and reviewing the show. Sharing it with others helps bring these conversations to more people who need them.
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

SkinnyTok & Anorexia: How Harmful Trends Thrive Despite TikTok’s Ban With Jen Tomei @askjenup

TikTok claims to have banned “SkinnyTok,” but disordered eating content continues to thrive under rebranded hashtags, edited images, and wellness culture language. In this eye-opening episode of Dr. Marianne-Land, Dr. Marianne Miller is joined by eating disorder prevention advocate and educator Jen Tomei (@askjenup) to unpack the rise of SkinnyTok and its harmful influence on teens and adults alike.
Jen, founder of the Jenup Community in the UK, shares firsthand experiences of discovering disturbing content on TikTok—even after reporting and flagging videos, the algorithm continued pushing them. Together, she and Dr. Marianne draw chilling parallels to the pro-ana forums of the early 2000s, and explore how new forms of tech—including AI-edited bodies—are further distorting body image online.
They also examine how neurodivergent teens, who are often more vulnerable to extreme thinking and sensory overload, may be especially impacted by these trends. Plus, they critique the rise of weight loss drugs like Ozempic and their potential to normalize restriction—even in pediatric settings.
WHAT YOU'LL LEARN IN THIS EPISODE:
Why SkinnyTok still exists despite being technically banned
How TikTok’s algorithm can push disordered content—even without user interaction
What “pro-ana” and “thinspo” culture looks like in 2025
The physiological damage caused by overexercise and undereating
How social media is shaping disordered eating culture in schools globally
The link between ADHD, cortisol, and disordered eating behaviors
How weight loss drugs like Ozempic may impact teens' mental and physical health
Why media literacy and early intervention in schools are urgently needed
CONTENT CAUTIONS:This episode includes discussion of disordered eating, anorexia, pro-eating disorder content, social media harm, and weight loss medications including Ozempic and Zepbound.
MEET OUR GUEST:Jen Tomei is the founder of Jenup.com, a UK-based organization providing school workshops on eating disorder prevention, body image, and self-esteem. A survivor of an eating disorder and a late-diagnosed ADHD adult, Jen brings both lived experience and professional insight into the complex intersection of neurodivergence, mental health, and diet culture.
🖥 Website: www.jenup.com📧 Email: info@jenup.com🎙 Podcast: Jenup Podcast (available on Spotify)📱 Instagram: @askjenup
LISTEN TO OTHER EPISODES WITH JEN TOMEI & ON SOCIAL MEDIA & DIET CULTURE:
Overexercising, ADHD, & Eating Disorders with @askjenup Jenny Tomei on Apple & Spotify.
Navigating Social Media in Eating Disorder Recovery & How to Stay True to Your Values with Winter Groeschl, LPC on Apple & Spotify.
How Diet Culture & Purity Culture Fuel Eating Disorders: Unpacking the Trauma Behind the Rules with Cassie Krajewski, LCSW @inneratlastherapy on Apple & Spotify.
CALL TO ACTION:If you’re a parent, educator, or school administrator looking to support teens in navigating disordered eating and body shame, we encourage you to reach out to Jen for school presentations and prevention workshops. Her work is evidence-based, trauma-informed, and fiercely body-liberation focused.
And if you or someone you love is struggling with food, body image, or recovery from disordered eating, you can work with Dr. Marianne Miller—licensed therapist and eating disorder specialist—in California, Texas, or Washington, D.C. Learn more at drmariannemiller.com.
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 Explained: Why Restriction Happens at Every Body Size

In this solo episode, Dr. Marianne Miller, LMFT, breaks down the reality of atypical anorexia and challenges the damaging myth that only thin people struggle with restrictive eating. Despite the name, atypical anorexia is far from rare—and for many people in mid-sized and fat bodies, it goes undetected, misdiagnosed, or even encouraged by medical providers because of weight stigma.
Dr. Marianne explores why restriction is deeply harmful regardless of body size, and shares research showing that at least 50% of people who meet anorexia criteria are not in bodies typically identified as anorexic. She also explains how neurodivergence—including autism, ADHD, and OCD traits—can interact with restriction, and why sensory-attuned, neurodivergent-affirming, and trauma-informed care is essential.
If you’ve ever felt like you weren’t “sick enough” to deserve support, this episode is here to offer clarity, validation, and the reminder that you are already worthy of care.
WHAT YOU’LL LEARN IN THIS EPISODE:
What atypical anorexia actually means and why the name is misleading
The percentage of people with anorexia who are not underweight
The effects of weight stigma in delaying eating disorder diagnosis and treatment
How restriction harms people in every body size
The connection between neurodivergence and restrictive eating
Why restriction “counts” even if you haven’t lost weight
How healing begins with naming the disorder and receiving affirming care
CONTENT CAUTIONS:
This episode includes discussion of restrictive eating, weight stigma, medical complications, and BMI. Please listen with care and take breaks if needed.
CHECK OUT OTHER PODCAST EPISODES ON ATYPICAL ANOREXIA:
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.
WORK WITH DR. MARIANNE:
If you’re struggling with restriction, food obsession, or atypical anorexia and are seeking affirming, experienced support, Dr. Marianne offers therapy in California, Texas, and Washington, D.C. Her approach is weight-inclusive, neurodivergent-affirming, and trauma-informed.
Get started here: 👉 https://www.drmariannemiller.com
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 Still Struggling With Food? Signs You Might Have More Than One Eating Disorder

Still feeling stuck in recovery, even after therapy, nutrition work, or intuitive eating? You are not alone. In this solo episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, Dr. Marianne Miller explores a common but often overlooked reason why recovery can feel incomplete: the possibility of living with more than one eating disorder at the same time.
Through a trauma-informed and neurodivergent-affirming lens, Dr. Marianne unpacks how symptoms from anorexia, ARFID, bulimia, binge eating disorder, and orthorexia can overlap. She explains why traditional treatment models often miss the full picture and offers insights for those whose food struggles are complex, ongoing, and still misunderstood. This episode offers clarity, encouragement, and real solutions for those who have been feeling unseen in recovery.
CONTENT CAUTIONS:
This episode includes discussion of the following topics:
Eating disorder behaviors including restriction, bingeing, purging, and food avoidance
Co-occurring and misdiagnosed eating disorders
Sensory aversions and food-related trauma
Weight stigma and systemic bias in diagnosis
Neurodivergent experiences related to eating
Please care for yourself while listening. Take breaks as needed and return when you feel ready.
WHAT YOU’LL LEARN IN THIS EPISODE:
Why multiple eating disorders can exist at the same time
How eating disorder symptoms often overlap or shift over time
Examples of combinations like ARFID with anorexia, or binge eating with orthorexia
The ways neurodivergence, trauma, and marginalization impact eating behavior
Why traditional recovery approaches may not work for everyone
What it means to build a recovery model that supports your full lived experience
Encouragement for those who feel like their recovery has stalled or isn’t working
How to seek care that addresses the full picture rather than one diagnosis
MENTIONED IN THIS EPISODE:
📘 Self-Paced ARFID CourseIf you think ARFID might be part of your story, or you want to learn more about how sensory needs, trauma, and selective eating show up in real life, check out Dr. Marianne’s course Understanding ARFID and Selective Eating. It is for adults, teens, parents, and providers. Learn more at:👉 www.drmariannemiller.com/arfid
RELATED EPISODES ON HAVING MULTIPLE EATING DISORDERS:
Dissociation & Eating Disorders: ARFID, Binge Eating Disorder, & Bulimia on Apple & Spotify.
Lived Experience of Having Both Bulimia & Binge Eating Disorder with Milda Zolubaite @nutrition.path on Apple & Spotify.
Can ARFID & Anorexia Co-Exist? Apple & Spotify.
Can ARFID Traits Show Up When You're in Recovery From Anorexia, Bulimia, & Binge Eating Disorder? 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

Diabetes in a Fat Body: Navigating Stigma, Care, & Self-Trust With Amanda Martinez Beck @thefatdispatch

In this soul-nourishing and deeply insightful episode, Dr. Marianne Miller sits down with fat liberationist author and activist Amanda Martinez Beck to unpack what it really means to live with diabetes in a fat body—especially in a medical system steeped in anti-fat bias.
Amanda shares her personal journey of being diagnosed with type 2 diabetes while navigating eating disorder recovery, medical gaslighting, and societal pressure around weight loss drugs like Ozempic. She reflects on how reclaiming the word “fat,” grounding her activism in faith and philosophy, and building fat community have supported her in choosing self-trust over shame. You’ll hear about her healing journey, her shift from size dignity to fat liberation, and her vision of a world designed with fat people in mind.
In this episode, we explore:
Why diabetes stigma in fat bodies is so dangerous—and so common
The liberating power of community with other fat people
How Amanda's beliefs as a Christian and a philosopher shape her body politics
Her experience with Ozempic, including what led her to stop taking it
The emotional toll of medical fatphobia—and how she found a weight-inclusive doctor
The birth of her substack series Nozempic Mondays, a haven for people resisting GLP-1 pressure
If you’ve ever felt dismissed by providers, pressured to shrink your body for “health,” or like your needs in a fat body are invisible—this episode is for you. You are not alone. You deserve care that honors your whole self.
CONTENT CAUTIONS:Discussion of weight loss, eating disorders, diabetes, Ozempic, and medical trauma.
GUEST BIO: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
WORK WITH DR. MARIANNE:Dr. Marianne Miller is a licensed eating disorder therapist offering therapy in California, Texas, and Washington, D.C., and ARFID consulting worldwide. She specializes in helping neurodivergent and humans of all shapes and sizes heal their relationship with food, bodies, and eating.
Learn more at www.drmariannemiller.com
OTHER EPISODES ON BODY LIBERATION THAT YOU MIGHT LIKE:
Body Liberation, Intersectionality, & Soul Work with @liberatiwellness Leslie Jordan Garcia, MPH, PT on Apple & Spotify.
Body Acceptance, Size Diversity, & Body Liberation on Apple & Spotify.
Breaking Free: Body Liberation After Binge Eating Disorder with Sophia Apostol @fatjoy.life 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

Is It OCD, ARFID, or Both? A Guide to Understanding & Supporting Complex Food Avoidance

Struggling to tell the difference between OCD and ARFID—or wondering if you or your client might be dealing with both? You’re not alone. In this episode of Dr. Marianne-Land, Dr. Marianne explores the nuanced relationship between Obsessive-Compulsive Disorder (OCD) and Avoidant/Restrictive Food Intake Disorder (ARFID)—two conditions that often overlap and require very different support.
Learn how to differentiate between OCD rituals and ARFID food avoidance, what misdiagnosis of OCD in ARFID can look like (especially in neurodivergent individuals), and how these conditions show up differently in children versus adults. You'll also hear how nervous system regulation and sensory attunement play a central role in supporting sustainable recovery.
Whether you’re a therapist, caregiver, or neurodivergent person navigating food fears, this episode offers a validating, trauma-informed, and practical perspective on complex eating presentations.
🎧 LISTEN NOW AND EXPLORE:
What makes ARFID and OCD different—and where they overlap
Why OCD is often misdiagnosed in people with ARFID
How to identify OCD–ARFID presentations in adults vs. children
What sensory regulation and autonomy-based care really look like in treatment
👍 IF YOU FOUND THIS EPISODE HELPFUL:
Share this episode to help others struggling with food avoidance or fear
Subscribe on Apple Podcasts, Spotify, or your favorite platform
Leave a review so more people can discover these neurodivergent-affirming insights
Thank you for listening—and remember, your sensory experience around food makes sense, and healing looks different for everyone.
🔗 LOOKING FOR SUPPORT WITH ARFID?Check out Dr. Marianne’s ARFID and Selective Eating Course—a self-paced, neurodivergent-affirming program designed for therapists, parents, and individuals who want practical tools to support eating without shame or pressure.
RELATED EPISODES ON ARFID:Want to learn more about ARFID and sensory-based eating challenges? Here are four related Dr. Marianne-Land episodes to check out:
Living with Adult ARFID: Relationship Challenges No One Talks Abouton Apple & Spotify.
Complexities of Treating ARFID: How a Neurodivergent-Affirming, Sensory-Attuned Approach Works on Apple & Spotify.
Stuck on Empty: Autistic Inertia, ARFID & the Struggle to Eat on Apple & Spotify.
ARFID in Adults vs ARFID in Children 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

Midlife Bulimia Recovery: Coping With the Internal Chaos

Struggling with bulimia in your 30s, 40s, 50s, or beyond? You’re not alone. In this solo episode, Dr. Marianne Miller explores what bulimia can look like in midlife, why the internal chaos may actually intensify with age, and how to approach healing without shame.
We dig into the unique emotional and physiological challenges of recovering from bulimia later in life, including how hormonal shifts, grief, caregiving roles, and long-term masking can impact eating behaviors.
Dr. Marianne also unpacks how neurodivergence—especially autism, ADHD, and PDA—can intersect with bulimia symptoms, intensifying binge-purge cycles and making traditional recovery models inaccessible or even harmful.
You’ll learn why your body’s responses make sense, how to regulate your nervous system with neurodivergent-affirming strategies, and what it actually takes to move toward healing—on your terms.
WHAT WE COVER IN THIS EPISODE
Why bulimia often resurfaces or intensifies in midlife
How midlife stress, identity shifts, and cultural stigma contribute to internal chaos
The link between bulimia, sensory overwhelm, and emotional regulation
How neurodivergent traits like executive dysfunction, masking, and interoceptive challenges affect eating behaviors
Why shame-based approaches don’t work—and what actually helps
Practical, compassionate tools for managing binge urges, purging, and nervous system dysregulation
Why recovery in midlife is not only possible—but deeply liberating
THIS EPISODE IS FOR YOU IF...
You feel stuck in a binge-purge cycle despite years of effort
You’re neurodivergent and traditional ED treatment hasn’t helped
You’ve been quietly struggling with bulimia in midlife and feel alone in it
You want recovery tools that are sensory-attuned, autonomy-affirming, and realistic
🔗 RESOURCES & SUPPORTLearn more about how to recover from bulimia and how to join the Binge Eating Recovery Membership here:https://www.drmariannemiller.com/binge-eating-101-class-1
LISTEN TO OTHER EPISODES ON BULIMIA RECOVERY
A Bulimia Recovery Story + How Weight-Neutral Fitness Can Help Eating Disorder Recovery With Abbey Griffith @claritydecatur on Apple or Spotify.
Lived Experience of Having Both Bulimia & Binge Eating Disorder with Milda Zolubaite @nutrition.path on Apple or Spotify.
Understanding Bulimia: Causes, Solutions, & Coping Strategies 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

When Weight Loss Isn't a Win: Eating Disorders, Stress, & Body Image Confusion (Content Warning) With Debbie Saroufim @bodyacceptance_coach

In this powerful conversation, Dr. Marianne welcomes back body image coach and anti-diet educator Debbie Saroufim for a candid discussion about what happens when weight loss triggers eating disorder thoughts—even in solid recovery.
Debbie opens up about how recent stress and anxiety have impacted her appetite and body, and how unsolicited weight-related comments from others can be both activating and isolating. Together, we unpack why even “positive” feedback about weight loss can be harmful, how body changes can feel destabilizing, and what it means to hold complex emotions without slipping back into disordered behaviors.
We also talk about:
The problem with equating weight loss with wellness
How eating disorder thoughts can show up years into recovery
The myth of a “correct” body image or recovery experience
Perimenopause, changing bodies, and the grief that can follow
Why body neutrality may offer more freedom than forced body positivity
Mindfulness, fart metaphors (yay!), and how to let thoughts pass without bottling them up
Whether you’re in recovery, supporting someone who is, or navigating your own relationship with body changes, this episode offers honesty, compassion, and tools to help you stay grounded.
🧠 Want to connect with Debbie Saroufim?Visit thebodyacceptancecoach.com or follow her on Instagram @bodyacceptance_coach
🎧 Listen now wherever you get your podcasts and don’t forget to subscribe, rate, and review!
ABOUT DEBBIE
After struggling for years with an eating disorder, Debbie now helps women of all sizes make peace with their body and build up their immunity to diet culture. She also helps schools implement a body-neutral approach to education.
 
Debbie is also the author of a new children's book called Fat and Beautiful.
 
Debbie lives and works out of Los Angeles, California, in the United States.
 
LISTEN TO OTHER EPISODES WITH DEBBIE
Anti-Fat Bias in Schools and Society on Apple or Spotify.
How Eating Disorder Recovery Heals Life Overall on Apple or Spotify.
Let’s Talk Recovery: Ditching Diet Culture & Crushing Eating Disorder Thoughts on 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

How Masking Neurodivergence Can Fuel Eating Disorders

In this solo episode, Dr. Marianne Miller explores the powerful and often overlooked connection between masking neurodivergence and eating disorders. If you've ever felt like you're performing just to get through the day—suppressing your sensory needs, camouflaging your communication style, or overriding your body’s cues to fit societal expectations—this episode will resonate deeply.
Dr. Marianne breaks down what masking looks like in autistic and neurodivergent individuals, including social, sensory, emotional, and cognitive masking, and how these patterns can lead to or exacerbate disordered eating behaviors like restriction, bingeing, and compulsive exercise. She also explains the systemic pressures—including ableism, fatphobia, and white supremacy—that reinforce masking, and how this contributes to burnout, identity confusion, and food-related distress.
Most important, Dr. Marianne offers a compassionate look at what it means to unmask as part of eating disorder recovery. You'll learn how reclaiming your sensory needs, autonomy, and embodied preferences can help you heal—not by becoming someone else, but by honoring exactly who you are.
🔗 Learn more about Dr. Marianne’s self-paced, neurodivergent-affirming, ARFID and Selective Eating Course here: https://www.drmariannemiller.com/arfid
KEY TOPICS COVERED:
What is masking and how does it show up in neurodivergent people
How masking contributes to disconnection from the body and food
The role of sensory processing differences in eating disorders
Systemic factors that reinforce masking (ableism, fatphobia, etc.)
The emotional and physical toll of long-term masking
How unmasking can support meaningful, sustainable recovery
🎧 LISTEN TO OTHER EPISODES ON AUTISM, NEURODIVERSITY, & EATING DISORDERS
Stuck on Empty: Autistic Inertia, ARFID & the Struggle to Eat via Apple & Spotify
Minding the Gap: The Intersection Between AuDHD & Eating Disorders With Stacie Fanelli, LCSW @edadhd_therapist via Apple & Spotify
Set-Shifting, AuDHD, & Eating Disorders via Apple & Spotify.
Our Personal Neurodivergent Stories via 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