Dr. Marianne-Land: An Eating Disorder Recovery Podcast

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-t...

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 ...

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...

Autistic individuals are significantly more likely to experience eating disorders—but the signs often go unrecognized, and traditional treatment models frequently fall short. In this solo episode, Dr. Marianne explains the unique ways eating disorders show up in autistic people, why those struggles are often misunderstood, and what kind of support actually helps.

You’ll learn about the sensory, emotional, and social dimensions of d...

What happens when eating disorder care is offered by clinicians with no specialized training? In this vital conversation, Dr. Marianne sits down with Edie Stark, LCSW (@ediestarktherapy), founder of Stark Therapy Group, to unpack the real—and often hidden—dangers of receiving eating disorder treatment from generalist therapists or corporate telehealth platforms like BetterHelp.

They explore why working with an eating disorder speci...

What happens when your eating disorder doesn’t just affect your plate—but every relationship in your life? In this solo episode, Dr. Marianne explores the hidden struggles of living with Avoidant/Restrictive Food Intake Disorder (ARFID) as an adult. From dating and long-term partnerships to parenting, friendships, and work dynamics, adult ARFID can create chronic stress, disconnection, and grief—especially in a world that misunders...

Movement can be one of the most confusing and emotionally charged topics in eating disorder recovery. In this solo episode, Dr. Marianne answers some of the most common questions about exercise and recovery: When is it safe to move again? What if movement was part of your eating disorder—or what if it was your only way to self-regulate? What if you’re scared of returning to exercise because of past trauma or fear of judgment?

You’l...

What does true food freedom really look like—and why is it so hard to recognize when you're stuck in quasi-recovery? In this episode of Dr. Marianne-Land, I sit down with Dr. Lara Zibarras (@drlarazib), psychologist, eating disorder recovery coach, and the voice behind The Food Freedom Psychologist. Lara shares her powerful lived experience with bulimia, orthorexia, and the trap of “wellness culture” that masqueraded as health—but ...

Why do binge eating urges feel so overwhelming—and what do they actually mean? In this solo episode of Dr. Marianne-Land, I explore the real reasons behind binge eating urges and offers compassionate, neurodivergent-affirming strategies to manage them without shame.

You’ll learn why binge urges aren’t about a lack of willpower or self-control. Instead, they’re often the result of unmet needs—like food deprivation, emotional disconn...

What happens when your recovery journey needs a reboot—not because you relapsed, but because you learned something life-changing about your brain?

In this second part of my deep conversation with Stacie Fanelli, LCSW, we explore what eating disorder recovery looks like after a late diagnosis of autism and/or ADHD (AuDHD). We talk about the grief, relief, and radical reframing that can come when you realize your past recovery strate...

What happens when your eating disorder recovery path no longer fits—because you finally discover you're neurodivergent? In Part 1 of this rich and validating conversation, Dr. Marianne is joined by Stacie Fanelli, LCSW (@edadhd_therapist), a neurodiversity-affirming therapist who specializes in eating disorders, ADHD, and autism. Together, they unpack the layered emotional terrain of realizing you’re neurodivergent after you've alr...

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 ...

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 w...

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, reinforc...

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 ...

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 differen...

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 caregiv...

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 wi...

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 communicat...