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Dr Marianne Miller, LMFT

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San Diego, CA
Dr Marianne Miller, LMFT

Eating disorder therapist in San Diego providing eating disorder treatment for adults and teens.

02/23/2026

Confidence is not about loving how you look. It is about resilience, safety, and agency.

In this new Dr. Marianne-Land episode, I’m joined by Raquelle Heinemann, LMHC, LPC (), to explore what really sits underneath body image distress and disordered eating.

We talk about why traditional body image advice can feel incomplete, how unsafe environments and chronic stress shape the way we see ourselves, and how real confidence grows through small, supported steps in recovery.

This conversation is for anyone navigating body image pain, low self-esteem, or the long and complex path of eating disorder healing.

Nothing about your struggle means you have failed.

Confidence is not a personality trait reserved for other people. It is something that can grow, slowly and compassionately, over time.

🎧 Listen now on Apple Podcasts Resilience Skills for Body Image & Disordered Eating: Cultivating Confidence Apple & Spotify links in bio.

02/20/2026

Doing everything right in eating disorder recovery and still feeling stuck?

You can follow the plan, show up to therapy, see the dietitian, use the coping skills, and try incredibly hard… and recovery can still stall.

That does not mean you are failing.
 It often means something important is missing.

Stalled recovery is rarely about motivation alone.
 Capacity, nervous system load, chronic stress, neurodivergence, trauma, and systemic harm all shape what healing actually requires.

Recovery never happens in a vacuum.
 When context is ignored, people get blamed for struggles that are not personal failures.

In this solo episode of Dr. Marianne-Land podcast, I explore why eating disorder recovery plateaus and what more compassionate, sustainable healing can look like.

🎧 Listen to Why Eating Disorder Recovery Can Stall Even When You’re Doing Everything Right Available on all major podcast platforms. Apple and Spotify links in bio.

Save this for hard days. Share with someone who feels stuck.

02/18/2026

Doctors still miss eating disorders in Black women.
 Not because the suffering isn’t real.
 Because bias shapes what medicine sees and what it ignores.

In this episode, I unpack how emergency room diagnosis, medical weight bias, and underrecognition intersect and why accurate representation can shift real clinical care.

If you have ever felt unseen in a medical setting, this conversation is for you.

🎙️ Listen to: Why Eating Disorders in Black Women Are Missed: What “The Pitt” Shows About ER Care & Medical Weight Bias

Watch The Pitt on . Season 2, Episode 4: 10:00 a.m. 
Link in bio.

02/16/2026

Feeling stuck in an eating disorder is often called laziness, resistance, or lack of motivation.
 But what if the real issue is inertia?

In this new podcast episode, I’m joined by ADHD and neurodivergent-affirming therapist Stacie Fanelli, LCSW () to explore how autistic inertia, ADHD hyperfocus, and executive functioning differences shape restriction, bingeing, and recovery struggles.

We talk about why “just try harder” approaches can deepen shame for neurodivergent people and how recovery can shift when stuckness is understood as a nervous system state, not a character flaw.

If recovery tools haven’t worked the way you were told they should, this conversation may help you feel more seen, more understood, and less alone.

🎧 Listen to “Stuck” Isn’t Lazy: Inertia vs Procrastination in ADHD, Autism, & Eating Disorder Recovery 
Available on Dr. Marianne-Land Podcast wherever you listen. 
Apple and Spotify links in bio.

02/13/2026

Why does eating still feel so hard for neurodivergent people with long term eating disorders, even after years of effort, insight, and treatment?

In this episode, Dr. Marianne explains hidden daily barriers most people do not see.
 Hunger cues can feel unclear.
 Making food can take too much energy.
 Meals can bring sensory overload.
 A crash can follow eating.

If eating keeps breaking down even when you are trying, this conversation offers a compassionate, neurodivergent-affirming view of realistic recovery.

Listen to Why Eating Still Breaks Down for Neurodivergent People With Long Term Eating Disorders on the Dr. Marianne Land Podcast.
 Listen on your favorite podcast platform. Apple and Spotify links in bio.

02/11/2026

Restricting all day but eating at night is more common in anorexia than most people realize.
 Night eating is not failure. It is often the body responding to restriction and unmet energy needs.

When support focuses on safety, nourishment, and nervous system care, this cycle can soften without shame or punishment.

🎧 Listen to the new episode: Anorexia & Night Eating Syndrome: Why Restriction Fuels Night Eating & What Helps

Listen on your favorite podcast platform. 
Apple and Spotify links in bio.

02/09/2026

Anorexia does not have a weight requirement.

Many people living with anorexia are never underweight.
 When medicine relies on body size to decide who is “sick enough,” people get missed, dismissed, and harmed.
In this meaningful conversation with Jennifer Gaudiani, MD (), we explore what is changing in eating disorder care in 2026, including weight stigma, medical trauma, ARFID, gastrointestinal illness, neurodivergence, and realistic pathways for long term recovery.

We also discuss her book Sick Enough: A Guide to the Medical Complications of Eating Disorders, Second Edition and why medical suffering must be taken seriously at every body size.

This episode centers a truth that should not still be revolutionary.
 Medical suffering counts at every body size.

🎧 Listen to the full episode: Anorexia in Higher-Weight Bodies: Rethinking “Atypical Anorexia” and the Restrictive Eating Spectrum 
Available now on your favorite podcast platform.

Apple Podcasts and Spotify links in bio.

02/06/2026

If your inner voice got harsher when eating disorder behaviors started to loosen, you didn’t break recovery.

For many people, self-criticism intensifies when healing begins.
 Not because you’re doing something wrong.
 But because recovery disrupts systems built on pressure, control, and punishment.

In this episode, I talk about self-criticism as more than “negative self-talk.”
 I name how it often functions as internalized ableism.
 The belief that bodies and minds should be efficient, consistent, and quiet.
 And the shame that shows up when recovery requires pacing, support, or accommodation.

This is a grounded, compassionate look at why the inner voice often gets louder because healing is happening and how to respond without turning recovery into another performance.

🎧 Listen now: Self-Criticism in Eating Disorder Recovery: Why the Inner Voice Gets Louder and How to Respond

Available on your favorite podcast platform.

Apple and Spotify links in Bio.

       

02/04/2026

Recovery after 40 is not just “later recovery.”

Bodies change. Hormones shift. Energy, pain, and stress work differently.

Many people reach midlife having already tried treatment and are told they should be further along.

What often stalled was not motivation. It was care that did not account for nervous systems, identity, or lived context.

In this episode, I talk about why anorexia and bulimia in midlife require a different recovery lens. One that works with grief, fear, and survival patterns rather than pushing past them.

Healing changes when the body will no longer stay quiet.
If you are age 40 and beyond, and you’re still struggling, you did not miss your chance to heal. Recovery is allowed to look different now.

🎧 Anorexia & Bulimia After 40: Understanding Midlife Recovery & Change

Listen to episode on Dr. Marianne-Land Podcast on your favorite platform.
 Apple and Spotify links in bio.

02/02/2026

When restriction comes from a diagnosis, it often gets labeled as “necessary” or “just medical.”

But for people with eating disorder histories, prescribed restriction can reignite food fear, shame, and disconnection from their bodies.

In this episode, I talk with Vanessa Connelly, RD, .kidneys about what happens when chronic illness care relies on blanket food rules instead of support.

We name how diet culture and weight stigma show up in medical advice, how people lose access to cultural foods and community, and why fear-based guidance does not equal better health.
This conversation centers eating disorder recovery, autonomy, and dignity. It offers a different way forward that adds nourishment instead of taking food away.

🎧 Listen to Eating Disorder Recovery With Chronic Illness: When Restriction Is Prescribed, Not Chosen 
Available now on the podcast on your favorite platforms. Apple and Spotify links in Bio.

01/30/2026

ARFID does not stop at childhood.
 Many adults spend years navigating restricted eating that never gets named, understood, or treated appropriately.

When clinicians misdiagnose ARFID as anxiety, GI issues, or trauma alone, care misses the real drivers of food avoidance. Adults adapt. They mask distress. They organize their lives around food. Providers often mistake coping for recovery.

If eating disorder treatment never fit, there may be a reason.

🎧 Listen to the full episode on the Dr. Marianne-Land Podcast on your favorite podcast platform: ARFID in Adults: Why It’s Missed, Misdiagnosed, & Often Treated Too Late  Links to Apple Podcasts and Spotify in my bio.

01/28/2026

You can want recovery and be afraid to let go.

If you live with a chronic eating disorder, ambivalence is not a failure. It is information. Many people hold real grief for what an eating disorder has taken and real fear about who they would be without it.

Dialectical thinking from DBT makes room for both truths. It helps people stop forcing themselves into either-or recovery narratives and instead work with what is actually happening in their nervous system, body, and lived experience.

This episode is about living in the AND. About radical acceptance that does not mean giving up. And about chronic eating disorder recovery that honors complexity, survival, and context.

🎧 Listen to Living in the AND: How Dialectical Thinking Supports Chronic Eating Disorder Recovery wherever you get your podcasts. Apple and Spotify links in the Bio.
 

Address

9820 Willow Creek Road Suite 245
San Diego, CA
92131

Opening Hours

Monday	8am - 6pm
Tuesday	8am - 6pm
Wednesday	8am - 6pm
Thursday	8am - 6pm
Friday	8am - 6pm

Website

https://www.drmariannemiller.com/

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