Dr Marianne Miller, LMFT

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Dr Marianne Miller, LMFT

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

13/08/2025

What if your food restriction isn’t about weight . . . and instead reflects how you’ve masked your autism to stay safe?

Many autistic people use masking to survive: hiding sensory needs, forcing eye contact, scripting social interactions.
 For some, restriction becomes another form of masking.

In recovery spaces that ignore sensory experiences, neurodivergence, or identity, unmasking can feel unsafe or even impossible. Especially when someone is also BIPOC, fat, q***r, trans, or disabled.

In this episode, I explore the connection between autism and anorexia, the risks of unmasking, and what makes recovery safer when it’s rooted in autonomy, intersectionality, and sensory respect.

🎧 Listen to: Autism & Anorexia: When Masking Looks Like Restriction, & Recovery Feels Unsafe 
Now streaming on Spotify & Apple Podcasts (see links in bio), as well as on all major podcast platforms.

💬 What has helped you feel safer in your recovery as an autistic or neurodivergent person?

11/08/2025

What if your body never needed fixing?

This week’s interview podcast episode features a compelling recovery story that challenges diet culture, anti-fat bias, and the weight-centric medical model.

We talk about what happens when you reject food shame, let go of weight control, and choose care that centers dignity, autonomy, and embodiment.

🎧 Listen to: From Diet Rock Bottom to Intuitive Eating & Fat-Positive Care: A Recovery Story With Chelsea Levy, RDN
 Now streaming on Apple, Spotify, and wherever you get your podcasts. OR, 👉 Link in bio to listen

08/08/2025

Have you ever wondered why eating disorders so often connect back to childhood trauma?

Eating disorders are not about willpower. They are survival responses to unsafe or invalidating environments where your body learned how to protect you.

Childhood trauma is not only physical abuse or neglect in your family-of-origin, in sports, in school, and in faith organizations. It can be growing up where love felt conditional, being shamed for your body or identity, living with emotional invalidation, or experiencing anti-fat bias, racism, ableism, transphobia, homophobia, or other forms of oppression.

Your body and mind adapted in the ways they needed to survive.

Those responses make sense, even if they no longer serve you now.

Healing is not about forcing behavior change. it’s about safety, compassion, and rewriting the story your trauma tried to tell you.

🎧 Listen to the full episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast: Not About Willpower: How Childhood Trauma Shapes Eating Disorders & Body Shame.

Available on all major podcast platforms. Click on my bio for Apple and Spotify links.

07/08/2025

What if your teen isn’t being “difficult” about food but actually feels overwhelmed, scared, or shut down?

As a therapist who supports neurodivergent teens with ARFID, I’ve learned a lot by listening closely. Many of the strategies that help most are not what we typically hear in treatment programs.

In this post, I’m sharing what my teen clients have taught me about how ARFID actually works in real life. Autonomy, sensory attunement, and nervous system regulation matter. So do things like eating only chips at lunch or watching YouTube while eating dinner. These are valid support strategies, not signs of failure.

If you want support that honors agency, nervous system safety, and neurodivergent needs, check out my self-paced ARFID course:
 drmariannemiller.com/arfid or click on bio for link

💬 What’s one thing you wish more people understood about ARFID?

06/08/2025

Have you ever felt unseen in the way people talk about eating disorders?

Eating disorders exist everywhere. Every race. Every gender. Every body. Every ability. Every age. Every identity.

For too long, the stereotype of white, thin girls has shaped how we talk about eating disorders. This myth erases the reality of who struggles, fuels misdiagnosis, and denies countless people access to care.

BIPOC communities, LGBTQIA+ folks, neurodivergent individuals, disabled people, fat folks, and those in marginalized faith or immigrant communities all experience eating disorders.

When care is built around a narrow stereotype, anyone who does not fit that image gets overlooked.

Liberation means dismantling these harmful narratives and building inclusive, justice-centered treatment. It means recognizing that every eating disorder is valid, no matter the body it lives in or the identity to which it connects.

In this episode of Dr. Marianne-Land, I share the liberation truth about who gets eating disorders, why so many remain unseen, and what it will take to create a more inclusive recovery landscape.

🎧 Listen now: Beyond White, Thin Girls: The Liberation Truth About Who Gets Eating Disorders
 Available on Spotify, Apple Podcasts, and all major podcast platforms. Spotify and Apple links are in my bio.

Your pain is real. Your recovery matters. Your body is worthy of care.

05/08/2025

Can ARFID and anorexia occur together? Yes. This overlap is often called ARFID Plus. It’s when sensory-based eating challenges combine with body image concerns.

ARFID Plus makes eating even more complicated. While ARFID stems from sensory fears or low appetite, anorexia focuses on weight and body image.

Understanding both is essential for care that works.

If you relate to both, support is available. My ARFID course offers tools for ARFID Plus that are sensory-attuned and neurodivergent-affirming so you can rebuild trust with food and reduce fear around eating.

➡️ Enroll today: drmariannemiller.com/arfid, or click link in bio.
 

04/08/2025

ARFID in adults comes with unique challenges that often go unseen.

In this episode with Caroline Holbrook, RD, we talk about what adult ARFID really looks like. We address managing limited safe foods and sensory sensitivities to navigating relationships, work meals, and travel.

We also discuss why shame is so common, how wellness culture fuels it, and how collaborative, neurodivergent-affirming support can make eating feel safer.

You’ll hear strategies for:
* Building a safe foods list without pressure
* Creating a sensory-friendly eating environment
* Using processed foods as reliable, low-stress options
* Supporting executive functioning and autonomy in recovery

Listen to Adult ARFID Explained: Real-Life Strategies for Managing Food & Nutrition with Caroline Holbrook, RD on Dr. Marianne-Land: An Eating Disorder Recovery Podcast.

Available on all major podcast platforms. Click bio for Apple and Spotify links.

30/07/2025

Most people overlook eating disorders in boys and men. Toxic masculinity rewards control and silence, not care or vulnerability. That silence becomes suffering.

In this episode of Dr. Marianne-Land, the host breaks down how disordered eating shows up in male-identified folks, why providers often miss it, and how cultural expectations around masculinity keep people from seeking help.

Boys and men deserve care that honors their emotional lives, not programs that ignore them.

🎧 Listen to the full episode: Breaking the Silence: Eating Disorders in Men & Boys & the Toll of Toxic Masculinity—available wherever you get your podcasts.

Apple and Spotify links in bio.

29/07/2025

Living with ARFID can feel isolating, but your experience is valid and deserving of compassion.

These affirmations are here to remind you that your needs matter, your safe foods are valid, and recovery does not require forcing yourself into unsafe situations.

Read these often. Say them out loud. Write them down. Your ARFID journey is real, and you are worthy of care at every step.

What affirmations would you use for yourself or your child? Comment below. 👇

If you are ready for deeper support, explore my ARFID & Selective Eating Course created specifically with neurodivergent-affirming, sensory-attuned care in mind: 👉 drmariannemiller.com/arfid

28/07/2025

What happens when systems demand that you shrink your body and hide your brain?

Fat neurodivergent people face constant blame, dismissal, and pressure to conform. Sensory needs get labeled as bad habits. Executive functioning struggles get called laziness. The same behaviors that are accepted in thin or neurotypical bodies are punished when you are both fat and neurodivergent.

But your body is not the problem. Your brain is not broken. You deserve care that honors your needs, not care that tries to control you.

In this episode of Dr. Marianne-Land, I break down how anti-fat bias and ableism collide in ADHD, autism, and other neurodivergent experiences.

I explore why fat liberation and neurodivergent rights belong together, and how we can start creating support that respects autonomy, consent, and difference.

Listen to the episode: Fat Liberation & Neurodivergent Rights: Challenging Stigma in ADHD, Autism, & Beyond

Click bio for Apple and Spotify links. Available on all major podcast platforms.

25/07/2025

Why does our culture still treat thinness like a moral achievement?

Because systems of control, including Christian diet culture, alt-right ideology, and wellness industries, keep using thinness to separate the “disciplined” from the “disobedient.”

And fatness? Still framed as weakness. As failure. As sin.

It isn’t about health.
 It’s about control, obedience, and punishment.

In today’s solo episode of Dr. Marianne-Land, I expose the spiritual, political, and racial roots of this toxic belief system—and how campaigns like “Make America Healthy Again” are reviving it in dangerous new ways.

You’ll hear why: ✖️ Some religious groups reject weight-loss medications because they remove the element of “righteous” suffering ✖️ Fatness is still used as a cultural scapegoat ✖️ Thinness remains a symbol of “virtue” ✖️ These systems harm fat, disabled, neurodivergent, q***r, and BIPOC people the most

💥 This episode offers clarity, validation, and a call to reclaim body autonomy.

🎧 Tap the link in bio to listen: Why Thinness Still Equals “Goodness”: Exposing the Morality Behind Wellness, MAHA, & Christian Diet Culture on Dr. Marianne-Land: An Eating Disorder Recovery Podcast

✨ You deserve autonomy. You deserve dignity. Always.

Content cautions: In this episode, I discussanti-fat bias, Christian purity culture, white supremacy, diet culture, disordered eating, and weight-loss medications. Please take care while listening and pause when needed.
 

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Opening Hours

Monday	08:00 - 18:00
Tuesday	08:00 - 18:00
Wednesday	08:00 - 18:00
Thursday	08:00 - 18:00
Friday	08:00 - 18:00

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https://www.drmariannemiller.com/

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