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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.

03/04/2026

Restrictive eating does not always look like anorexia.

It can look like skipping meals, forgetting to eat, avoiding certain foods, or eating just enough to get through the day.

These patterns are common and often missed, but they can still affect your body and nervous system.

In this episode of Dr. Marianne-Land, I talk about the restrictive eating spectrum, including ARFID, anorexia in larger bodies, and chronic undereating.

🎧 Listen to the full episode at the link in bio.

   

03/02/2026

Food can be complicated for many autistic and ADHD people.

Certain textures, smells, or tastes can trigger strong sensory reactions.

Some foods feel impossible to eat. Other foods become safe foods that feel predictable and easier for the nervous system.

Eating the same foods repeatedly is often about sensory regulation, not picky eating or stubbornness.

In this podcast episode, Patrick Casale (.casale) and I talk about:
• food sensory issues • texture aversion • safe foods • body dysmorphia in men • unmasking and self-advocacy

Listen to the episode Autism, ADHD, & Food Sensory Issues: Navigating Eating Challenges With Patrick Casale

🎧 Available on your favorite platform. Apple and Spotify links in bio.

02/27/2026

If binge eating has been part of your life for years, it is not because you lack willpower.

Chronic binge eating disorder persists for reasons that make sense.

Restriction fuels biological urgency. Stress activates survival responses. Shame keeps the cycle quiet and entrenched.

When we understand the nervous system underneath the behavior, recovery stops being about control and starts being about safety.

In this episode, I break down why binge eating becomes chronic and what real, sustainable recovery actually looks like for adults who feel stuck.

You are not beyond help. There is context. There is hope. There is a path forward.

🎧 Listen to Chronic Binge Eating Disorder: Why It Persists & What Real Recovery Looks Like wherever you stream podcasts. Apple and Spotify links in Bio.

02/25/2026

Mechanical eating is one of the most prescribed tools in eating disorder recovery.

Does it actually work in lifelong recovery?

In this episode, I break down what mechanical eating really does to your GI system, blood sugar levels, and mood regulation.

We talk about why it can stabilize binge-restrict cycles and nervous system overwhelm. And we also talk about when structure becomes rigidity.

If you are navigating long-term eating disorders, ARFID, anorexia, binge eating, or neurodivergent recovery, this conversation is for you.

Mechanical eating is a tool. It is not a rule.

Listen to Mechanical Eating in Lifelong Eating Disorder Recovery: Benefits, Limits, & Who It Helps Most on Dr. Marianne-Land Podcast via your favorite platform. Links to Apple or Spotify in bio.

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.

       

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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