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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.

11/19/2025

What if the mask that once kept you safe now keeps you from connecting with your body?
 What if recovery asks for authenticity, but your lived experience tells you to protect yourself?

Masking is not a small part of neurodivergent life. It shapes how you eat, how you sense hunger, how you navigate social expectations, and how you judge your own needs. For many autistic and ADHD people, masking becomes automatic long before an eating disorder ever shows up. It becomes a survival skill in a world that rewards sameness and punishes difference.

In this episode of Dr. Marianne-Land Podcast, I explore how masking affects body trust, sensory needs, and executive functioning. I also talk about the real intersectional risks of unmasking and why safety must guide your pace. Recovery does not require constant exposure. Recovery requires support, protection, and environments where your nervous system can breathe.

Listen to Unmasking in Eating Disorder Recovery: What Neurodivergent People Need to Know About Safety and Healing on all major podcast platforms. Apple and Spotify links are in Bio.

If you want support with sensory-based eating and ARFID healing, explore my self-paced ARFID and Selective Eating Course on my website.
 

11/17/2025

Do you ever feel like your high-pressure career shapes your relationship with food more than anyone realizes?

This episode follows one woman’s powerful story, shared by Dr. Michelle Tubman, M.D. , about how binge eating took hold during years of stress, exhaustion, and overwhelming expectations.

The pressures of being a physician can intensify shame, silence, and disconnection from the body, and her journey reflects how deeply these forces affect healing. Her story shows that binge eating never comes from personal failure. It comes from unmet needs, survival instincts, and a body trying to protect itself.

We talk about shame, pressure, weight stigma, safety, nourishment, and what recovery can look like when you stop blaming yourself and start listening to your body.

If you have ever felt alone in your eating struggles while holding everything together on the outside, this conversation will speak to you.

Listen to the full episode: Healing Binge Eating Disorder: One Woman’s Journey Toward Body Trust and Food Freedom with Dr. Michelle Tubman, M.D. .

Now streaming on Dr. Marianne-Land: An Eating Disorder Recovery Podcast.

Podcast available on all major platforms. Apple and Spotify links in Bio.

11/14/2025

Night Eating Syndrome can feel isolating. You may feel out of control and wake up filled with shame.

In this solo podcast episode, I share how Diet Culture teaches us to view night eating as a problem when it is often your body’s way of meeting a need.

For many neurodivergent people, nighttime becomes the only time the body feels calm enough to eat. It is not failure. It is regulation.

You will learn how to: • Understand what Night Eating Syndrome really is • Work with your body’s rhythms instead of fighting them • Use executive-function and sensory tools to support nighttime eating • Replace shame with curiosity and compassion

🎧 Listen to Understanding Night Eating Syndrome: Executive-Function Tools for Real Recovery on all major podcast platforms. Spotify and Apple links in the Bio.

11/12/2025

Do people praise your discipline while ignoring your struggle with a long-term eating disorder?

I know what that feels like because I lived it too. For years, I looked like I had everything under control while my eating disorder ruled my thoughts and shaped my days. People saw my productivity and called it strength. They didn’t see the exhaustion, the fear, or the constant fight to keep functioning no matter how much I was suffering.

In this solo episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, I talk about the hidden truth behind “high-functioning” eating disorders and how functioning can become the mask that hides pain. I share how trauma, control, and perfectionism keep us trapped in lifelong patterns and how real healing begins when we stop performing and start allowing rest, nourishment, and softness.

🎧 Listen to The Truth About “High-Functioning,” Lifelong Eating Disorders wherever you get your podcasts. Apple and Spotify links in Bio.

If you’re ready to move beyond the cycle of control and shame, join my Binge Eating Recovery Membership. It’s a virtual, self-paced program for people who want to find peace with food, body trust, and lasting freedom. You’ll find details at drmariannemiller.com.

11/10/2025

Do you ever feel like food allergy safety has taken over your family’s life?
 When every label, surface, and meal becomes a source of fear, anxiety can start to replace connection.

In this episode, I talk with Tamara Hubbard, LCPC , about how food allergy anxiety can shape a family’s eating patterns, mental health, and daily rhythm.

We explore how constant vigilance can lead to ARFID-like restriction, and how therapy, nervous system regulation, and ACT tools help families find balance between safety and freedom.

You’ll hear how to calm fear without minimizing risk, how to rebuild flexibility around food, and how to support kids and parents through compassion instead of control.

🎧 Listen to the full episode: Food Allergy Anxiety & ARFID: When Safety Fears Shape Eating & Family Life With Tamara Hubbard  available now on Dr. Marianne-Land: An Eating Disorder Recovery Podcast on all major podcast platforms.

Apple and Spotify links in Bio.

11/07/2025

What causes relapse in long-term eating disorders?

This episode of Dr. Marianne Land explores why recovery can feel fragile and how relapse often signals unmet needs rather than failure.

Dr. Marianne Miller how the nervous system, trauma, and identity shifts can disrupt long-term eating disorder recovery.

She also shares how to rebuild sustainable recovery that adapts to life’s changes and honors neurodivergent experiences.

Listen to Relapse in Long-Term Eating Disorders wherever you get your podcasts, and visit drmariannemiller.com/blog for more writing on body trust, trauma, and sustainable recovery strategies.

Apple & Spotify links in bio.
 

11/05/2025

What if “atypical anorexia” was never really atypical at all?

In this solo episode, I talk about why I’m done using that term and how it reinforces weight stigma, anti-fat bias, and harmful beliefs about who can have anorexia.

I share how this label excludes people in larger bodies, neurodivergent folks, and anyone who does not fit the narrow image of thinness or fragility.

You’ll hear why language itself can become a barrier to care, and how reclaiming the word anorexia for everyone helps open the door to body liberation.

It’s time to tell the truth: all anorexia is real anorexia. Every body deserves recovery, respect, and nourishment.

🎧 Listen to Why I’m Done Saying “Atypical Anorexia” (It’s All Anorexia, Period.) on Dr. Marianne-Land: An Eating Disorder Recovery Podcast.

11/03/2025

Have you ever felt like your eating disorder recovery was more about following rules than actually feeling safe in your body?

In this interview with Dr. Emma Offord , we talk about how compliance-based treatment can silence your needs and disconnect you from your body’s wisdom.

Recovery built on fear or control is not recovery. It is survival.

We explore what neurodivergent affirming and trauma informed healing can look like when you center embodiment, autonomy, and trust instead of obedience.

You will hear how masking can become a survival response, why embodiment matters, and how safety starts when you listen to your body instead of trying to fix it.

🎧 Listen to Unmasking, Embodiment, & Trust: A Neurodivergent Approach to Eating Disorder Recovery With Dr. Emma Offord on all major podcast platforms. Spotify or Apple links in Bio.

10/31/2025

Have you ever blamed yourself for binge eating and wondered why willpower never seems to work?

In this episode, Dr. Marianne Miller explains why binge eating is not about control.

Binge eating behavior is your body’s way of asking for safety, nourishment, and care.

Shame and restriction keep the cycle going, and compassion and consistency begin to calm it.

🎧 Listen to Binge Eating & Shame: Why Willpower Isn’t the Problem wherever you get your podcasts.
 

10/29/2025

When your child struggles with eating, it can feel heartbreaking and confusing.

ARFID is not about willpower or defiance. It is the body’s way of saying that food feels unsafe or overwhelming.

In this episode of Dr. Marianne Land Podcast, Dr. Marianne Miller explains why pressure and negotiation make eating harder for kids with ARFID, how sensory overload affects mealtime, and why consent-based, collaborative parenting helps rebuild trust.

You will learn how to create calmer eating opportunities, reduce fear around food, and help your child feel safe enough to eat again with compassion and patience.

🎧 Listen to ARFID Help for Parents: How to Support Your Child’s Eating With Compassion on Dr. Marianne Land.

10/27/2025

What if your therapist does not fully understand eating disorders?

In this episode, I talk with about what every therapist needs to know before treating eating disorders.

We discuss why so-called “gold standard” models like FBT often fail neurodivergent, fat, q***r, and BIPOC clients.

We also explore how bias, privilege, and power affect care and why cultural humility matters in every session.

You will learn what ethical, trauma-informed, and inclusive therapy should look like and how real recovery happens when clients are met with collaboration and consent instead of control.

🎧 Listen to What Your Therapist Needs to Know About Eating Disorders with Edie Stark, LCSW on The Dr. Marianne Land Podcast wherever you listen. Apple and Spotify links in Bio.

10/24/2025

A late autism diagnosis can completely shift your relationship with food.
 It reframes years of shame as unmet sensory needs, misunderstood masking, and survival strategies that made sense at the time.

In this episode, Dr. Marianne explores how late-diagnosed autistic adults can approach eating disorder recovery with self-trust, sensory safety, and liberation.

You’ll also learn how ARFID overlaps with autism and why intersectional identities matter in diagnosis and treatment.

💡 Listen now to Can a Late Autism Diagnosis Affect Eating Disorder Recovery? on all major podcast platforms. Spotify & Apple links in Bio. 
Find resources at drmariannemiller.com.

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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