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 why behaviors like binge eating, erratic meal timing, or food rigidity may reflect nervous system needs, not a lack of willpower.

If you’ve struggled with meal consistency, emotional eating, or feeling unseen in standard recovery spaces, this episode offers insight and validation. Discover how neurodivergent-affirming and sensory-attuned eating disorder recoverycan help you reconnect with food in ways that actually support your brain and body.

🎧 Listen now for compassionate, shame-free support that centers your lived experience.

CHECK OUT OTHER EPISODES ON ADHD, NEURODIVERSITY, & EATING DISORDERS!

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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, reinforcing eating disorder patterns and disconnecting people from their own needs. Whether you’ve experienced religious trauma, struggled with body image, or felt trapped in all-or-nothing thinking, this episode offers validation and insight.

ABOUT CASSIE

Cassie is known for her authenticity, warmth, and compassion, which shows up in her work as a business, owner, therapist, consultant, and podcaster. As the founder of Inner Atlas, Cassie is passionate about helping people heal from the impacts of trauma and disembodiment.

FOLLOW AND CONTACT CASSIE

IG: https://www.instagram.com/inneratlastherapy/

E-mail: [email protected]

Website: https://www.inneratlastherapy.com

CHECK OUT OTHER EPISODES ON DIET CULTURE!

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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 to changing body ideals, and what this means for fat humans, eating disorder recovery, and those committed to body autonomy. This episode offers a compassionate and honest look at the grief, confusion, and questions arising in this new era.

If you're navigating the intersection of weight stigma, eating disorders, and the rise of GLP-1 medications, this conversation will help you feel grounded, supported, and less alone.

🔗 Learn more about the Binge Eating Recovery Membership: drmariannemiller.com

CHECK OUT OTHER EPISODES ON BODY DIVERSITY & BODY LIBERATION!

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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 differently later in life, and what kind of support can actually help.

Whether you are navigating body image distress, a changing identity, hormonal shifts, grief, or caregiving burnout—this conversation will help you feel seen, validated, and not alone.

🎧 Plus, if you’re exploring binge-restrict cycles or emotional eating patterns in midlife, check out Dr. Marianne’s Binge Eating Recovery Membership—a virtual, self-paced space for gentle, non-shaming support.

LISTEN TO OTHER EPISODES ON ANOREXIA

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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 caregiver working in high-empathy roles, this episode explores how chronic exposure to others’ pain can show up somatically, emotionally, and in our relationships with food and body. Dr. Hiestand shares research insights and lived-experience wisdom on setting sustainable boundaries, navigating ethical self-care, and creating healing spaces that also protect the healer.

🎧 Tune in for validating conversation, practical strategies, and a much-needed reminder: your humanity doesn’t have to be hidden to do this work well.

HEAR FROM DANIELLE ABOUT DANIELLE!

I have been passionate about learning and helping others most of my life. I am originally from Northern California and was overjoyed to study at University of California, San Diego and to live near the ocean. After receiving my Bachelors of Science in Cognitive Science, Neuroscience and Psychology I stayed in San Diego to complete my doctorate in Marital and Family Therapy at Alliant International University and become a licensed Marriage and Family Therapist (LMFT #48529).

​While at college, I took a course on eating disorders and began to volunteer with a program that focused on eating disorder prevention. I knew I wanted to be a therapist and help people heal and recover from their eating disorders. I planted my roots in San Diego and began working at an eating disorder treatment program. It was clear early on that most of my clients had a trauma history. Some had never called what they went through “trauma,” but could see how their life experiences had contributed to the development of their eating disorder. Others knew they had gone through something that still bothered them in the present, but didn’t know how to talk about it or how to heal. 

​During this time I acquired extensive experience treating anorexia, bulimia, binge eating disorder, complex PTSD, dissociative disorders, depression, and anxiety. I also began my training in EMDR therapy; a treatment that has become crucial to my therapeutic approach. To help clients on their journey toward healing I also utilize systems theory, dialectical behavioral therapy (DBT), acceptance commitment therapy (ACT), and mindfulness. My overall goal is to work collaboratively with clients in order to honor their treatment goals.

In 2013 Kelly Hinds, RDN and I created Savor Podcast. For three years we recorded episodes on nutrition, body image, mindfulness, yoga, eating disorders, dieting, EMDR therapy and beyond. Past Savor podcast episodes are available here.

Before starting my family, I was an adjunct professor at University of California, San Diego, Alliant International University and San Diego State University. I taught classes on eating disorders, stress management, social psychology, and assessment. After my family started to grow, I decided to slow down and work part-time in my Mission Valley private practice in San Diego, California. 

I work toward providing a calm, safe and grounded space for you to feel comfortable sharing your successes and your struggles. A journey back to self always has ups, downs and surprises. Together we can navigate how to find tools and strategies to help you cope and make space for yourself.

In my free time I enjoy spending time with my husband and two daughters. I also love swimming, paddle boarding, and hiking.

CONTACT DANIELLE

 Website: https://www.drdaniellehiestand.com

(fill out a contact form there)

Retreat Information: https://www.drdaniellehiestand.com/retreats

CHECK OUT OTHER PODCAST EPISODES WITH DANIELLE AND ON TRAUMA & EATING DISORDERS

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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 without eating, feeling ashamed about late-night food rituals, or just trying to understand your body better, this episode offers shame-free insight and compassionate support.

🎧 Tune in to learn:

What Night Eating Syndrome really is (and isn’t)

Why it’s common in midlife and among neurodivergent folks

What your nighttime eating might be trying to communicate

How to begin supporting yourself with care—not control

💛 Looking for support that meets you where you are? Learn more about Dr. Marianne’s Binge Eating Recovery Membership:

CHECK OUT MY MOST POPULAR EPISODE OF ALL TIME...

Night Eating Syndrome on Apple and Spotify.

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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 communication differences.

Whether you're a provider wanting to offer more collaborative care or someone in recovery who's felt misunderstood or pressured by treatment before—this conversation offers validation, insight, and new ways to think about healing.

✨ Learn more about this approach in Dr. Marianne’s ARFID and Selective Eating Course at drmariannemiller.com/arfid.

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What does stress actually do to our bodies and brains—and how does that intersect with queerness and eating disorders? In this conversation, I’m joined by therapist and educator Winter Groeschl (they/them), who brings both clinical insight and lived experience to the complex realities of being queer in a world that often pathologizes our identities.

We explore how chronic stress—especially from anti-LGBTQIA+ environments—can shape nervous system responses, affect eating patterns, and lead to trauma adaptations that are so often misdiagnosed or misunderstood. Winter also shares their thoughts on what truly affirming care looks like and how providers can stop doing harm to queer humans in treatment.

Whether you're a queer person navigating recovery, or a clinician looking to offer more inclusive care, this episode offers both validation and practical takeaways.

ABOUT WINTER GROESCHL, NCC, LPC

You can contact and follow Winter through the following links:

Instagram @eatingdisorderrevealed

Website https://eatingdisorderrevealed.com/revealed-team

Listen to other episodes with Winter Groeschl, NCC, LPC:

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In this solo episode of Dr. Marianne-Land, we’re exploring Body Dysmorphic Disorder (BDD)—a mental health condition that often hides in plain sight. BDD isn’t just about disliking how you look; it’s a deeply distressing experience where perceived flaws in appearance become all-consuming. For many, it leads to rituals like mirror checking, avoiding social situations, or even seeking cosmetic procedures—none of which ease the internal pain for long.

We’ll unpack how BDD shows up, how it differs from eating disorders like anorexia and bulimia, and why it’s so often misdiagnosed—especially in fat folks, neurodivergent people, and those with trauma histories. This episode offers clarity, compassion, and concrete ways to begin untangling appearance-based distress.

💛 If binge eating feels like part of your experience too, check out my Binge Eating Recovery Membership—a supportive space to heal your relationship with food without shame or restriction. Learn more here: drmariannemiller.com/binge-eating-101-class-1

CHECK OUT OTHER EPISODES ON BODY IMAGE

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What happens when a “healthy” habit becomes harmful? In this powerful interview, Dr. Marianne sits down with intuitive eating coach Sabrina Magnan (@sabrina.magnan.health) to talk about the hidden world of exercise addiction—how it starts, why it’s so often praised, and what it actually feels like to break free from it.

Sabrina shares her personal journey of feeling trapped in a cycle of overexercising and disordered eating, and how she began healing her relationship with movement, food, and her body. Together, we unpack why exercise addiction often goes unnoticed (and even encouraged), how it can overlap with binge eating and restriction cycles, and what sustainable, compassionate recovery can look like.

If you’ve ever felt guilty for resting, obsessed with burning calories, or panicked at the thought of skipping a workout—this conversation is for you. 💛

👉 Ready for support on your binge eating recovery journey?

ABOUT SABRINA MAGNAN

CHECK OUT OTHER EPISODES WITH SABRINA & ON EXERCISE ISSUES

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