Struggling with bulimia in your 30s, 40s, 50s, or beyond? You’re not alone. In this solo episode, Dr. Marianne Miller explores what bulimia can look like in midlife, why the internal chaos may actually intensify with age, and how to approach healing without shame.

We dig into the unique emotional and physiological challenges of recovering from bulimia later in life, including how hormonal shifts, grief, caregiving roles, and long-term masking can impact eating behaviors.

Dr. Marianne also unpacks how neurodivergence—especially autism, ADHD, and PDA—can intersect with bulimia symptoms, intensifying binge-purge cycles and making traditional recovery models inaccessible or even harmful.

You’ll learn why your body’s responses make sense, how to regulate your nervous system with neurodivergent-affirming strategies, and what it actually takes to move toward healing—on your terms.

WHAT WE COVER IN THIS EPISODE

Why bulimia often resurfaces or intensifies in midlife

How midlife stress, identity shifts, and cultural stigma contribute to internal chaos

The link between bulimia, sensory overwhelm, and emotional regulation

How neurodivergent traits like executive dysfunction, masking, and interoceptive challenges affect eating behaviors

Why shame-based approaches don’t work—and what actually helps

Practical, compassionate tools for managing binge urges, purging, and nervous system dysregulation

Why recovery in midlife is not only possible—but deeply liberating

THIS EPISODE IS FOR YOU IF...

You feel stuck in a binge-purge cycle despite years of effort

You’re neurodivergent and traditional ED treatment hasn’t helped

You’ve been quietly struggling with bulimia in midlife and feel alone in it

You want recovery tools that are sensory-attuned, autonomy-affirming, and realistic

🔗 RESOURCES & SUPPORT

LISTEN TO OTHER EPISODES ON BULIMIA RECOVERY

INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND?