What if your “resistance” in eating disorder recovery isn’t resistance at all—but a deeply wired need for safety, control, and agency? In this solo episode, Dr. Marianne explores the intersection of PDA (Pervasive Drive for Autonomy) and eating disorders, especially in neurodivergent individuals navigating ARFID, anorexia, bulimia, or binge eating disorder. While traditional eating disorder treatment often emphasizes structure and compliance, these approaches can backfire for folks with a strong drive for autonomy.

We unpack what PDA actually is (hint: it’s not defiance), how it shows up in treatment spaces, and why honoring autonomy through co-regulation, collaboration, and consent can open the door to more sustainable recovery. You’ll also learn how internalized demands, sensory sensitivities, and trauma histories shape eating behaviors—and what truly affirming, flexible support looks like.

Whether you're a clinician, caregiver, or someone in recovery, this conversation offers insight into neurodivergent-affirming, autonomy-respecting care that centers safety instead of compliance.

👉 Learn more about my ARFID and Selective Eating Course for providers, adults with ARFID, and parents at https://www.drmariannemiller.com/arfid

CHECK OUT OTHER EPISODES ON NEURODIVERGENT-AFFIRMING, EATING DISORDER TREATMENT!

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