What happens when you're no longer engaging in dangerous eating disorder behaviors, but food still feels like it controls your life? In this episode, Dr. Marianne Miller unpacks the concept of quasi-recovery, a space that can feel both safer than active illness and yet not fully free.

Quasi-recovery often includes improved behaviors, such as more regular meals or weight restoration, but leaves behind the deeper work of healing food fear, body shame, and internalized rules. It can be an especially frustrating and lonely experience, because it is often praised by others even when it does not feel like real recovery on the inside.

Dr. Marianne explores how quasi-recovery can shape lifelong eating struggles and why people often get stuck there. This episode also considers how neurodivergent and marginalized folks are particularly vulnerable to staying in quasi-recovery when treatment does not address trauma, sensory needs, systemic harm, or body autonomy.

This episode covers:

What quasi-recovery is and how it shows up in daily life

Why healing requires more than just behavior change

How fear and food rules quietly persist in this phase

Why some people believe they will struggle with food forever

What a more liberating vision of recovery can look like

If you have ever wondered whether you are truly recovered or just surviving in a different way, this episode offers clarity, compassion, and hope. You do not have to stay stuck in a version of recovery that does not meet your full needs. There is more available to you.

This episode discusses eating disorder behaviors, body image distress, and systemic oppression. Please take care while listening.

Dr. Marianne Miller is a fat, neurodivergent eating disorder therapist and ARFID educator. She supports individuals recovering from ARFID, binge eating disorder, anorexia, bulimia, and quasi-recovery. Her work centers autonomy, sensory attunement, and liberation. It is also neurodivergent-affirming and trauma-informed. She provides Queer-affirming and gender-affirming care. Dr. Marianne is late-diagnosed autistic.

For those who connect with this discussion and suspect ARFID may be part of their experience, or for clinicians seeking to better understand this overlap, Dr. Marianne offers her ARFID and Selective Eating Course. This self-paced program provides neurodivergent-affirming strategies and tools to address ARFID, including its intersection with anorexia, in both teens and adults.