Dr Marianne Miller, LMFT

Dr Marianne Miller, LMFT Eating disorder therapist in San Diego providing eating disorder treatment for adults and teens.

Have you ever looked at food, known you needed to eat, and still felt completely stuck?That experience isn’t always abou...
06/19/2026

Have you ever looked at food, known you needed to eat, and still felt completely stuck?

That experience isn’t always about motivation. Sensory overload, trauma, ARFID, chronic stress, and food restriction can all make eating feel genuinely difficult. When your nervous system stays in survival mode, even choosing or tolerating food can feel overwhelming.

In today’s podcast episode, I explain why eating can become so hard, how these factors often reinforce one another, and why curiosity helps far more than self-blame.

🎙️ Listen to Why Eating Feels Impossible: Sensory Overload, Trauma, ARFID, & Food Restriction on the Dr. Marianne-Land Podcast. You’ll find it on your favorite platform.

Apple and Spotify links are in bio.

Have you ever finished eating, felt physically full, and still found yourself looking for something else?Many people ass...
06/17/2026

Have you ever finished eating, felt physically full, and still found yourself looking for something else?

Many people assume that means they lack willpower.

For many ADHDers, the story is much more complicated.

ADHD can change the way your brain experiences reward, satisfaction, and regulation. That’s one reason food can feel so compelling, even when you’ve eaten enough. If treatment focuses only on changing thoughts or behavior, it may overlook the executive functioning and nervous system differences that keep the cycle going.

In today’s episode of Dr. Marianne-Land, I talk about why ADHD and binge eating often go hand in hand, why some people describe feeling like a “bottomless pit” around food, and why understanding why food feels so powerful can open the door to more effective recovery.

🎧 Listen to ADHD & Binge Eating: Why You Feel Like a Bottomless Pit (And Why Traditional CBT Often Fails) on your favorite podcast platform.

Apple and Spotify links are in my bio.

Have you ever looked back on your life and wondered why everything seemed harder for you than it did for other people?Ma...
06/15/2026

Have you ever looked back on your life and wondered why everything seemed harder for you than it did for other people?

Many neurodivergent adults spend years believing they need to work harder, mask better, or somehow become a different version of themselves. When they finally understand their neurodivergence, they often feel relief, grief, anger, validation, and confusion all at once.

In this week’s conversation with .therapy, we talk about neurodivergence as an identity, the harm caused by sanism, the power of radical acceptance, and why healing often starts when we stop treating ourselves like problems to solve.

If you’ve ever wondered whether you’re broken, this episode is for you.

Listen to What If You’re Not Broken? Neurodivergence, Sanism, Eating Disorders, & Radical Acceptance With Shira Collings on the Dr. Marianne-Land podcast via your favorite platform.

Apple and Spotify links are in bio.

Have you ever wondered whether ARFID lasts forever?Many people ask that question after receiving a diagnosis, learning a...
06/12/2026

Have you ever wondered whether ARFID lasts forever?

Many people ask that question after receiving a diagnosis, learning about ARFID for the first time, or realizing that food has felt difficult for as long as they can remember.

In today’s podcast episode, I talk about how the question “Is ARFID lifelong?” doesn’t have a simple yes-or-no answer. We explore what ARFID recovery can look like, how autism, ADHD, and sensory processing differences influence the conversation, and why quality of life matters just as much as food variety.

Recovery doesn’t always mean becoming a different person. Sometimes it means understanding yourself more clearly, reducing distress, increasing flexibility, and creating more space for the parts of life that matter to you.

Listen to Is ARFID Lifelong? What We Know About Recovery, Treatment, & Hope on the Dr. Marianne-Land podcast on your favorite platform.

Apple and Spotify links are in bio.

What if some of your strongest beliefs about food and your body never actually started with you?Many of us grow up surro...
06/10/2026

What if some of your strongest beliefs about food and your body never actually started with you?

Many of us grow up surrounded by conversations about weight, dieting, appearance, health, and “good” or “bad” foods. Over time, those messages can become so familiar that they stop sounding like opinions and start sounding like truth.

The people who passed along those beliefs often inherited them, too.

In this week’s episode, I explore how family food rules, body image struggles, and diet culture can move through generations, and why recognizing those patterns can open the door to greater freedom, flexibility, and self-understanding.

🎧 Listen to Family Food Rules & Body Image Issues: How Diet Culture Gets Passed Down Through Generations on the Dr. Marianne-Land podcast on your favorite platform.

Apple and Spotify links are in bio.

Sometimes the hardest part of eating isn’t the food.It’s the comments.
The stares.
The assumptions.
The pressure to look...
06/08/2026

Sometimes the hardest part of eating isn’t the food.

It’s the comments.
The stares.
The assumptions.
The pressure to look a certain way.
The fear that someone will judge what’s on your plate.

In this episode, Jenny Tomei () shares what she’s seeing in schools today, including growing body image concerns, food shame, social media pressure, and the ways TikTok continues to shape how young people think about food, weight, and appearance.

We also discuss why some students avoid eating at school, how body-based comments can influence eating behaviors, and what parents, educators, and clinicians can do to help prevent eating disorders before they start.

Listen to Body Image, TikTok, & Eating Disorder Prevention With Jenny Tomei wherever you get your podcasts.

Apple and Spotify links are in bio.


 


Do you feel in control around food all day, then struggle most at night?Many people assume nighttime eating starts with ...
06/05/2026

Do you feel in control around food all day, then struggle most at night?

Many people assume nighttime eating starts with a lack of willpower. I see something different.

I often see people who spend the day ignoring hunger, delaying meals, pushing through exhaustion, masking neurodivergence, managing stress, or trying to follow food rules that leave them underfed and depleted.

Then evening arrives.

The body finally gets a chance to speak up.

Nighttime eating does not always signal a problem with self-control. Sometimes it signals unmet needs, nervous system exhaustion, restriction, burnout, or hunger that has been building all day.

In this week’s podcast episode, I discuss Night Eating Syndrome, masking, ADHD, autism, restriction, and why shame rarely helps people heal their relationship with food.

Listen to the Dr. Marianne-Land podcast episode on your favorite platform:
You’re “Good” With Food All Day Until Night Hits: Restriction, Masking, & Night Eating Syndrome

Apple and Spotify links in Bio.

What if recovery feels scary because you don’t know who you’ll be without the eating disorder?Many people with anorexia ...
06/03/2026

What if recovery feels scary because you don’t know who you’ll be without the eating disorder?

Many people with anorexia don’t just fear weight gain, food, or change.

They fear losing the structure, certainty, identity, and sense of safety that the eating disorder has provided for years.

That’s why recovery can feel so complicated.

When anorexia becomes intertwined with how you cope, connect, achieve, or understand yourself, healing often involves much more than changing eating behaviors. It involves discovering who you are outside the disorder.

In today’s Dr. Marianne-Land SOLO podcast episode, I talk about anorexia and identity, why recovery can feel like a loss, and how people begin building a life that feels bigger than the eating disorder.

Listen to the podcast episode When Your Eating Disorder Becomes Your Identity: Anorexia Recovery & Finding Yourself Again on your favorite platform.

Apple and Spotify links in Bio.

How many years have you spent believing things will never change?One of the hardest parts of binge eating isn’t the eati...
06/03/2026

How many years have you spent believing things will never change?

One of the hardest parts of binge eating isn’t the eating itself. It’s the hopelessness that can develop after years of repeating the same cycle.

When you’ve tried diets, food rules, willpower, self-criticism, and promises to “start over tomorrow,” it’s easy to assume recovery works for other people but not for you.

That’s why I wanted to have this conversation with .

In this episode, we talk about long-term binge eating recovery, why healing often happens gradually, how awareness creates change, and what helped her recover after 14 years of struggling with binge eating.

If you’ve been carrying shame around food for a long time, I hope this episode reminds you of something important:
The length of your struggle does not predict your future.

Listen to the Dr. Marianne-Land podcast episode After 14 Years of Binge Eating: What Finally Helped Me Heal With Deb Elbaz on your favorite platform.

Apple and Spotify links in bio.


 


Sometimes trauma gets louder after the eating disorder no longer runs the show.In this new Dr. Marianne-Land podcast epi...
05/25/2026

Sometimes trauma gets louder after the eating disorder no longer runs the show.

In this new Dr. Marianne-Land podcast episode, I talk with Debbie Saroufim about trauma recovery, nervous system responses, body image, EMDR, dissociation, parts work, and the emotional reality of healing after survival mode.

We also talk about something many people do not expect:

Recovery can uncover pain that the eating disorder once helped bury.
That does not mean recovery failed.
It means your nervous system may finally feel safe enough to let certain experiences surface.

shares powerful reflections on trauma, fat liberation, systemic oppression, self-compassion, and the complicated process of healing while still living in a traumatic world.

Listen to the Dr. Marianne-Land podcast episode on your favorite podcast platform:

CONTENT CAUTION: Eating Disorders & Trauma Recovery With Debbie Saroufim: When Healing Brings Buried Pain to the Surface

Apple and Spotify links in bio.

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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

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