Dr Marianne Miller, LMFT

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

Have you ever told yourself, “I’ll start dating after I lose weight”?When you rarely see fat people portrayed as desirab...
10/19/2026

Have you ever told yourself, “I’ll start dating after I lose weight”?

When you rarely see fat people portrayed as desirable, loved, and chosen, it can feel risky to imagine those possibilities for yourself. Anti-fat bias shapes those fears.

Waiting for a smaller body can become a way to protect yourself from rejection. But you deserve opportunities for connection before you feel completely confident about your body.

On Dr. Marianne-Land, body image educator Bri Campos, Bri Campos | Body Image Coach, joins me to talk honestly about dating in a larger body, body grief, and the vulnerability of letting someone get to know you.

We also discuss ADHD, autism, sensory needs, and masking. Sometimes the discomfort you blame on your body size deserves a different question: What would help me feel more comfortable and supported here?

YOUR NEEDS BELONG IN YOUR DATING LIFE.

You can choose a familiar setting, take a small first step, or take a break. You get to set the pace.

🎧 Listen to “Do I Have to Lose Weight to Find Love? Dating & Body Image With Bri Campos” via your favorite podcast platform.

Links for Apple Podcasts and Spotify in Bio.

Sometimes, the pull toward food rules is a longing for something to feel predictable. 💛When life feels uncertain, rules ...
10/05/2026

Sometimes, the pull toward food rules is a longing for something to feel predictable. 💛

When life feels uncertain, rules can promise relief. But over time, they may bring more fear, less flexibility, and fewer opportunities for connection.

Getting curious about these patterns can help: What feels threatening right now? What comfort am I seeking? What support do I need?

Attachment patterns can change. Supportive relationships, self-compassion, and moments of repair can help you build trust with food and people. You deserve care throughout that process.

🎧 On Dr. Marianne-Land, Vanessa Scaringi, PhD, and Kathryn Garland, LCSW, of CALM Counseling join me for “Eating Disorder Recovery in an Anxious World: Finding Safety With Food and Connection.”

We discuss their book, Hungry for Connection, plus food anxiety, diet culture, and finding safety in an uncertain world.

Listen on your favorite podcast platform. Apple Podcast and Spotify links in bio.

Food rules can make every meal feel like a test.“What I eat in a day” videos and body checks can add to the pressure. Fe...
09/28/2026

Food rules can make every meal feel like a test.

“What I eat in a day” videos and body checks can add to the pressure. Fear of carbs or weight gain may leave you questioning foods you once enjoyed.

I talked with registered dietitian Lauren Hofstee, Lauren, about questioning nutrition claims, finding support that fits, and making room for pleasure, nourishment, and connection.

🎧 Listen to “E@ting D!sorder Recovery Without Food Rules: A Dietitian’s Approach with Lauren Hofstee” on Dr. Marianne-Land. Apple Podcasts and Spotify links are in my bio.

Can an eating disorder follow you into your 30s, 40s, 50s, and beyond?Eating disorders can affect people at every age. M...
09/21/2026

Can an eating disorder follow you into your 30s, 40s, 50s, and beyond?

Eating disorders can affect people at every age. Midlife may also bring perimenopause, body changes, sleep disruption, caregiving demands, career stress, and other transitions that complicate a person’s relationship with food and their body.

Recovery does not require perfect body confidence. It can begin with small acts of self-trust, such as eating when you need nourishment, allowing yourself to rest, setting a boundary, or responding to an old pattern with curiosity instead of shame.

In this conversation, Amber Caudle and I discuss eating disorder recovery in midlife, binge eating, restriction, nervous system regulation, food freedom, perimenopause, and rebuilding trust with your body.

Listen to “Eating Disorders in Midlife: Rebuilding Trust With Food & Your Body With Amber Caudle” wherever you listen to podcasts. Apple and Spotify links in bio.

How many girls grow up believing they’re simply anxious, shy, sensitive, or “too much” when they’re actually autistic or...
06/22/2026

How many girls grow up believing they’re simply anxious, shy, sensitive, or “too much” when they’re actually autistic or ADHD?

Many learn to mask so well that no one notices how hard they’re working just to get through the day. They become perfectionists, people-pleasers, and high achievers while quietly wondering why everything feels harder for them than it seems to for everyone else.

In this conversation with Jamie Roberts, LMFT (), we talk about why autism and ADHD often go undiagnosed in girls, what masking really looks like, why so many women receive answers later in life, and how neurodivergent-affirming care can change the way people understand themselves.

If you’ve ever felt like you were “too much,” this episode is for you.

Apple and Spotify links are in bio.

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.

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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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