Autism & Eating Challenges: Understanding Sensory Needs, Routines, & Safety

In this solo episode, Dr. Marianne explores how autism shapes eating in ways that many providers overlook. Sensory needs, interoception, routines, and safety all influence how autistic people navigate food. Instead of seeing these challenges as resistance, Dr. Marianne reframes them as intelligent body signals that protect a sensitive nervous system. Dr. Marianne explains why autistic eating experiences often get misunderstood. She discusses how overwhelming textures, smells, and sounds affect tolerance for certain foods, how interoceptive confusion can disrupt hunger cues, and how predictability reduces chaos during meals. She also explores the deep need for safety and how early food trauma can lead to long-lasting protective patterns. This episode highlights how autistic people may develop ARFID due to sensory overload, fear, or confusion around internal cues. Dr. Marianne emphasizes the need for neurodivergent affirming care that respects autonomy, consent, and the right to eat in ways that support comfort rather than compliance. Dr. Marianne also examines intersectionality. Autistic people of color, LGBTQIA+ autistic people, and disabled autistic people often face additional barriers to care and experience higher rates of dismissal. Understanding these intersections helps us provide real support. Throughout the episode, Dr. Marianne offers a compassionate framework for supporting autistic eating. She centers curiosity, sensory awareness, co-regulation, predictable routines, and respect for safe foods. She encourages listeners to trust their bodies and seek environments that reduce overwhelm instead of increasing it. Key Topics Covered Sensory Needs and Autistic Eating How texture, smell, sound, and temperature influence food tolerance and how sensory overwhelm shapes avoidance patterns. Interoception and Hunger Cues Why autistic people often experience muted or confusing hunger cues and how supportive routines help. Predictability and Routine Why sameness offers safety during meals and how routine helps regulate the nervous system. Safety and Eating Trauma The long-term effects of force feeding, pressure, and food shame and how safety becomes essential for healing. Autism and ARFID How ARFID develops in autistic people and why care must support autonomy, sensory comfort, and consent. Intersectionality and Access to Care How race, gender, sexuality, class, and disability shape autistic eating experiences and influence the support people receive. Compassionate Support Strategies How validation, sensory awareness, predictable rhythms, and co-regulation improve access to nourishment. Content Caution In this episode, I discusseeating challenges, restriction patterns, sensory overload, trauma, and ARFID. Please listen gently and take breaks if needed. Who This Episode Supports This episode is for autistic adults, parents of autistic children, providers who want to offer neurodivergent affirming care, and anyone who wants a deeper understanding of autistic eating experiences. It is also supportive for people exploring ARFID symptoms rooted in sensory needs, trauma histories, or routines that feel protective. Related Episodes Autism & Eating Disorders Explained: Signs, Struggles, & Support That Works on Apple & Spotify.The Invisible Hunger: How Masking Shows Up in Eating Disorder Recovery on Apple & Spotify.How Masking Neurodivergence Can Fuel Eating Disorders on Apple & Spotify.Autism & Anorexia: When Masking Looks Like Restriction, & Recovery Feels Unsafe on Apple & Spotify. Work With Dr. Marianne If you want support that honors your sensory needs and your autonomy, you can learn more about my therapy services in California, Texas, and Washington, D.C., as well as global coaching options at drmariannemiller.com. You can also explore my ARFID and selective eating course and my binge eating and bulimia membership for additional tools. You deserve care that meets your body where it is.