What if your sensory needs around food were not something to fix, but something to honor?
In this solo episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, Dr. Marianne Miller explores how taste, texture, and smell can shape food experiences for autistic people, especially those struggling with ARFID or longstanding selective eating. For many neurodivergent folks, eating is not just about hunger or nutrition. It is about navigating an overwhelming sensory world where food can trigger discomfort, distress, or shutdown.
In this episode, Dr. Marianne challenges the idea that “picky eating” (not a fan of this term) is a behavioral issue. She instead centers a neurodivergent-affirming lens. Dr. Marianne explains why certain tastes may be too intense, why some textures are intolerable, and how even the smell of cooking can completely derail someone’s ability to eat. Rather than dismissing these experiences, she offers a framework that respects the wisdom of the sensory system and centers bodily autonomy.
Throughout the episode, Dr. Marianne also highlights how intersecting identities influence whose sensory needs get honored and whose get ignored. Fat autistic people are more likely to be accused of bingeing instead of being screened for ARFID. Autistic people of color may be labeled as oppositional instead of recognized as overwhelmed. Trans and nonbinary folks may feel especially vulnerable to dysphoria or sensory shutdown. When treatment spaces fail to consider these intersections, they increase the risk of harm and deepen eating-related trauma.
Listeners will come away with a greater understanding of what sensory-based food aversions really are and how we can create supportive environments that do not rely on compliance, but rather collaboration, compassion, and choice.
Content Caution About halfway through the episode, Dr. Marianne discusses common invalidating experiences autistic people have in treatment, including being coerced into eating foods that feel unsafe, ignored by providers, or misdiagnosed because of anti-fat bias or racism. There are no graphic food descriptions, but this part may be activating for folks who have experienced treatment trauma or food-related distress.
Related Episodes on Autism and Eating - 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.
Ready to Learn More? If you or someone you care about is navigating ARFID or sensory-based eating struggles, Dr. Marianne’s virtual, self-paced course, ARFID & Selective Eating offers an accessible and affirming starting point. Built on her NIT-AR model (Neurodivergent-Affirming Integrative Therapy for ARFID), this course is ideal for autistic individuals, parents, and providers alike. It offers tools for supporting sensory needs without shame, and helps you rebuild trust with food on your terms.
Learn more at drmariannemiller.com
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