What if your nighttime eating isn’t a failure of willpower—but your body’s way of asking for safety, nourishment, and rest?

In this solo episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, Dr. Marianne Miller explores the misunderstood world of Night Eating Syndrome (NES)—a condition that often hides behind shame and silence. Rather than framing night eating as a “bad habit,” Dr. Marianne offers a compassionate, neurodivergent-affirming lens that reveals what your body and brain are truly communicating when nighttime hunger takes over.

She unpacks how executive-function challenges, sensory processing differences, and disrupted circadian rhythmscan contribute to Night Eating Syndrome. You’ll learn how to distinguish between waking up at night to eat versus staying up late and bingeing, and why that difference matters for healing.

Dr. Marianne also shares practical ways to support your body’s natural rhythms using executive-function tools—like creating transition meals, supporting sensory needs, and building low-lift nourishment systems that actually work with your brain. Finally, she offers self-compassion strategies that help calm shame, regulate the nervous system, and restore trust in your body’s signals.

• What Night Eating Syndrome really is—and why it’s not a moral failure

• The role of executive-function fatigue in late-night eating cycles

• How neurodivergent people may have different hunger and sleep patterns than neurotypicals

• Practical, low-lift tools to support nighttime regulation and nourishment

• How to distinguish between Night Eating Syndrome and binge eating

• The importance of self-compassion and curiosity in healing the shame cycle

This episode is for anyone who finds themselves eating late into the night and feeling stuck in shame or confusion afterward. It’s especially for neurodivergent adults, trauma survivors, and anyone who struggles with inconsistent eating or sleep patterns. Clinicians who work with eating disorders, ARFID, or binge eating may also find this episode helpful for supporting clients with neuroaffirming and compassion-based approaches.

This episode discusses eating disorder behaviors related to Night Eating Syndrome and binge eating. Listener discretion is advised. Please take care of yourself and pause if you need to.

• Night Eating Syndrome on Apple & Spotify (my most popular podcast episode of all time!)
• Why Am I Eating at Night? Understanding Night Eating Syndrome in Your 30s, 40s, & 50s on Apple & Spotify.

If Night Eating Syndrome or binge eating feels familiar to you, support and recovery are possible. Inside my virtual Binge Eating Recovery Membership, you’ll find a self-paced, compassionate space to explore the roots of your eating behaviors while building executive-function skills, sensory supports, and self-trust.

Learn more at drmariannemiller.com.

Why does recovery from an eating disorder feel so fragile, even after years of hard work? In this episode of Dr. Marianne Land, Dr. Marianne Miller unpacks the realities of relapse in long-term eating disorder recovery—what causes it, how to navigate it, and why recovery doesn’t stick in a culture that constantly reinforces shame, anti-fat bias, and unrealistic expectations of healing.

This eating disorder relapse podcast episode explores the complexity of staying recovered after years or decades of healing. Dr. Marianne explains how relapse is not a personal failure but rather an opportunity to understand what your body and nervous system are communicating. Through a neurodivergent-affirming and body-liberation lens, she breaks down why recovery ebbs and flows and how you can rebuild stability with compassion instead of judgment.

Listeners will learn what it really takes to sustain long-term eating disorder recovery, how trauma and stress can reignite old coping mechanisms, and how to approach relapse as part of the process—not the end of it.

• The real meaning of recovery and why “staying recovered” forever is an unrealistic expectation.

• How the nervous system and trauma memory create vulnerability to relapse.

• Why life transitions, burnout, and chronic stress often trigger eating disorder relapse.

• How anti-fat bias, weight stigma, and cultural messaging undermine sustainable recovery.

• The unique challenges of neurodivergent eating disorder recovery and how to meet sensory and executive-function needs.

• How to rebuild body trust after relapse through curiosity, safety, and self-compassion.

• Practical tools for sustainable recovery strategies that evolve as your life changes.

This episode is for anyone living with a long-term eating disorder who feels discouraged by relapse or fears they are “backsliding.” It’s also for therapists, dietitians, and family members who want to understand why recovery doesn’t stickfor everyone—and how to provide affirming, compassionate support.

In a world where recovery is often portrayed as a linear journey, this episode challenges that myth. Relapse in long-term eating disorder recovery is common, but few people talk about it without shame. Dr. Marianne brings honesty, education, and hope to a topic that deserves care.

Relapse is not failure, it’s feedback. And when you learn to listen to what your body needs, you can rebuild a recovery that truly fits your life.

• Orthorexia, Quasi-Recovery, & Lifelong Eating Disorder Struggles with Dr. Lara Zibarras @drlarazib on Apple & Spotify.
• Navigating a Long-Term Eating Disorder on Apple & Spotify.
• Why Eating Disorder Recovery Feels Unsafe: Facing Ambivalence in Long-Term Struggles on Apple & Spotify.
• Perfectionism, People-Pleasing, & Body Image: Self-Compassion Tools for Long-Term Eating Disorder Recovery With Carrie Pollard, MSW @compassionate_counsellor on Apple & Spotify.

For more on long-term eating disorder recovery, ARFID, binge eating, body trust, and sustainable recovery strategies, visit drmariannemiller.com.

Can anxiety about food safety quietly shape the way an entire family eats, lives, and loves?

In this episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, Dr. Marianne Miller, LMFT, talks with Tamara Hubbard, LCPC, founder of The Food Allergy Counselor and The Academy of Food Allergy Counseling. Together, they explore how food allergy anxiety can affect both children and parents, sometimes leading to ARFID-like eating patterns and significant emotional distress.

Tamara shares her journey from being a parent of a child with a peanut allergy to becoming a national leader in the field of food allergy mental health. She discusses how chronic fear and misinformation can cause families to become trapped in cycles of hypervigilance and restriction. She and Dr. Marianne also examine how therapy can help families move toward flexibility, autonomy, and connection at the table.

Listeners will hear how Acceptance and Commitment Therapy (ACT) and values-based approaches support parents in balancing safety with freedom, and how addressing anxiety can improve both emotional well-being and quality of life.

• The difference between food allergies and food intolerances and why accurate understanding matters

• How food allergy anxiety can spread through families and mimic ARFID symptoms

• The role of parental fear in shaping a child’s own food relationship and daily life

• The risks of restriction-based medical advice, including some functional medicine practices

• How ACT and mindfulness tools can help parents tolerate fear and stay connected to their values

• Ways to calm the fight-or-flight response and reduce hypervigilance around food and safety

• Why collaboration between therapists and allergists creates stronger, safer support for families

This episode is for parents and caregivers who want to understand how food allergies, anxiety, and ARFID intersect in family life. It is also for therapists, dietitians, and healthcare providers who want to learn how to support families with evidence-based, trauma-informed, and values-driven care.

• Book: May Contain Anxiety: Managing the Overwhelm of Parenting Children With Food Allergies by Tamara Hubbard, LCPC (Johns Hopkins University Press, 2025)

• Website: The Food Allergy Counselor for educational articles, therapeutic resources, and directories of food allergy-informed therapists

• Organization: The Academy of Food Allergy Counseling for clinician training and professional community

• Article: Allergic Living Magazine Airline Allergy Travel Guide for details on how major airlines handle food allergy policies

• Advocacy Resource: No Nut Traveler by Leanne Mandelbaum, advocating for safer air travel for people with food allergies

• Therapeutic Framework: Acceptance and Commitment Therapy (ACT) for managing anxiety and values alignment

• Cultural Reference: We Can Do Hard Things by Glennon Doyle as a reminder of resilience and self-compassion

This episode includes discussions of allergic reactions, anaphylaxis, and eating challenges. Please take care while listening if these topics may feel activating or distressing.

Visit ARFID and Selective Eating Course. This virtual program provides a compassionate, neurodivergent-affirming framework that helps families and clinicians create safety, flexibility, and understanding around food.

Do people praise your discipline while ignoring your struggle with a long-term eating disorder?

In this solo episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, Dr. Marianne Miller, LMFT, unpacks the cultural myth of the “high-functioning” eating disorder and explores why so many lifelong eating disorders go unnoticed, untreated, or mislabeled as willpower or success.

So many people live for decades with an eating disorder that never fully goes away—because the world keeps rewarding them for being productive, disciplined, or “healthy.” Dr. Marianne explains how functioning can become a form of masking, how trauma and safety patterns reinforce chronic disordered eating, and why recovery often requires dismantling the very systems that taught us to perform instead of rest.

This episode brings honesty and compassion to those who have felt unseen by treatment models that only recognize crisis, and validation to those who have carried invisible pain behind competence and control.

• What “high-functioning” really means and why it’s a harmful label

• How lifelong eating disorders become normalized and overlooked

• The hidden costs of functioning and perfectionism

• Trauma, safety, and why control feels protective

• How privilege shapes who gets labeled “high-functioning”

• Recovery pathways for long-term and late-stage eating disorders

• The difference between surviving and actually living

This episode is for anyone who has lived with chronic disordered eating, for those who have been told they “don’t look sick,” and for clinicians seeking to better understand the quiet suffering that hides behind high performance. It’s also for neurodivergent listeners and those in larger bodies who have felt unseen in traditional eating disorder spaces.

You can explore therapy, coaching, and recovery resources at drmariannemiller.com.

If you’re ready to deepen your healing, check out Dr. Marianne’s virtual, self-paced ARFID and Selective Eating Course, designed to support autonomy, sensory needs, and manageable recovery.

You can also follow Dr. Marianne on Instagram @drmariannemiller.