In this powerful conversation, Dr. Marianne welcomes back body image coach and anti-diet educator Debbie Saroufim for a candid discussion about what happens when weight loss triggers eating disorder thoughts—even in solid recovery.

Debbie opens up about how recent stress and anxiety have impacted her appetite and body, and how unsolicited weight-related comments from others can be both activating and isolating. Together, we unpack why even “positive” feedback about weight loss can be harmful, how body changes can feel destabilizing, and what it means to hold complex emotions without slipping back into disordered behaviors.

We also talk about:

• The problem with equating weight loss with wellness

• How eating disorder thoughts can show up years into recovery

• The myth of a “correct” body image or recovery experience

• Perimenopause, changing bodies, and the grief that can follow

• Why body neutrality may offer more freedom than forced body positivity

• Mindfulness, fart metaphors (yay!), and how to let thoughts pass without bottling them up

Whether you’re in recovery, supporting someone who is, or navigating your own relationship with body changes, this episode offers honesty, compassion, and tools to help you stay grounded.

🧠 Want to connect with Debbie Saroufim? Visit thebodyacceptancecoach.com or follow her on Instagram @bodyacceptance_coach

🎧 Listen now wherever you get your podcasts and don’t forget to subscribe, rate, and review!

ABOUT DEBBIE

LISTEN TO OTHER EPISODES WITH DEBBIE

• Anti-Fat Bias in Schools and Society on Apple or Spotify.
• How Eating Disorder Recovery Heals Life Overall on Apple or Spotify.
• Let’s Talk Recovery: Ditching Diet Culture & Crushing Eating Disorder Thoughts on Apple or Spotify.

INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND?

• Follow me on Instagram @drmariannemiller
• Check out my virtual, self-paced ARFID and Selective Eating course
• Look into my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership.
• Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, 15-minute phone consultation HERE or via my website, and I'll get you to where you need to be!
• Check out my blog.
• Want more information? Email me at hello@mariannemiller.com

In this solo episode, Dr. Marianne Miller explores the powerful and often overlooked connection between masking neurodivergence and eating disorders. If you've ever felt like you're performing just to get through the day—suppressing your sensory needs, camouflaging your communication style, or overriding your body’s cues to fit societal expectations—this episode will resonate deeply.

Dr. Marianne breaks down what masking looks like in autistic and neurodivergent individuals, including social, sensory, emotional, and cognitive masking, and how these patterns can lead to or exacerbate disordered eating behaviors like restriction, bingeing, and compulsive exercise. She also explains the systemic pressures—including ableism, fatphobia, and white supremacy—that reinforce masking, and how this contributes to burnout, identity confusion, and food-related distress.

Most important, Dr. Marianne offers a compassionate look at what it means to unmask as part of eating disorder recovery. You'll learn how reclaiming your sensory needs, autonomy, and embodied preferences can help you heal—not by becoming someone else, but by honoring exactly who you are.

🔗 Learn more about Dr. Marianne’s self-paced, neurodivergent-affirming, ARFID and Selective Eating Course here: https://www.drmariannemiller.com/arfid

KEY TOPICS COVERED:

• What is masking and how does it show up in neurodivergent people

• How masking contributes to disconnection from the body and food

• The role of sensory processing differences in eating disorders

• Systemic factors that reinforce masking (ableism, fatphobia, etc.)

• The emotional and physical toll of long-term masking

• How unmasking can support meaningful, sustainable recovery

🎧 LISTEN TO OTHER EPISODES ON AUTISM, NEURODIVERSITY, & EATING DISORDERS

• Stuck on Empty: Autistic Inertia, ARFID & the Struggle to Eat via Apple & Spotify
• Minding the Gap: The Intersection Between AuDHD & Eating Disorders With Stacie Fanelli, LCSW @edadhd_therapist via Apple & Spotify
• Set-Shifting, AuDHD, & Eating Disorders via Apple & Spotify.
• Our Personal Neurodivergent Stories via Apple & Spotify.

INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND?

• Follow me on Instagram @drmariannemiller
• Check out my virtual, self-paced ARFID and Selective Eating course
• Look into my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership.
• Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, 15-minute phone consultation HERE or via my website, and I'll get you to where you need to be!
• Check out my blog.
• Want more information? Email me at hello@mariannemiller.com