Why Am I Still Struggling With Food? Signs You Might Have More Than One Eating Disorder

Still feeling stuck in recovery, even after therapy, nutrition work, or intuitive eating? You are not alone. In this solo episode of Dr. Marianne-Land: An Eating Disorder Recovery Podcast, Dr. Marianne Miller explores a common but often overlooked reason why recovery can feel incomplete: the possibility of living with more than one eating disorder at the same time.

Through a trauma-informed and neurodivergent-affirming lens, Dr. Marianne unpacks how symptoms from anorexia, ARFID, bulimia, binge eating disorder, and orthorexia can overlap. She explains why traditional treatment models often miss the full picture and offers insights for those whose food struggles are complex, ongoing, and still misunderstood. This episode offers clarity, encouragement, and real solutions for those who have been feeling unseen in recovery.

CONTENT CAUTIONS:

This episode includes discussion of the following topics:

• Eating disorder behaviors including restriction, bingeing, purging, and food avoidance

• Co-occurring and misdiagnosed eating disorders

• Sensory aversions and food-related trauma

• Weight stigma and systemic bias in diagnosis

• Neurodivergent experiences related to eating

Please care for yourself while listening. Take breaks as needed and return when you feel ready.

WHAT YOU’LL LEARN IN THIS EPISODE:

• Why multiple eating disorders can exist at the same time

• How eating disorder symptoms often overlap or shift over time

• Examples of combinations like ARFID with anorexia, or binge eating with orthorexia

• The ways neurodivergence, trauma, and marginalization impact eating behavior

• Why traditional recovery approaches may not work for everyone

• What it means to build a recovery model that supports your full lived experience

• Encouragement for those who feel like their recovery has stalled or isn’t working

• How to seek care that addresses the full picture rather than one diagnosis

MENTIONED IN THIS EPISODE:

📘 Self-Paced ARFID Course
If you think ARFID might be part of your story, or you want to learn more about how sensory needs, trauma, and selective eating show up in real life, check out Dr. Marianne’s course Understanding ARFID and Selective Eating. It is for adults, teens, parents, and providers. Learn more at:
👉 www.drmariannemiller.com/arfid

RELATED EPISODES ON HAVING MULTIPLE EATING DISORDERS:

• Dissociation & Eating Disorders: ARFID, Binge Eating Disorder, & Bulimia on Apple & Spotify.

• Lived Experience of Having Both Bulimia & Binge Eating Disorder with Milda Zolubaite @nutrition.path on Apple & Spotify.

• Can ARFID & Anorexia Co-Exist? Apple & Spotify.

• Can ARFID Traits Show Up When You're in Recovery From Anorexia, Bulimia, & Binge Eating Disorder? 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