How to Get Help For Binge Eating Disorder


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Dr. Marianne Miller specializes in eating disorder treatment for adults and teens. Marianne has been a practicing therapist for more than 20 years, earning her master’s in marriage and family therapy from Abilene Christian University and her doctorate from Texas Tech. In addition to being a Licensed Marriage and Family Therapist in California, she is a member of The International Association of Eating Disorder Professionals Foundation and the California Association of Marriage and Family Therapists. Marianne is committed to helping clients with all types of food and body anxiety through her private practice in San Diego.

On this episode of The Embodied & Well Mom Show, Marianne joins us to share the definition of binge eating disorder and discuss its prevalence in the US. She walks us through her approach to working with a client with binge eating disorder, describing several of the coping strategies she teaches to manage emotions and anxiety. Marianne also explains the spiritual aspect of her work with the clients as well as her support of clients in the LGBTQ+ community. Listen in for Marianne’s insight around the impact of weight discrimination and learn why she is an advocate for Health at Every Size!

Key Takeaways

The definition of binge eating disorder

  • Eat excessive amount of food regularly
  • Feel shame, regret + distress

The prevalence of binge eating disorder

  • Became official diagnosis on DSM-5 in 2013
  • Impacts 6% of population (more men than women)
  • Common in pregnancy, postpartum

Marianne’s approach to supporting someone with binge eating disorder

  • Cognitive behavioral therapy
  • Dialectical behavior therapy (emotion, anxiety management)
  • Family of origin work
  • Refer to dietician who specializes in eating disorders

The spiritual aspect of Marianne’s work with clients

  • Tap into client’s faith, spiritual beliefs as resource
  • Address harmful beliefs (i.e.: body = shameful)

Marianne’s approach to working with LGBTQ clients

  • Validate experiences of discrimination
  • Understand coming out journey, build chosen family

Why there’s a higher prevalence of eating disorders in the LGBTQ community

  • Gender dysphoria in trans individuals (effort to change body)
  • Stress from discrimination triggers eating disorder

Marianne’s insight on the impact of weight discrimination

  • Some clients shamed by physician
  • Work toward self-acceptance (Health at Every Size)
  • Think critically about messages you receive

Connect with Marianne

Marianne’s Website

Marianne’s Blog

Marianne on Facebook

Marianne on Instagram

Connect with Lindsay

Intuitive Eating Moms

Embodied & Well Mom Show on Facebook

Lindsay on Instagram

Lindsay on Pinterest

Lindsay on Twitter

Lindsay on LinkedIn


Diagnostic and Statistical Manual of Mental Disorders

Dr. Marsha Linehan

Health at Every Size

Linda Bacon

Association for Size Diversity and Health

Health at Every Size: The Surprising Truth About Your Weight by Linda Bacon

Body Respect: What Conventional Health Books Get Wrong, Leave Out, and Just Plain Fail to Understand about Weight by Linda Bacon and Lucy Aphramor

Center for Discovery

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