What happens when your eating disorder recovery path no longer fits—because you finally discover you're neurodivergent? In Part 1 of this rich and validating conversation, Dr. Marianne is joined by Stacie Fanelli, LCSW (@edadhd_therapist), a neurodiversity-affirming therapist who specializes in eating disorders, ADHD, and autism. Together, they unpack the layered emotional terrain of realizing you’re neurodivergent after you've already done a round (or more) of eating disorder treatment.
This episode explores why so many late-diagnosed AuDHD folks experience grief, betrayal, and burnout in recovery settings—and what it means to reclaim recovery on your own terms. Stacie shares her own story of late identification, how it reshaped her clinical lens, and why compliance-based care can feel like safety while quietly reinforcing masking. If you’ve ever wondered whether traditional recovery frameworks truly work for neurodivergent brains, this episode offers both clarity and comfort.
💻 Want to learn how to better support neurodivergent clients with ARFID? Explore Dr. Marianne’s ARFID and Selective Eating Course—a self-paced, neurodivergent-affirming, sensory-attuned training for therapists, dietitians, adults with ARFID, and caregivers: www.drmariannemiller.com/arfid
ABOUT STACIE FANELLI, LCSW
Stacie Fanelli (she/her) is an AuDHD outpatient therapist specializing in the intersection of eating disorders, ADHD, and autism with experience at all levels of care. She works primarily with high-masking, late-identified folks using interpersonal and existential approaches to exploring the neurodivergent identity and its impact on the relationship with food and body. Stacie also provides consultation, training, and education via social media about neurodiversity-affirming ED care. Her office is in Rancho Cucamonga, California. She sees clients virtually in California and Pennsylvania. CONTACT & FOLLOW STACIE www.autonomousmindstherapy.com @edadhd_therapist on Instagram staciefanelli.msw@gmail.com CHECK OUT OTHER EPISODES WITH STACIE AND ON NEURODIVERSITY & EATING DISORDERS!INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND?
On Purpose with Jay Shetty
I’m Jay Shetty host of On Purpose the worlds #1 Mental Health podcast and I’m so grateful you found us. I started this podcast 5 years ago to invite you into conversations and workshops that are designed to help make you happier, healthier and more healed. I believe that when you (yes you) feel seen, heard and understood you’re able to deal with relationship struggles, work challenges and life’s ups and downs with more ease and grace. I interview experts, celebrities, thought leaders and athletes so that we can grow our mindset, build better habits and uncover a side of them we’ve never seen before. New episodes every Monday and Friday. Your support means the world to me and I don’t take it for granted — click the follow button and leave a review to help us spread the love with On Purpose. I can’t wait for you to listen to your first or 500th episode!
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