What Is Co-Regulation? How Healing Connection Disrupts Diet Culture & Supports Recovery

Diet culture thrives in isolation. It tells us we must heal alone, control ourselves into wellness, and avoid burdening others with our food struggles. But what if true recovery depends not on control, but on connection?

In this solo episode, Dr. Marianne explores how co-regulation—the experience of nervous system safety in relationship—can be a radical force for healing. She explains how eating disorders often develop in the absence of relational safety and why diet culture reinforces disconnection and shame. Through the lens of nervous system science, trauma-informed care, and body liberation, this episode centers the power of healing in community.

Dr. Marianne also shares why co-regulation can look different for neurodivergent people, especially those with PDA (Pervasive Drive for Autonomy). You'll learn how autonomy and co-regulation are not opposites, and how spacious, consent-based connection can be life-changing in recovery.

Whether you are navigating ARFID, anorexia, bulimia, binge eating, or a complex relationship with food and body, this episode offers a compassionate, liberation-oriented approach to healing that honors your boundaries, your needs, and your nervous system.

WHAT YOU’LL LEARN IN THIS EPISODE:

• Why diet culture depends on disconnection and control

• How eating disorders often emerge from a lack of safe, attuned relationships

• What co-regulation is and why it supports sustainable recovery

• How co-regulation can be tailored for neurodivergent folks, including those with PDA

• Why autonomy and connection are both essential for healing

• Ways to build nervous system safety in recovery without pressure or compliance

• How community-based healing challenges shame, perfectionism, and diet culture

LISTEN TO RELATED EPISODES:

• Stuck on Empty: Autistic Inertia, ARFID & the Struggle to Eat on Apple & Spotify.
• PDA & Eating Disorders: Why the Pervasive Drive for Autonomy Matters in Recovery on Apple & Spotify.
• Recovering Again: Navigating Eating Disorders After a Late Neurodivergent Diagnosis (Part 1) with Stacie Fanelli, LCSW @edadhd_therapist on Apple & Spotify.
• Recovering Again: Navigating Eating Disorders After a Late Neurodivergent Diagnosis (Part 2) with Stacie Fanelli, LCSW @edadhd_therapist on Apple & Spotify.

MENTIONED IN THIS EPISODE:

Looking for therapy with Dr. Marianne? She offers trauma-informed eating disorder therapy in California, Texas, and Washington, D.C. Learn more or reach out at drmariannemiller.com

Supporting someone with ARFID or navigating it yourself? Explore the self-paced ARFID and Selective Eating course, grounded in sensory-attuned, neurodivergent-affirming care: drmariannemiller.com/arfid

CONTENT CAUTIONS: This episode includes discussion of eating disorders, food trauma, PDA, and sensory distress. Please listen with care and pause if needed.

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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? Si