
DR MARIANNE MILLER
CARING EATING DISORDER TREATMENT IN SAN DIEGO AND THROUGHOUT CALIFORNIA, TEXAS, AND WASHINGTON D.C. FOR ADULTS & TEENS

Food, Fear & Fixation: How OCD Shapes Eating Disorders
If you’re navigating obsessive thoughts about food, rigid routines, or a deep fear of change in how or what you eat—you’re not alone. Many people across San Diego, San Francisco, the Bay Area, Los Angeles, Orange County, and greater California struggle with the complex intersection of Obsessive-Compulsive Disorder (OCD) and eating disorders. Understanding how OCD shapes food-related behaviors is a key step in finding lasting recovery.

More Than a Mirror: Understanding Body Dysmorphic Disorder (BDD)
Body image distress is something many people experience, whether you live in San Diego, California, NYC, or London, England, UK. Body Dysmorphic Disorder (BDD) is something deeper—and far more consuming. It’s a condition that often flies under the radar, particularly for fat folks, neurodivergent individuals, and humans whose appearance concerns aren’t taken seriously by medical or mental health systems. In this blog post, adapted from a recent Dr. Marianne-Land podcast episode, we’ll explore what BDD really is, how it overlaps with and differs from eating disorders like anorexia and bulimia, and how compassionate, trauma-informed treatment can help.

Obsessions, Compulsions, and Control: How OCD Intertwines with Eating Disorders
When people think of Obsessive-Compulsive Disorder (OCD), they often picture behaviors like hand-washing or checking locks. Yet OCD is much more complex, involving obsessive thoughts—unwanted, intrusive ideas—and compulsions, which are actions or mental rituals used to ease the anxiety these thoughts trigger. When OCD overlaps with eating habits and body image, it often coexists with eating disorders, creating a deeply intertwined struggle.