Dr. Millner is a licensed psychologist and Certified Eating Disorder Specialist who works with people struggling with food and body issues.
02/20/2026
The just published this video essay by a former “body positive influencer” who has now “denounced” the movement.
There was a lot wrong with this piece. To start, the former body positive influencer did not seem to have any understanding of what body positivity or fat liberation actually are.
And I’m not actually sure what’s news or opinion worthy in this piece. People deciding to lose weight is (sadly) an every minute of every day occurrence.
People saying I’m not going to pursue weight loss and am going to work on body acceptance and then deciding to lose weight is not news worthy.
We don’t need more stories of anti-fat bias and diet culture sucking people back in. We don’t need more anti-fat bias being published, which this entire video essay is full of.
If the wants to publish something that’s actually interesting and news worthy, why not talk to someone who is fat, actually understands fat liberation and body positivity, is not pursuing intentional weight loss despite all of the weight stigma in this culture, and is refusing to try and be small even with all of the pressure to do so.
That’s an opinion worth listening to.
02/16/2026
I am incredibly excited to share that Kate Ely, LSW has joined our team. I am very careful about who I hire and bring clinicians on who not only have good clinical skills, but are rooted in social justice, show up relationally, and are fat positive.
Kate checked all of those boxes and more and is an asset to the team. Kate currently has openings including evening appointments. I suspect she will fill up quickly, so I encourage you to reach out if you’re interested in working with her.
Kate is happy to do a consult call prior to scheduling a first session to answer your questions and see if it feels like a good fit.
Kate can see clients located in NJ or PA and works with people virtually. Kate can be reached via the website which is linked in my bio. Or you can email hello at rachel millner therapy dot com
This announcement about Kate is meant as information on an update to the practice. There is no obligation or pressure to reach out.
02/15/2026
I know Valentine’s Day can be complicated for people for all kinds of reasons, which makes so much sense. This year I’m also feeling very welcoming of anything that centers love. And when I say love, I mean the most expansive definition of love there is.
I also know that so many fat people have received all kinds of messages about their worth, attractiveness, how lovable they are, how desirable they are just based on the size of their body.
It’s anti-fat bias and it’s a bunch of lies. And the culture reinforces them.
And there are millions of fat people living lives full of all kinds of love that’s expressed in all kinds of ways and feeling love for towards themselves as well.
Happy Valentine’s Day to everyone who was told they are too fat to be loved. I hope today, and everyday, is filled with full fat love of any kind you want and reminders of how lovable you are in whatever size body you’re in.
Image description: there are hearts across the top of the image and in the bottom corners and text that says:
Happy Valentine’s Day to all of the fat people who were told they were “too much.” Too big. Too soft. Too unruly. To everyone who was told their bodies made them unlovable, unattractive, undesirable.
Everyone who was told they had to change in order to find love. To everyone who has spent years trying to be smaller, be quieter, take up less space. To everyone who has been lied to and told they are unworthy. To everyone who was taught they would love themselves more and be more loved if they just lost weight. Happy Valentine’s Day to every single fat person. You are worthy right now. You are lovable as you are. You are changing the world with your very existence
02/11/2026
I flew last week and since got rid of their , I looked into other options for my flights.
As I was researching, I came across this option from . When you book the first or second row, the middle seat is blocked out and guaranteed to be empty.
I decided to try this option out and am sharing how it went. To start, make sure you book the second row and not the first one. Fortunately, I had a feeling the armrests wouldn’t go up in the first row so I picked the second one, and I was right.
The first row has solid armrests so not only do they not go up, they don’t have any empty space underneath them. The armrests between the seats in the second row go up.
I picked the aisle seat of the second row and was surprised to discover that not only is there the empty middle seat, there’s extra leg room.
The cost of the seat is higher than buying a singular seat further back in the plane, so it’s not a true customer of size policy, but still a good option.
I did do a lot of price comparison and buying this seat on Frontier was less expensive than buying a singular seat on most other airlines.
I used to try and fly before they got rid of their customer of size policy, but moving forward I’m happy to know this is an option on
My flights were on-time this week, but I have heard from others that Frontier frequently cancels flights. They did have an option to add on trip protection that frontier will pay a certain amount towards a ticket on a different airline if they cancel your flight.
I did not look into what happens with the additional money spent on the frontier seat if they cancel the flight.
It’s not perfect, but it does feel like a relief to have an option at least for locations Frontier flies to. And maybe will get it together and reinstate their customer of size policy.
02/09/2026
If you were watching the Super Bowl last night you were subjected to multiple commercials filled with anti-fat bias.
And I am so sorry any of us were subjected to that. It’s harmful, full of lies, and a bunch of hypocrisy.
The size of your body has nothing to do with your morals or ethics or the type of person you are.
You know what does? Every thing the pred@tors in the Epste!n files did. But they don’t want us focused on that. They want us distracted by trying to control the size of our bodies.
If they actually cared about our health or wellbeing, do you really think they would be protecting people who have committed horrific crimes? Do you really think they would have committed horrific crimes?
We should not have been subjected to these ads during the Super Bowl. We had no opportunity for consent. No matter what size your body is; you are not the problem here.
Image description: there are two maroon slides with text that says:
Being fat is not a crime.
It is not a reflection of moral character.
It is not something to consider killing yourself over.
You know what is?
Everything in the Epste!n flles
You know what we saw commercials warning us about during the Super Bowl?
Fatness
You know what we saw no commercials warning us about?
Predators
Do not let them fool you into thinking this is about health or wellbeing.
It’s about money
Patriarchy
Protecting pred@tors
Silencing women
Misogyny
Distractions
Control R@pe Culture
Toxic Masculinity
They want us so focused on the size of our bodies that we forget to focus on their crimes and moral failings
02/08/2026
I’m at a conference this weekend and it’s been a reminder of how relieving and freeing it feels when a space was created with fat people in mind.
The truth is I don’t actually know if the people putting on the conference were specifically thinking of fat bodies, or more generally thinking of how to create a space with the needs of all bodies in mind, which is fantastic.
There are chairs without arms and that support fat bodies. There is enough room between rows for fat people and wheelchairs to navigate through. There are rows with fewer chairs so people in wheelchairs and with other mobility devices can sit next to their friends instead of separate from others. There are enough chairs in the rooms to be able to pull two chairs together if needed.
There are people at the conference in all different size bodies. They are providing food that isn’t diet food and doesn’t have calorie amounts marked. There is dessert.
And the space also works for thin people. And it works for people in all of the sizes in between. Because when space is created with bigger bodies in mind it works for smaller bodies too.
I know not all conferences have this much control over their spaces but most conferences have control over at least some areas of the space. And it would make such a difference if anyone planning a conference or anything else that will have people attending, creates the space with bigger bodies and disabled bodies in mind.
There Image description: there is a peach background with text that says: When a space is created with fat bodies in mind, without weight loss messaging anywhere, with diverse bodies in the room, and plenty of food available, it not only feels affirming and liberating for fat people, it benefits thin people as well.
02/02/2026
Healing from an ED is hard. And part of what makes it hard for a lot of people is how unpredictable it is.
There’s no guaranteed timeline. There’s no exact path. No set destination. No ten step plan.
Perhaps what is most predictable is the unpredictably of it. And that on the other side of all of the unpredictability are some predictable things.
Your body will settle somewhere (until it changes again). How you feel will not always be the same as it is right now. Your relationship with food will not always be what it is right now.
It is predictable that things will change. That’s guaranteed.
There’s are slides with beige background and text that says: One of the things that can make healing from an eat!ng d!sorder hard is how much of it is unpredictable. And with each unpredictable part there is something predictable connected to it.
The only way to get to the predictable part is to go through the unpredictable part.
Unpredictable: what size, shape, weight your body will settle at
Predictable: your body will settle somewhere. And your body will change throughout your lifetime
Unpredictable: how you will feel eating any particular food on any given day. The same food that felt ok one day can cause anxiety the next
Predictable: if you keep eating those foods anyway, they will feel less hard or scary over time
Unpredictable: how you feel about your body on any particular day
Predictable: if you stop trying to change the size/shape of your body, your feelings about your body will eventually be more Consistent
Unpredictable: how long it will take before you feel some relief from the intensely painful feelings early on in the healing process
Predictable: if you keep doing the healing oriented things anyway, you will eventually feel some relief
Continued in comments
02/01/2026
As I say every time I post about perimenopause and menopause, I am glad they are being talked about. There used to be no conversations about them and now there are a lot of them.
The issue is that so many are deeply rooted in weight stigma and anti-fat bias and that’s not beneficial for anyone.
One of the topics that seems to be discussed as part of all of these stigmatizing conversations is “belly fat.” And of course it’s always talked about with this doomed tone and some desperation to prevent it or lose it.
It’s usually a story like “I was gaining belly fat even though I wasn’t doing anything different.” And everyone nods some sympathetic nods and then discusses how awful that is and what to do to prevent it.
This conversation is so absurd for many reasons. One of which being that we are meant to gain weight as we get older. If people notice their bellies getting bigger it’s because their belly is meant to get bigger.
Another issue is that this entire conversation centers thinness and holds thinness up as the desired outcome. It’s like they never even considered that fat people exist.
In order to identify specific “belly fat weight gain,” you would have to have had a thin belly to begin with. If your belly was already fat, how exactly are you pinpointing the fat that’s the perimenopause fat?
Am I the only fat person who does some kind of combination of roll my eyes, laugh at the absurdity of it, and/or get annoyed at the whole thing every time I hear that conversation?
Image description: there is a picture of a fat belly with text that says “the entire conversation about belly fat in perimenopause is rooted in weight stigma” Which part of this belly fat is perimenopause?”
01/30/2026
Pretty much anytime I post about or or post pictures of myself and talk about being a , I get messages like these.
Yesterday I posted about fatness being an act of resistance and these messages proved my point. The people who send these messages have so much hatred towards fat people that they waste their time sending messages to people they don’t even know when they could just spend time on any of the millions of pro-weight loss accounts.
They seem to have this assumption that messages like this will somehow have an impact. They are clearly intended as an insult. For me, they just prove my point and give me more power.
That’s the thing about being unapologetically fat, they can’t weaponize fatness against me.
It’s no surprise that anti-fat bias is everywhere. And when people send me comments like this, I will use them to further talk about the importance of dismantling systems of oppression and the need for fat liberation.
Because it gives me just a little joy to know that I can take comments intended to put me down and use them to fuel the fight for fat liberation .
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Rachel Millner, Psy.D., CEDS-S, CBTP is a psychologist in PA and NJ, Certified Eating Disorder Specialist and Supervisor, and Certified Body Trust® provider. Dr. Millner has been in practice since 2005, working with people struggling with all forms of eating disorders and disordered eating as well as those working to break free from diet culture and work toward body liberation. Since 2014, Dr. Millner has worked in the Eating Disorder Assessment and Treatment Program at the Children’s Hospital of Philadelphia, where she treats children and adolescents struggling with eating disorders using a family-based approach.
Dr. Millner is a trauma-informed, Health at Every Size®, fat-positive provider who works from a weight-inclusive lens. She works with people across the weight spectrum from a non-diet perspective. Dr. Millner believes in body autonomy and recognizes that weight stigma and diet culture impact all of us and the decisions we make about how to care for our bodies.
In addition to her clinical work, Dr. Millner serves on the board of the local International Association of Eating Disorder Professionals chapter. She is the co-chair of the Weight Stigma and Social Justice special interest group in the Academy of Eating Disorders, where she also serves as a member of the Awards and Scientific Review committee. Dr. Millner speaks nationally about weight stigma, weight-inclusive care, anorexia in higher-weight bodies, and her own eating disorder recovery. Dr. Millner has shared her expertise on popular podcasts such as the Food Psych podcast and the Eating Disorder Recovery Podcast. She has taught at the University of Pennsylvania, Mercer County Community College and Gwynedd Mercy College.
Lynne Henderson Welsh, M.S., has been practicing in Doylestown, PA for over 25 years. She holds a Master in Science in Counseling Psychology and trained for four years postgraduate, studying psychoanalytic psychotherapy.
In severe adolescent cases with a great deal of acting out, Lynne acts as a mental health advocate/liaison to assist families through the confusion and maze of mental health treatment options so they can find the best fit for care. She engages in a collaborative team approach with a wide network of psychologists, therapists, psychiatrists, social workers, family doctors, guidance counselors, nutritionists, and massage therapists, utilizing many healing modalities.
Lynne’s passion is working with adolescents to help them find their way in a confusing and difficult world. She takes an interactive, interdisciplinary and personal approach to therapy, with the goal of providing a confidential, nurturing and safe environment for her patients to explore and heal their issues.
Specialties:
Women and Adolescent/Teen Eating Disorders/Disordered Eating
