Rachel Millner, Psy.D.

Rachel Millner, Psy.D. Dr. Millner is a licensed psychologist and Certified Eating Disorder Specialist who works with people struggling with food and body issues.

I am angry, but not surprised, that the same person who started Kurbo (the horrific app selling weight loss to kids), st...
03/16/2026

I am angry, but not surprised, that the same person who started Kurbo (the horrific app selling weight loss to kids), started and worked for weight watchers in the interim.
Heading into puberty and into menopause are the two highest risk times for developing an eating disorder in people with uteruses. And this woman created ways to prey on people during both of those times.
Image description: each slide has text and an image from a website or article.
Did you know that the same person who founded Midi Health founded Kurbo (remember that horrific app targeting higher weight kids that Weight Watchers eventually bought)? I sadly wasn’t surprised to discover this, and here’s why..
Who Is Joanna Strober?
Joanna Strober is the CEO and founder of Midi Health, a virtual care platform for women in perimenopause and menopause.
Prior to Midi, she founded Kurbo, described as the first digital therapeutic for childhood obesity, which was scaled to help tens of thousands of children worldwide and sold to Weight Watchers in 2018. Before digital health, she spent more than 20 years in private equity and venture capital investing in health and consumer companies,
We know that people who menstruate are at the highest risk of developing an eating disorder when they start puberty and their period and when they go into perimenopause and menopause. It’s no accident or coincidence that the same person who created a weight loss app for kids as they enter puberty, founded a company that promotes and sells weight loss for people heading into menopause
A former investor and guest lecturer at Stanford University, Strober is an entrepreneur with a track record. In 2014, she launched Kurbo Health, a health-tech startup aimed at tackling childhood obity, and sold it four years later to Weight Watchers. After the 2018 sale, she joined Weight Watchers and began
working on a new business related to weight-loss medications.
(Continued in comments)

03/15/2026

recently changed their customer of size policy. I am lucky in that I haven’t had to fly them since they changed their policy (and plan to avoid flying with them if at all possible).
I have been hearing one story after another about the horrific anti-fat bias fat people are encountering from .
It seems that it’s not just that they changed their policy, it’s that they have been given directions to surveil bodies and be rude to fat people.
I’m sure there are some gate agents or flight attendants who wish they could have been treating fat people like this all along, but I think a lot of them are being told by higher ups that this is how they have to treat fat people.
I did some digging into CEO, . It seems that he’s involved in a lot of Christian organizations that espouse the word of Jesus, but when it comes to fat customers, I guess Jesus is no longer his guide.
I also found Elliott investment management who has a significant financial stake in Southwest. They don’t seem to like Bob very much.
They also seem to be very much in favor of putting profits ahead of everything and everyone else.
On the surface, it may seem like they are going to save money by changing the customer of size policy, but I don’t think that’s what’s going to happen.
As word gets out about how poorly they are treating fat people, fat people will stop flying them. And so will our family and friends and whoever else we travel with.
Hopefully Jesus has money to invest when their bottom line suffers and their reviews tank

03/13/2026

I’m not a fan of CBT on a good day and I am especially infuriated when I hear therapists try to tell clients to use CBT in response to them talking about the impact of current events.
There’s no amount of thought stopping to stop the fall of democracy. Hopelessness and overwhelm are not cognitive distortions. All your “stinkin thinkin” makes sense.
My dislike of CBT is real and not sarcasm, but the reel itself: sarcasm. Obviously if any aspects of CBT are helpful to you, use them. If your therapist uses CBT and it’s helpful to you, that’s great.
This isn’t intended to be advice or recommendations about type of therapy. Talk with your providers about what’s most helpful to you. This is just entertainment. And hopefully offered at least a small bit of humor.

It’s and given the state of the world it feels especially important to acknowledge the day and all of the women in my ...
03/09/2026

It’s and given the state of the world it feels especially important to acknowledge the day and all of the women in my life who have had an impact on me.
And to acknowledge the generations of women who came before me who have contributed to who I am, and who held so much intergenerational trauma that they didn’t have any way to heal from and whose work I am now doing by breaking the cycle.

Image description: there are five slides each with a purple background and text that says:
It’s international women’s day and gender is a construct and the gender binary is harmful and women includes all women and the patriarchy and misogyny impact all women and women are still taught to be hungry and silent and compliant. (Continued in comments)

03/07/2026

I dropped Mac n cheese on my shirt while eating dinner the other night and it got me thinking about all of the things that are seen differently with thin people than fat people.
Dropping food on clothes is annoying, but not abnormal or uncommon, but when fat people have food stains it’s seen as evidence of some problem with their body and flaw in who they are.
When thin people have food stains it’s seen as a stain to clean. Nothing more. Not evidence of anything beyond a food stain.
There are so many things that are treated differently in fat people than thin people (health issues, sweating, being out of breath, smelling). Given the extent of anti-fat bias, it’s not surprising.
Fat people drop food on clothes. We get out of breath. We get health issues. We smell sometimes. We sweat. And none of it is evidence of something wrong with us or with our bodies.

March 4th is “world ob*sity day.” It would be more accurate to call it “world get rid of fat people day” or “world anti-...
03/04/2026

March 4th is “world ob*sity day.” It would be more accurate to call it “world get rid of fat people day” or “world anti-fat bias day” because there’s nothing about this day that has anything to do with the wellbeing of fat people.
The weight loss industry, and anyone who profits from selling weight loss (I’m looking at you pharmaceutical companies), likes to do a bunch of fear mongering about fatness and act like just living in a fat body is somehow a crime.
Or that showing your fatness publicly is a “bad influence,” as if people see an image of a fat person and set off trying to get fat themselves.
But, like so many fat people, I’m out here just living my full fat life. I’m happy to take on the job of “glorifying ob*sity” because I want to glorify fatness.
I want people to know there’s nothing wrong with being fat. I want people to know that fat people are out here living our lives and have friends and family and partners and have fun and laugh a lot and just exist in the world like everyone else.
Except we have the added stress of dealing with anti-fat bias, that days like this just intensify. But that has nothing to do with us. That’s about profit and eugenics and telling lies.
I love what is doing and reclaiming this day as “fat liberation day.” Because once we stop apologizing for taking up space and live our fullest fat lives, then we get to experience fat liberation.
So, depending on your lens, I’m either “glorifying ob*sity” or celebrating fat liberation in all of these photos, but either way I’m just a fat person living my life without apology or attempting to make myself small. And that’s an act of resistance. And fat liberation is what helps us be free.

Oxymoron= combination of contradictory or incongruous wordsCare= concern or interest shown towards something. Encompasse...
03/03/2026

Oxymoron= combination of contradictory or incongruous words
Care= concern or interest shown towards something. Encompasses empathy, attentiveness, and intentional effort to improve another’s well-being.
Ob*sity= stigmatizes and pathologizes fat people. Perpetuates anti-fat bias. Implies body size is a disease. Uses the BMI. Supports and reinforces negative stereotypes about fat people.
It is contradictory and incongruous to use a slur to describe bodies and then say that you care about those bodies while wanting to eradicate those bodies.
It is contradictory and incongruous to have organizations trying to eradicate fat people create a week that claims to care about fat people.
It is contradictory and incongruous to claim to care about the harm of weight stigma while stigmatizing the people you claim to care about.
Apparently this year’s theme is “commit to care.” 🙄 You do not “commit to caring” by supporting and encouraging weight loss and diagnosing body size as a disease.
If you actually cared about fat people you would advocate for weight inclusive care, fat liberation, health at every size®️, size diversity, and stop risking fat people’s lives by selling weight loss.

03/02/2026

I try to avoid weight loss stories, but with commercials for GLP-1s everywhere and plus size influencers suddenly going down the path of weight loss, it’s nearly impossible to avoid.
One thing I notice in these stories is that people like to talk about all of the things they’re doing now that they didn’t do before they lost weight.
People have body autonomy and if that’s their experience that’s valid (although I wish they wouldn’t share it on social media where it just perpetuates anti fat bias).
But that’s just one type of story - one that centers weight loss as the change that suddenly makes everything better.
Here’s another story. All of the things I didn’t do when I was smaller that I do now. Everything that changed when I gained weight.
Yes, there are things I can’t do because of anti-fat bias and the world not being built for fat bodies, but I would much rather not be able to do something because of an external reason than because of how I feel about myself and my beliefs about myself..
The culture wants to romanticize weight loss stories and demonize weight gain stories, which is why it’s so important that we share stories that challenge this narrative.

It’s the final day of , although needs to happen year round.It’s so common that people with Ed’s have goal weights o...
03/02/2026

It’s the final day of , although needs to happen year round.
It’s so common that people with Ed’s have goal weights or target weights set for them. I personally wish we would stop doing that, but as of now, it’s typical for those in treatment to have some sort of goal weight set for them.
One of the reasons I don’t like the idea of goal weights is because it implies that there’s a weight that you’re supposed to be, and if you go over it, you’ve done something wrong or gained “too much.”
But there isn’t an upper limit on weight restoration. There’s no weight at which recommending restriction or weight loss becomes ok.
There’s no weight at which HAES or fat liberation or weight inclusive care stops applying. If you notice yourself thinking that maybe there should be an upper limit, that’s your anti-fat bias talking. There’s an opportunity here for you to work on unpacking it rather than projecting it.
If we would call a behavior disordered if a thin person was doing it, it’s disordered when a fat person does it. There are not two sets of rules when it comes to what constitutes an ed behavior.
There’s no weight at which pursuing intentional weight loss stops being harmful. There’s no weight at which it’s ok to recommend it to someone.
If you are working on healing from an ed and you weight is higher than whatever goal weight was set for you, that doesn’t mean you did something wrong or that you weigh “too much.” It means the goal weight was set too low.
And it means no one said to you the most honest thing- that we cannot predict what size your body will be as you heal. We don’t know what weight your body will need to be. But we will sit with you in the discomfort and support you in it while your body figures it out.
Image description: there is purple around the edges with text in the middle that says: As eat!ng d.sorder awareness week comes to a close, here’s a reminder that there’s no upper limit on weight restoration.
There is no weight at which fat liberation, weight inclusive care, health at every size ® stops applying to you or that pursuing intentional weight loss stops being harmful.

As comes to a close, I am reminded that one of the greatest gifts of healing from an ed has been getting to participat...
03/01/2026

As comes to a close, I am reminded that one of the greatest gifts of healing from an ed has been getting to participate in life.
Today was one of those days that I am still processing because it was so amazing and meaningful.
First, I got to see the incredible new show with music written by of the at
And two of the producers are and
If you are anywhere near the theater and can get there, do it. The show is so good. It will definitely be on Broadway some day!! We met someone who had flown in from the Midwest just to see the show. It’s that good.
It was even more meaningful to be there with who has been my best friend since high school and we used to listen to Indigo Girls music on repeat. Their music truly got us both through some hard times.
When I was in the worst of my ed, I wouldn’t have gone to the show and I certainly wouldn’t have been present enough to have an entire conversation with one of my favorite artists.
Not every day will be a day like this. Today was a day that I will remember forever and was so special, but even on the regular days and the hard days, it’s such a gift to not be so distracted by thoughts about my body and food, that I miss out on all of it.
If you are in the midst of an ed, I know how hard it can be to see the other side. I know when I was in that place, I didn’t believe there was another side. So, as this week comes to a close, here’s a reminder that another side does exist. 💕

02/27/2026

On the 5th day of Eat!ng d!sorder awareness week, I’m bringing some humor into my awareness.
I’m not talking about the Ed itself being funny, but about using humor as a coping strategy.
No matter where we are in our healing, we all have to deal with triggers or hard situations, especially in a fat phobic world.
I was thinking about some of the ways I cope with potential triggers and was reminded this morning that one of the primary ways I cope is through humor.
This morning at the dermatologist I was handed this gown that clearly wasn’t going to work for my body. Unfortunately, I had already gotten undressed when I realized it (user error #1- I know better than to not check the gown first but it was 8am on a Friday 🤷🏻‍♀️).
Since I really didn’t feel like putting my clothes back on and asking for a different gown, I decided to create my new off the shoulder gown style and amused myself through the whole appointment.
Was I annoyed they didn’t give me a gown that fit my body? Yes. Will I email them to tell them about it? Also yes. Did I blame my body for their lack of size diversity in gowns? No.
There was a time a situation like this would have sent me spiraling. Today it made me laugh. It doesn’t mean that all triggers leave me laughing or that I don’t ever take it personally or feel hurt. Of course I do.
But, humor is for sure one of the ways I cope and remember that the world is bananas. My body is just fine.
Do you think there’s a market for my new gown style? I’ve never been much into fashion but I may be onto something here 😎

It’s day four of and I’m thinking about some of the things I’m aware of about Ed’s and healing from Ed’s. Image descri...
02/27/2026

It’s day four of and I’m thinking about some of the things I’m aware of about Ed’s and healing from Ed’s.
Image description: there is a series of four slides. All of them have purple backgrounds with stars in the top right and bottom left corners and text that says:
This Eating D!sorder Awareness
Week, I am aware that:
The line between dieting and an eating d!sorder is very thin. I don’t know exactly when a diet crosses over to an Ed. I do know that they are both harmful. I do know that asking for help to stop dieting is just as important as asking for help with an Ed. I do know that no one should have to suffer more or the “most” to get help
Healing in a culture that sounds exactly like an Ed is hard. Having an Ed is hard. There is freedom to be found in healing. There is no freedom in an Ed. The culture lives outside of us and is the problem. The Ed is inside of us and convinces us that we are the problem.
Even “evidence based treatment” doesn’t have a lot of evidence behind it and even less if you’re not thin, cis female and whte. If you try a type of treatment and it’s not helpful to you, that’s the treatments fault, not yours. The people who give the lectures on “gold standard” treatment, are often not the people sitting with clients in the nuance and complexity day after day.
We need to strike the concept of
“overshoot” from all conversations about weight restoration in ed healing.
There’s no such thing as “overshoot.” If you weigh more than whatever “goal weight” was set for you, the weight was set too low for you. You didn’t
“overshoot” it and telling people that once their “metabolism heals” they will lose weight is just another form of anti-fat bias.

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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.

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