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.

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 gua...
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

As I say every time I post about perimenopause and menopause, I am glad they are being talked about. There used to be no...
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 .

01/27/2026

Sometimes you just need to lay on the office floor with a foam roller as a pillow and watch a stink bug fly into a fan and get catapulted out, over and over again.
Therapists were trained to not share opinions or feelings, but for the most part, that has just given the field an excuse to hide behind when colluding with systems of oppression.
My opinion is f*ck ic e and if you’re a therapist and don’t feel that way, it’s time to retire. If you’re a therapist and you’re not angry and heartbroken or you think any of what is going on is ok, it’s time to retire.
I tend to turn towards the poets and writers for guidance or help during difficult times. has gotten me through so many difficult times, it’s not a surprise that it’s their words that came to mind as I was laying on my office floor.
“Let your heartbreak so your spirit doesn’t.” There’s something about the image of all of these broken hearts and strong spirits that is giving me comfort and hope.

01/24/2026

File this under you can’t make this s**t up. In the midst of everything happening in the world and everything that actually needs attention, an article about how airlines might save money on fuel if enough people lose weight on GLP-1’s was printed.
Along with some major eye rolls and annoyance that anyone is wasting time writing this article, I started thinking about how it is no surprise this type of article is turning up.
This culture is happy to blame fat people for anything and “increased costs” is often one that gets thrown at fat people. And these systems of oppression and whte suprem@cy want us focused on blaming fat people.
If we are distracted by blaming fat people, by trying to be less fat, by hunger, by smallness, we can’t fight the systems of harm and power and oppression. If we are surveilling each other’s bodies, we aren’t building community.
Don’t be tricked into blaming fat people. If you are truly concerned about the airlines, they apparently saved millions by removing olives from drinks and changing the type of paper in airline magazines.
We need to be fighting fasc!sm not fatness and not fat people.

01/21/2026

I shared the other day about Dr. Ania, who was on the and about her concept of “enough weight.” Again, don’t listen to the podcast or buy the book. They’re both harmful.
But I’ve gotten the question “what’s the difference between the ‘enough weight’ and ‘set-point’?” And that question makes a lot of sense.
When you first hear Dr. Ania talk about “enough weight” it sounds exactly the same as set-point. Where they verge away from each other is when Dr. Ania starts saying how the “enough weight” needs to be lowered for people in higher weight bodies and that the role of GLP-1s is to lower the “enough weight.”
Set point, on the other hand, isn’t viewed as something that needs to change. It’s just the weight our bodies go to when we aren’t weight suppressed.
Personally, I don’t love the concept of set-point only because I think our bodies are meant to change throughout our lifetime, not just stay at one set weight or weight range.
Maybe we have different set points at different stages of our lives. Or maybe we can just trust our bodies to be where they are and we don’t have to try and label it.
Either way, the weight you’re at, doesn’t need to be lowered or suppressed.

I’ve been really enjoying all of the posts about what was going on for people in 2016. It’s amazing how much changes in ...
01/19/2026

I’ve been really enjoying all of the posts about what was going on for people in 2016. It’s amazing how much changes in ten years.
And, as I was thinking about my life in 2016 and what’s different now, I was reminded that 2016 was the year Tr*mp was elected for the first time.
We’ve been at this for ten years. It made me think of everyone I know who’s exhausted and burnt out and how much sense that makes.
It made me think of all of my therapist friends and other providers who have been holding space for clients while experiencing the same trauma simultaneously for ten years.
It made me think about how many people have been labeled mentally ill in the past ten years, when really they were mentally well and having an understandable response to the constant harm and trauma.
Ten years is a long time for our nervous systems to be under constant threat. For our coping to try and keep up.
I hope when you think back to 2016, you not only have empathy for your younger self and are reflecting on all the ways that you’ve grown and changed since then, but that you also have compassion for every part of yourself that has existed over the past ten years.
It has been no easy feat to survive the past ten years, and yet, here you are. I hope you can hold your 2016 self, who had no idea yet what we were in for, with as much gentleness and tenderness possible.
Image description: there is a pink background with flowers in the corners and text that says: I am enjoying seeing the posts about what people were up to in 2016 and how things are different now. And, I want to remind you, that 2016 was when Tr*mp was elected president for the first time. So, yes it’s been 10 years and of course things are different in your life. And, if you are wondering why you’re so much more exhausted, burnt out, on edge, or why your nervous system is so activated, there’s good reason.

01/18/2026

I posted yesterday about the episode I (regretfully) listened to. As a reminder, the podcast is harmful and problematic and I do not recommend listening. There is a guest, Dr. Ania, talking about her book “Enough,” which I do not recommend buying.
Anyway, Dr. Ania talks about the two reasons she named her book Enough. I talked about one of the reasons yesterday, so if you haven’t listened to that reel, it’s the one posted right before this.
Today I am sharing about the second reason she says she chose the name “Enough.” She says it’s because it’s “enough” with all of the weight stigma and ways that higher weight people have been bullied and shamed about their weight.
This one can be a real mind f*ck. Because of course we all want to end weight stigma and fat shaming and bullying. However, Dr. Ania seems to be completely clueless that she is adding to weight stigma not helping to end it.
She thinks that everyone who is talking about body size as a disease like she does, is helping to end weight stigma because if body size is a disease then people can’t be blamed for being fat.
It’s a wonder they aren’t all perpetually dizzy with all the spinning they have to do to try and make some sense.
You cannot end weight stigma while perpetuating weight stigma.
You cannot end weight stigma while profiting off of selling weight loss.
You cannot end weight stigma while calling fatness a disease.
If Dr. Ania has really had “Enough” with weight stigma, she could help end weight stigma by deciding she’s had “Enough” with pathologizing fat bodies.

01/18/2026

This will need to be a two parter. There is so much to say in response to the . First, please don’t listen to it. Especially if you’re struggling. But even if you’re not.
I am trying to stay informed about how these meds are being talked about in different spaces, so I knew the podcast would be problematic. I wasn’t prepared for how infuriating it would be.
I think what pi**ed me off the most is the way they co-opt language and pathologize the very wise ways bodies respond to deprivation and that bodies are meant to come in different shapes and sizes.
Dr. Ania is on the podcast and talks about the book she wrote about weight loss meds and why she called the book “enough.” Apparently there are two reasons. One I’m talking about in this video. I’ll talk about the other in the next video.
As always, I support body autonomy and have empathy and not judgment for anyone who decides to pursue intentional weight loss.
What I don’t have empathy for, is doctors who are profiting off of weight stigma and causing harm.

I mean isn’t it the logical conclusion? More fat people than thin people? Maybe everyone is meant to be fat. Why not try...
01/16/2026

I mean isn’t it the logical conclusion? More fat people than thin people? Maybe everyone is meant to be fat. Why not try to make thin bodies into fat bodies?
Oh, right, . No money to be made from that approach. Oh and whte suprem@cy. And eugenics. And weight stigma. And patriarchy. And misogyny. All the systems designed to keep us hustling.
But, really, if you pause and think about the idea of turning all thin people into to fat people, it probably sounds absurd. We’ve been conditioned to think it’s absurd. But even separate from the conditioning, it sounds absurd.
The only reason it doesn’t sound just as absurd to think of trying to turn all fat people into thin people is because of our conditioning and the systems that impact our beliefs.
But, in reality, they are both absurd. Trying to make fat people thin and trying to make thin people fat: all harmful. All ridiculous. All absurd.
What if we all just sit with what is true: bodies are meant to be all different shapes and sizes. We don’t need to try and change them. People are meant to exist at every point along the size spectrum.
Imagine the relief we all would feel right this moment if we stopped battling bodies and started battling the systems that make us think our bodies are a problem to begin with.
Image description: there is a beige background with doodles in each corner and text that says: If more of us are in higher weight bodies than lower weight bodies, why don’t we come to the conclusion that bodies are meant to be bigger and try to make smaller people bigger instead of bigger people smaller? Or better yet, why don’t we come to the accurate conclusion that bodies are meant to be all different sizes and we don’t have to try to change them.

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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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