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Rachel Millner, Psy.D.

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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.

07/17/2025

These photos are from the last time performed in Philadelphia. It was February of 2020. Just a few weeks before the world shut down. That time when we still had no idea what was to come.
I had had this artwork done by Katherine Hack (who is amazing and has a shop on Etsy) and asked them to put this quote of Andrea’s on it.
I printed out a copy and after the show waited in line to talk to Andrea and thank them for their work and the impact they had on me and so many people and to ask them to sign it.
When it was my turn, I explained about the picture and what it represented and they asked more about my work and as I was trying to thank them, they thanked me for the work that I do. It was a surreal moment. And so generous of them.
And so rare for an artist to understand fat liberation, especially an artist who isn’t in a bigger body. But they understood.
And this paper is so wrinkled because it’s been on my nightstand ever since so that when work is hard or I get frustrated with how slow the world is to change, I could look at it and be reminded that the work is important and to keep going. I think it might be time to put it in a frame.
That same night, I bought this necklace that has the line “it hurts to become.” I have worn it nearly every day for the past five years. Another reminder for myself and everyone I work with, that healing is hard and getting free is hard and it hurts, but it is so worth it.
Thank you, for everything. And for so generously sharing your love with us (and for encouraging me to get in line that night).

07/15/2025

Sharing just a few of the many words of that have impacted my life. They were so generous with all of us, putting words to shared experiences that made so many of us feel seen and understood.
And their generosity continues as we collectively grieve. Every one of my social media feeds are filled with tributes to them and an understanding of the depths of this loss. They brought community together in their life and in their death. thank you for continuing to share your love story so generously. I am sending you so much love. ❤️
May Andrea’s memory be a blessing to all who love them.

07/12/2025

I want to make sure I’m clear that this post is not about what you choose to do with your own body. Whatever choices you make about your own body, are valid and make sense and there is no judgment of those choices here.
This post is about what diet culture and the weight loss industry try to sell us when it comes to choice about body size. This is about the ways they harm us by trying to tell us what choices are available and sell us on the choices they think we “should” make.
This is in response to the weight loss industries current marketing tactics. Not about what anyone chooses to do with their own body.
Image description: there are 9 slides. They each@have a green border and text that says:
Is fatness a choice?
If it’s not a choice now, will it be some day?
What I wish the answer was (and what my personal answer is):
It ultimately doesn’t matter if fatness is a choice or not, there’s nothing wrong with being fat and we want a world of fat liberation where, if people did choose their body size, people would be just as likely to choose fatness as thinness
Sadly, the answer is more complicated because we live in a world that is violent to fat people and wants to eliminate fatness.
What we know (and have known for a very long time) is that we don’t choose our body size and we don’t have control over it, however...
The twisted logic of pharmaceutical companies:
“we think weight stigma is wrong and that fatness isn’t anyone’s fault, because biology, and so we shouldn’t blame or judge fat people, we should just give all fat people medication or weight loss programs to make them thinner and call that being kind to fat people and ending weight stigma”
The reality:
Saying fatness isn’t a choice, but we need to figure out how to get rid of fat people, is weight stigma.
Fat people have existed forever. Way before the environment that they want us to believe causes fatness, way before foods they want us to believe causes fatness. Even before dieting and weight cycling, which we know does lead to weight gain.
Continued in comments…

07/07/2025

Some thoughts about GLP-1s for intentional weight loss on this Monday morning.
Image description: each slide has a blue outline with text in the middle.:
I am receiving requests for more nuanced conversations about taking GLP-1s for intentional weight loss. Let’s hold some nuance together.
The decision to take GLP-1 for weight loss bumps up against two key values of fat liberation simultaneously:
1. Body autonomy
2. Pursuing intentional weight loss is rooted in weight stigma and perpetuates harm to everyone, especially fat people
The question becomes can you believe in fat liberation and still take GLP-1s for weight loss?
And I would add can you act in accordance with fat liberation and take
GLP-1s for weight loss?
Or said another way, what does it mean to make a decision that is not aligned with your values?
And I think it’s important to name that when it comes to the harm of pursuing intentional weight loss (to yourself and to others), being encouraged to take a GLP-1 for weight loss by your doctor/therapist/family member, etc.
does not mitigate that harm.
You may decide to take a GLP-1 for weight loss because one of those people tells you to, but that doesn’t make the pursuit of intentional weight loss any more in alignment with fat liberation.
You might choose to take a GLP-1 for weight loss to increase access, to protect yourself from weight stigma, because you think it will improve your “health.’ All understandable reasons to pursue intentional weight loss. All aligned with body autonomy. None aligned with fat positivity
You can believe in fat liberation and not be safe for fat people.
You can prioritize body autonomy and be out of alignment with your value of fat liberation
You will not be judged here for taking a GLP-1 for weight loss. It doesn’t make you bad or weak. And sharing weight loss stories is harmful. (Except with your therapist or dietitian or other treatment providers. If someone is my client I want to know all of it)
(Continued in comments)

06/26/2025

In nearly every situation in which medication is prescribed, the goal is to prescribe the lowest effective dose.
Except when it comes to weight loss.
When a GLP-1 is prescribed for type two diabetes, the prescription is for the lowest effective dose.
When prescribed for weight loss: highest tolerable dose. Because pharmaceutical companies and the entire weight loss industry are fine with risking fat people’s lives in the name of potentially making us thinner.
Because they figure the quicker the weight loss, the better. The less a higher weight person is eating; the better. So get to the highest tolerable dose as quickly as possible.
And sadly I’m probably being kind even saying that they are looking at whether the dose is tolerable for the person. I think it’s probably more accurate to say the highest approved dose as quickly as possible.
As I will say in every post about GLP-1s: taking them for type 2 diabetes and taking them for intentional weight loss is not the same thing and how they are prescribed is just one of many examples of this.
And if you are considering taking these meds for intentional weight loss, please ask your provider questions about the dosage they are prescribing and what their goal is with the dosing.
The vast majority of providers who are prescribing GLP-1s for intentional weight loss, do not have your actual wellbeing in mind because their anti-fat bias isn’t leaving any space for it.
* my page is for educational purposes only and is not medical advice or therapy
Image description: there is a sea green color on one half and white on the other and it is split diagonally across the meme. The text is written in purple and red and says:
Medication being prescribed for nearly any reason: let’s prescribe the lowest effective dose
Medication being prescribed for weight loss: let’s prescribe the highest tolerable dose

06/25/2025

I am continuing to appreciate more conversations about perimenopause and menopause (although please stop with the weight stigma. I promise every person talking about menopause- that it is possible to discuss it without weight stigma. Reach out- I’ll help you).
But as we come to the end of pride month, here is a reminder that it’s not only women who go through menopause. We need to stop leaving trans and nonbinary people out of the conversation .
Just like it’s not that hard to leave weight stigma out of menopause conversations. It’s not that hard to have gender neutral conversations about menopause.
Image description: there is a pride flag and text that says “reminder: not everyone who goes through or experiences menopause is a woman.”

06/23/2025

I believe in body autonomy.
And I believe in informed consent.
And when it comes to GLP-1s being prescribed for weight loss, informed consent means explaining that the prescription for these meds is essentially a prescription for the exact same behaviors, side effects and complications of anorexia.
People get to make decisions about whether to pursue intentional weight loss via these medications.
But healthcare providers are required to give informed consent. That’s not optional. Or a decision. That’s necessary.
If someone presented to an ER or doctors office and gave a list of symptoms, side-effects, behaviors and complications it would be near impossible to know if the person had anorexia or is taking a GLP-1 for weight loss.
And people have a right to know that before making a decision about these medications.
Image description: the image is split into two columns. On one side it says: Anorexia Side-effects/ Complications:
• Fatigue
• Hair loss
• Low blood sugar
• Headaches
• Suicidal thoughts
• Heart damage
• Gastroparesis
• Fainting
• Dizziness
• Bone loss
• Nausea
• Seizures
• Blurry vision
• Death
On the other column it says:
GLP-1* side-effcts/complications
*when prescribed at higher doses for weight loss:
• Fatigue
• Hair loss
• Low blood sugar
• Headaches
• Suicidal thoughts
• Heart damage
• Gastroparesis
• Fainting
• Dizziness
• Bone loss
• Nausea
• Seizures
• Blurry vision
• Death

06/10/2025

It seems like there are endless conversations about processed and ultra-processed food right now. The conversation and healthism inherent in most of them seem never ending.
And we need to stop normalizing dieting and weight cycling and eating disorders while pathologizing “ultra-processed” foods that no one is able to consistently define anyway.
If you want to improve your relationship with food and your overall wellbeing, stop dieting, get support in healing from your eating disorder and stop worrying about what “counts” as an ultra-processed food.
Image description: there is a green outline with images of small green balls in two corners with text that says: Dieting, weight cycling and/or having an eating disorder are all far more harmful to your physical and emotional well-being than any ‘processed’ or ‘ultraprocessed’ food

06/09/2025

Thanks to for the interview and including these important topics in your magazine. Link to full article in my bio.
Image description: there is the title of the article and then a picture of me with a quote from the article. The title is: How Diet Culture
Undermines Inclusivity & What to Do About It
May 31, 2025 - by PaSH Inc -
The quote is: IF YOU HOLD BODY
LIBERATION
AS A VALUE THEN
THERE IS NOTHING ABOUT BODIES
THAT
WOULD NEED TO BE
“FIXED.”

06/02/2025

Rachel Millner Therapy is excited to announce that Jess Salatino, LCSW is now accepting new clients.
Jess is EMDR trained, trauma-informed, neurodivergent affirming and weight inclusive.
She works with people with eating disorders as well as other presenting concerns. If you are interested in working with Jess, link to website is in bio or hello@rachelmillnertherapy.com
Image description: there is an image of Jess with text above and below it that reads: Now accepting new clients in PA!!
JESS SALATINO, LOSW
• EMDR
• Eating Disorders
• Trauma
• Weight Inclusive
• Depression and Anxiety

05/22/2025

I am seeing more and more content describing GLP-1s as treatment for eating disorders or encouraging these meds to be prescribed to “treat” binge eating disorder.
I am not surprised by how quickly people with eating disorders, and specifically higher weight people with eating disorders, are being targeted and told these medications will “help.”
In this culture, it seems obvious why weight loss medications are being promoted as the “cure” to every problem, and I also think there are some specific factors that have allowed GLP-1s to be talked about as a treatment for eating disorders so quickly and seemingly without much question or concern.
Image description: each of the slides has a blue and white line around the edge and peach in the middle with blue text that reads:
didn’t take long for GLP-1s to start being prescribed to “treat” eating disorders. Or more accurately to
“treat” higher weight people with eating disorders. Or more accurately to assume that higher weight people must have binge eating disorder and prescribing them to “treat” weight and claiming to treat BED as an
“added bonus.”
How did we get here?
“How did we get here?” is partly rhetorical because the list is endless and also anti-fat bias is everywhere and pharmaceutical companies are making billions from these meds and the “wellness” industry is a trillion dollar industry and people still think weight loss is going to improve health and that these meds will suddenly make weight loss sustainable so it kind of seems obvious how we got here.
And what are some of the specific ways that we got to a place that prescribing weight loss meds to treat eating disorders is being normalized and not questioned more?
The eating disorder field has refused to acknowledge that binge eating disorder is a restrictive eating disorder. The field continues to treat higher weight people with eating disorders differently than lower weight people and continues to take money from the diet industry and support and fund research that promotes weight loss and aligns with
“food addiction” rhetoric.
Continued in comments

04/21/2025

As a 47 year old person navigating perimenopause I have been so excited to see more content about perimenopause and menopause on social media.
So much of the content is so helpful and these conversations are so needed. The information should have been available and accessible years and years ago and we deserve to have knowledge about what’s going on with our bodies.
I even had a moment of hope when I saw some posts that appeared to be weight inclusive and talking about not focusing on weight loss or pursuing thinness. I thought maybe I could access information without being harmed by weight stigma, which is unusual in medicine.
Sadly, it didn’t take long for me to encounter the weight stigma. There was talk about “belly fat” and the need to “lose it.” And how awful it is and blah blah blah. All of the same old things anti-fat bias has been talking about forever when it comes to perimenopause and menopause.
If you are someone seeking out this content, unless you know for sure the person is weight inclusive, please proceed with caution.
I am aware of .nutritionist who is a weight inclusive nutritionist specializing in this area. Is anyone aware of other providers who they know for sure are weight inclusive and fat positive?

Image description: the meme has black and yellow caution tape along the top and bottom and text that says: I have been so excited to see more conversations happening online about perimenopause and menopause. And was even more excited to see posts about menopause that talked about not focusing on weight loss or pursuing thinness, especially because there is usually so much anti-fat bias in content like this.
Since it seemed like the content would be helpful, I kept reading and in no time was exposed to all kinds of content about “belly fat” and diets and ‘nutrition’ and content that is harmful for everyone, but especially if you have an eating disorder history.
Conversations about perimenopause and menopause are so needed, but not when they are filled with anti-fat bias. If you’re looking at content from someone you’re not sure is weight inclusive, proceed with caution.

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Doylestown, PA

Opening Hours

Monday	9am - 8pm
Tuesday	9am - 8pm
Wednesday	9am - 8pm
Thursday	9am - 8pm
Friday	9am - 5pm
Saturday	9am - 3pm

Website

http://www.RachelMillnerTherapy.com/

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About Us

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.

Specialties:

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