Megumi
About Percept
Built in conversation.
Percept brings together Megumi's research on readiness, confidence, and collaborative care with Joseph's work in openness and harm reduction, guided by one question: what helps life become more livable?
Shared
A more livable life.
Skills and insight earn their place when they change what becomes possible outside therapy.Joseph
Curiosity before correction.
Understand function, timing, and context before deciding what has to change.A note from us
Percept began before it had a name.
Long before Percept had a name, we were already comparing research, questioning the work, and imagining the care we wished were easier to find. Those conversations became this practice.
Megumi and Joseph
The work behind the work
A living record of the questions we keep asking.
Choose the subject that catches you. Entries are ordered by relevance, not chronology.
3 of 10 selected entries
What helps when several problems are moving at once?
Complexity needs structure without losing the person.
CAMH residency and postdoctoral clinical training
- Concurrent disorders
- Psychosis + complexity
- DBT + ACT
At CAMH, Joseph trained across concurrent substance use and psychosis care, the Borderline Personality Disorder clinic, and an ACT group for methamphetamine use.
That foundation supports practical, coordinated work when urges, mood, unusual experiences, substance use, or safety concerns overlap.
Why can wanting change still leave someone stuck?
Readiness, confidence, and self-compassion are different things.
Two clinical outcome studies in inpatient and residential care
- Motivation
- Eating + body
- Self-compassion
Megumi found that confidence adds information beyond readiness. Later work connected fears about self-compassion with treatment outcomes.
Motivation is not a character test. Therapy can build confidence through action while respecting what self-criticism and high standards protect.
What does care need to notice beyond symptoms?
Mental health care has to fit the world around it.
Co-authored professional commentary
- Mental health
- Access to care
- Public health
Megumi and Joseph co-authored an early-pandemic article on psychological strain, unequal impact, and meeting people where they are.
It reflects a shared view: useful care makes room for systems, relationships, health, and the life a person is trying to live.
From the work to the room

