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Dr. Megumi Maejima-Iyar

Clinical Psychologist · adults and couples · Toronto, Ontario virtual, and Alberta services

When holding it togetherhas startedcosting too much.

Composed outside. Braced inside. Still able to begin here.

Megumi may fit when the pattern turns inward: food and body concerns, anxiety, self-worth, relationship distress, couples work, grief, health stress, cultural identity, overcontrol, or the feeling of holding everything together while becoming increasingly braced inside.

  • Anxiety
  • Overcontrol
  • Eating concerns
  • Body image
  • Relationships
  • Couples counselling
  • Self-worth
  • Grief
  • Health stress
  • Culture
Dr. Megumi Maejima-Iyar seated in a clinical office holding glasses.

Recognition

The outside looks managed. The inside does not.

Start with the moment your body starts protecting you.

01 / In the body

  • You look calm, but your body is braced.
  • Food, body, or health worry takes up too much room.

02 / In relationship

  • You replay conversations and try to get them right.
  • You want closeness, then tighten when it arrives.

03 / In the standards

  • You manage other people's feelings before your own.
  • Rest brings guilt, dread, or the sense that something will slip.

Why control makes sense

We do not startby taking control away.

Control may have helped you stay safe, prepared, useful, or acceptable. We ask what it protects, what it costs now, and where a little more choice can fit.

Fit areas

What Megumi often helps with.

Start where it is easiest to name: food, body, relationships, couples, standards, family, health, grief, culture, or belonging. The work does not require a perfect diagnosis or a single explanation.

01

Anxiety, overcontrol, perfectionism

You look composed while rehearsing, monitoring, correcting, and trying not to disappoint anyone.

We understand what control protects, then practice more flexible responses.
02

Food and body

Eating concerns, body image, food shame, or weight distress take too much room.

We work with shame, readiness, confidence, body cues, and care needs.
03

Relationships and couples counselling

The same painful pattern returns through silence, correcting, pleasing, withdrawal, resentment, disconnection, or conflict.

We map the pattern and practice repair without making one person the problem.
04

Grief, health stress, body trust

Illness, pain, loss, or body change makes control feel like the safest ground.

We keep body, grief, health, identity, and daily life in one frame.
05

Culture, identity, family

Family dynamics, autonomy, food, achievement, code-switching, and belonging can pull in different directions.

We include family and culture without blaming them or reducing you to them.

Human fit

Warm enough to soften. Precise enough to trust.

The work makes room for what often gets separated: the composed outside, the braced body, relationships, family, culture, grief, health, standards, and belonging.

01 / Culture

Context without flattening.

Belonging, code-switching, family expectation, autonomy, food, identity, and mixed cultural pulls can all be part of the work.

02 / Body

The body stays in the work.

Food, body image, health stress, illness, grief, pain, fertility stress, and caregiving can stay in the same clinical picture.

03 / Relationship

For people and couples who look composed while over-carrying.

The fit is often people who manage feelings, standards, closeness, family pressure, and self-criticism so well that the cost is easy to miss.

Clinical background

Clinical depth without pressure.

Megumi's published eating-disorder research asks what helps change become possible: motivation, confidence, readiness, self-compassion barriers, and outcomes. In session, that becomes careful, non-shaming work with food, body, relationships, health, culture, and self-worth.

Eating-disorder outcomes research, health psychology, integrated care, CBT, ACT, DBT-informed skills, mindfulness, and relational therapy.

Published eating-disorder research

Not advice. Mechanism.

The work goes underneath "just eat differently" advice: ambivalence, readiness, shame, confidence, body cues, and what helps people keep going.

Health + rehabilitation psychology

The body stays in the room

Health stress, pain, medical systems, grief, and daily functioning are treated as part of the clinical picture, not side notes.

Amami Oshima / Japan / South Africa

Culture without flattening

Her context makes room for belonging, code-switching, family expectation, autonomy, food, and identity without turning culture into the whole explanation.

Expanded-state integration training

Integration, not hype

Unusual or expanded-state experiences can be discussed carefully, without glamorizing substances or skipping risk, consent, body, or context.