Services
The format should match the pattern. Some concerns need individual depth. Some need relationship work. Some need one focused conversation. Some change is easier with structured group practice.
In-person care in downtown Toronto, virtual care across Ontario, and Alberta services with Dr. Megumi Maejima-Iyar. Groups are online when available.
Service formats
The right format depends on where the pattern lives: inside one person, between two people, around one urgent question, or in repeated practice.
Choose individual therapy when the pattern needs time, formulation, and sustained work.
Individual therapy can fit when anxiety, ADHD, mood, eating or body concerns, grief, self-worth, substance use, avoidance, anger, or relationship patterns keep returning. We clarify what is happening, why it holds, and what can change in ordinary life.
Choose couples counselling when the stuck point lives between you.
Couples counselling with Megumi can help when the same pattern keeps returning: communication breakdowns, disconnection, conflict cycles, major transitions, family or cultural pressure, intimacy concerns, rupture, repair, or uncertainty about how to move forward.
Choose a focused consultation when one defined question needs careful attention.
For people who are not looking for open-ended therapy right now, but do want a careful clinical conversation around one focused issue. The goal is clarity, a leverage point, and a next step that can actually be used.
Join a group or waitlist when structured practice would help.
The first group will focus on behaviour change: follow-through, avoidance, friction, motivation, routines, and relapse cycles. Dates are being finalized; the waitlist is open.
Treatment format
When the pattern needs more room.
Individual therapy is useful when the concern is layered, recurring, or hard to separate from the rest of life. It may involve anxiety, ADHD, eating or body concerns, mood instability, substance use, grief, self-worth, anger, avoidance, or relationship strain.
The work is collaborative and clinically structured. We build a formulation, notice what keeps the pattern in place, and practice responses that can hold outside the session.
Treatment format
When the pattern lives between you.
Couples counselling with Megumi is for partners who want help with the cycle between them. It can fit conflict, distance, shutdown, communication breakdowns, trust strain, intimacy concerns, family or cultural pressure, parenting, grief, major transitions, or not knowing how to move forward.
The work is not about finding the villain. We slow the loop down, name what each person is protecting, and practice clearer repair while the relationship is still in the room.
Treatment format
When one thing needs careful attention now.
A brief focused intervention is a short, structured option for a specific problem. It may fit when you need help thinking through a decision, interrupting one behavioural loop, preparing for a difficult conversation, making sense of a recent setback, or identifying why a change keeps failing.
This is not a replacement for therapy when ongoing care is needed. It is a focused clinical intervention for a defined question.
Online group therapy for follow-through, avoidance, motivation, and repeated patterns of change.
The first group focuses on behaviour change. It is for people who know what they want to do differently, but keep meeting the same barriers: avoidance, impulsivity, low motivation, all-or-nothing plans, relapse cycles, difficulty with routines, or trouble carrying insight into action.
The group combines clinical reflection, practical tools, and between-session practice. Dates are still being finalized. Join the waitlist to be contacted when the schedule is available.
Shared method
Across individual, couples, focused, and group work, the aim is the same: make the pattern clearer, understand what keeps it going, and practice a different response.
What is happening, where it shows up, and what needs attention first.
What protects the pattern, what it costs, and when it takes over.
What response is more workable in the moment that matters.
How change becomes usable in ordinary life.
How to choose
Fit consultation
A fit consultation can help clarify whether individual therapy, couples counselling, a focused consultation, or the behaviour change group is the most reasonable next step.
In-person care in downtown Toronto, virtual care across Ontario, and Alberta services with Dr. Megumi Maejima-Iyar.
FAQ
Yes. Couples counselling with Megumi is available for partners who want help with repeating patterns, communication breakdowns, disconnection, conflict cycles, repair, trust strain, family pressure, intimacy concerns, or major transitions.
No. Couples work can help before things become urgent. It is often useful when the same conversation keeps happening and neither person can shift the pattern alone.
Yes. It is a short, structured clinical intervention for a defined issue. It may be enough for some concerns; others are better suited to ongoing individual therapy or couples counselling.
Yes, if the concern is specific and appropriate for a focused format. If ongoing care seems more clinically appropriate, that will be discussed plainly.
Group therapy is planned online, with dates to be announced. You can join the behaviour change group waitlist to be contacted when details are available.
The group will focus on follow-through, avoidance, friction, motivation, routines, relapse patterns, and practicing new responses in daily life.
Possibly. The best fit depends on the concern, timing, clinical appropriateness, and whether the formats support each other.
In-person care is available in downtown Toronto, virtual care is available across Ontario, and Alberta services are available with Dr. Megumi Maejima-Iyar. Group therapy is currently planned online.