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Image by Maksym Tymchyk  Marriage & Family Therapy

"Between stimulus and response there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom."

Viktor Frankl

My Approch

Therapy accessible from anywhere in Texas

Sometimes events in your life overwhelm your capacity to cope. Sometimes an experience causes so much pain and distress that you feel unable to move past it. You feel betrayed, angry, sad, confused, or scared. You feel consumed by it, and it's impacting your relationships and your performance. You feel like you're at the end of your rope, and you're looking for help. I understand the courage it took for you to seek help, and I treat that with the utmost care and respect. The way I approach any problem is to first try to understand the context in which this problem is presenting and what is important to you, so that any resolution of the problem is in alignment with your values and beliefs. This means that I take time to carefully listen to the experiences you bring to the session, the values and beliefs that you hold dear to your heart, who the important characters in your life are, where you want to go, and who you want to become. 

Mental health help is now more accessible than ever. Demand for teletherapy, or therapy conducted via a secure video platform, has increased in recent years - and with the global pandemic, it has now fully entered the mainstream. What this means is that as a client you are no longer bound by physical proximity in choosing your therapist, as long as your therapist is licensed in the state that you are based in and you have access to the internet. Though I am based in San Antonio, I can offer secure, HIPAA-compliant videoconferencing option to any client based in Texas.


A good fit between you and your therapist is critical for a positive outcome. With a wider pool of therapists to choose from, I hope you are able to find a therapist who is a good fit for you. I offer a free 15-minute video consultation so you can see if I'm a fit for you. If you would like to book a free consultation, please email me at

I provide counseling for individuals, couples, and families. Issues I work with include (but are not limited to) trauma, anxiety, depression, life transitions, relationship/marital issues, family conflict, communication problems, and infidelity. For more on which type of therapy is right for you, click here


In my work with couples, I use the Gottman Method Couples Therapy and Emotionally Focused Therapy, having received advanced training in both. I have completed the Gottman training on treating affairs and trauma as well. I am also trained in Narrative, Solution-Focused, and Collaborative Therapies, but I draw on other therapy models as well to fit the unique needs and circumstances of each client.

About the Therapist

Tomoko Iimura,


License #204700

Supervised by Dr. Jason Northrup, PhD LMFT-S

Tomoko Iimura is a Licensed Marriage and Family Therapist

I am a Licensed Marriage and Family Therapist Associate, licensed to practice in the State of Texas. I turned to the mental health field by way of 12 years in corporate roles unrelated to the field but always harboring a passion for psychology and understanding human relationships. I have previously spent my life in 8 cities in 5 countries and have now settled in San Antonio, TX. As a roving expat for the majority of my life from a young age, I am used to having to start a new life every few years. I am accustomed to entering unfamiliar worlds, slowly learning the local language, customs, norms, and values - and trying to find common ground and building points of connection. I bring this same mentality to the therapy room. I am mindful that I am entering the client's world and context that are shaped by unique life experiences and belief system, and I aim to be a respectful and non-judgmental observer, while trying to see the world through your eyes.


I have witnessed that regardless of your life situation and how much material success you have attained, if your relationships are suffering, often there is an inescapable sense of emptiness. The quality of the relationships you have matters. As a therapist, an important goal of mine is to help clients process difficult experiences, distill what they would like to take away from the experiences and what they would like to leave behind, so that they can be empowered to be intentional about the relationships they have now.


I received my Master's degree in Psychology (Marriage & Family Therapy) from Our Lady of the Lake University. I completed my clinical internship at the Rape Crisis Center, working with survivors of sexual violence and their families, as well as at the Community Counseling Services, working primarily with members of the West side of San Antonio. I also hold another Master's degree in Public Policy and International Affairs from Columbia University in New York City from my previous life and a Bachelor's degree in Political Science from Middlebury College in Vermont. I am married and am a mother to a fierce little girl and a sweet rescue dog.


Email me at for inquiries and to set up a free 15-min consultation. During the video consultation you can see if I am a good fit for you, and I can find out a little bit about what you're wanting to work on. There is no obligation to schedule a session after the consult.

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