About Tomasann
Tomasann Miller is a licensed marriage and family therapist who uses practical, evidence-informed methods to help people face relationship and emotional problems. She keeps sessions direct and compassionate so clients can talk through difficult feelings and think about next steps. She focuses on relationship concerns, trauma and abuse, and intimacy-related issues.
She also helps people strengthen self-esteem, handle career stress, manage sleep problems, and address depression. Additional work includes first responder issues and phobias.
How Tomasann works
Her approach blends methods that help change unhelpful thinking with techniques that increase emotional awareness and connection. Tomasann uses tools from acceptance and commitment therapy, cognitive behavioral therapy, dialectical behavior therapy, attachment-based work, and the Gottman Method to shape sessions around each person's needs. Sessions aim to teach skills and create new ways of responding to stress.
Over about ten years in practice she has refined how she introduces skills and structures sessions. She focuses on small, doable steps clients can practice between meetings. Tomasann emphasizes clear goals so progress is easy to notice.
People who choose her can expect straightforward guidance, focus on real-life problems, and regular check-ins about what is or isn’t working. Tomasann supports clients as they try different tools and decide what helps them live with more ease and purpose.
Tomasann lists 6 ways of working on the entry:
What Tomasann works with
The areas below are the ones Tomasann selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Relationship issues
- Trauma and abuse
- Intimacy-related issues
Also listed
- Career difficulties
- Depression
- First responder issues
- Phobias
- Self esteem
- Sleeping disorders
Training and background
| Register | LMFT |
|---|---|
| Years in practice | 10 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | California |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approach-driven care you can access online
Tomasann draws on acceptance and commitment therapy to help people notice painful thoughts and choose actions that match their values. ACT is useful for depression, anxiety, and when unhelpful thinking gets in the way of what matters most.She also uses attachment-based methods to look at how early patterns shape adult relationships. That work helps people understand emotional responses and build more supported ways of relating. Cognitive behavioral therapy is another core element and focuses on changing thinking and behavior patterns that keep problems stuck.
Finding the right mix of approaches is part of the work. Tomasann will collaborate with each person to determine which methods fit their goals and preferences and will adjust the plan as progress unfolds.
Online sessions are offered by video call, phone, live chat, or text-based messaging to make therapy easier to fit into daily life. Video calls support face-to-face conversation, phone sessions can work when bandwidth is limited, and chat or messaging can be useful for shorter check-ins or when typing feels easier. These options help people schedule care around work, family routines, and other commitments.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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