- Person-centered care
- Mindfulness and CBT
- English and Japanese
About Mihoko
Mihoko Kusachi is a licensed mental health counselor (LMHC) with ten years of clinical counseling experience. She draws on a long career in social work and case management across Japan, Australia, and the United States. Mihoko aims to help people find courage and practical ways forward when life feels overwhelming or stuck.
Her work focuses on everyday struggles like stress, anxiety, depression, grief, and issues with self-esteem. She also helps people facing addiction, trauma and abuse, career transitions, sleep and eating difficulties, and coping with life changes. Money and financial issues are one of the concerns she addresses within broader life stressors.
Mihoko uses a person-centered approach that centers the client's goals and values. She combines elements of cognitive behavioral strategies and mindfulness exercises to challenge negative thoughts and build new habits. Sessions may include sensory-based exercises and relaxation techniques to help with emotional regulation.
She also integrates existential ideas to help people reflect on meaning, purpose, and identity. This can be useful when someone feels empty, stuck, or is facing major life decisions. Mihoko emphasizes a body-mind perspective that links physical sensations and emotions to help people make small, doable changes.
Raised in Japan and trained in Tokyo and the San Francisco Bay Area, she brings cultural awareness to the work. Sessions are offered in English and Japanese, and she accepts international clients. To begin, clients use the site's Start Therapy flow to match and schedule according to availability.
Therapeutic approaches online and how they help
Mihoko frequently blends client-centered work with cognitive behavioral strategies and mindfulness practices. Client-centered therapy focuses on listening, empathy, and following a person's goals to build trust and clarity. Cognitive behavioral techniques look at thought patterns and behaviors and use practical exercises to reduce anxiety, manage mood, and change unhelpful habits. Mindfulness-based methods teach simple attention and breathing practices to ease stress and improve emotion regulation.Finding the right approach is a collaborative process. Mihoko will work with each person to identify goals and try methods that match their needs and preferences. She encourages experimentation and regular check-ins so the plan can change as people learn what helps them most.
The original profile does not list specific session formats, so confirm current options before booking. Online sessions can make it easier to fit counseling into a busy day, for example by removing commute time or allowing shorter check-ins during a work break. They also let people work with a therapist who speaks English or Japanese even when they are not nearby. Practical benefits often include more flexible scheduling and the ability to continue consistent care while managing everyday responsibilities.
Areas of focus
Frequently asked questions
What concerns does Mihoko address?
She supports people coping with stress, anxiety, depression, grief, self-esteem, addictions, trauma, relationship and family issues, sleep and eating problems, career changes, ADHD, bipolar concerns, and related challenges.
How would you describe her therapeutic style?
Her style is person-centered and collaborative, using cognitive-behavioral techniques and mindfulness exercises alongside reflective exploration of meaning and values.
What is her professional background?
She has ten years of mental health counseling experience plus over 20 years in social work and case management across multiple countries.
What credentials and location are listed?
She is an LMHC licensed in Hawaii. Her practice is based in Hawaii and she has training and work experience in Tokyo and the San Francisco Bay Area.
In which languages can sessions be held?
Sessions are offered in English and Japanese, and she accepts international clients.
What session formats are available?
The original biography does not specify session formats; please confirm current session options before booking.
How does pricing work?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I get started with her?
Select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.