- Family of origin issues
- Mindfulness and CBT
- English and Japanese
About Mihoko
Mihoko Kusachi is a Licensed Mental Health Counselor (LMHC) with ten years of clinical counseling experience in Hawaii. She works with adults on concerns such as stress, anxiety, depression, grief, relationship and family difficulties, and coping with life changes. Sessions are offered in English and Japanese and reflect her background living and working in Japan, Australia, and the United States.
She uses a body-mind integrative frame that brings together client-centered work, cognitive methods, existential thinking, and mindfulness practices. In sessions she helps people notice unhelpful thoughts, try out different ways of responding, and practice simple sensory or relaxation exercises to manage intense emotion. She also supports people who want to look at how patterns from their family of origin shape current choices.
Kusachi draws on her broader social work and case management experience when clients face practical barriers or complex needs. That background includes work with people with disabilities, cultural adjustment concerns, and long-term caregiving stress. She pays attention to how race, gender identity, disability, and socioeconomic factors intersect in a person’s life.
Therapy usually focuses on small, practical steps. Conversations may include reflection on past experiences when that helps clarify current patterns. Clients learn grounding and self-regulation techniques alongside cognitive reframing and values-based exploration.
The approach is collaborative: she and the client decide what methods to try based on strengths and preferences. Sessions aim to reduce distress and build skills that fit into everyday life.
Approaches used and how online sessions work
Mihoko Kusachi often uses client-centered work to prioritize the person’s perspective and goals. This approach involves open listening, collaborative planning, and practical steps based on each person’s strengths, which can help with motivation and finding workable solutions.She also uses Cognitive Behavioral Therapy (CBT) to identify and test unhelpful thoughts. CBT offers tools for changing patterns of thinking and behavior, which can be useful for anxiety, depression, and stress-related issues.
Finding the right approach is part of the work. She will discuss different methods and together decide which fit a client’s needs and preferences. That collaborative process can include trying sensory-based exercises, mindfulness practices, or brief cognitive techniques to see what helps most.
Please confirm the specific session formats before booking, as the therapist’s profile does not list explicit formats. Online sessions can make it easier to fit appointments into a busy schedule, reduce travel time, and allow people to use brief check-ins around work or caregiving. Some formats may be better when quieter surroundings, less screen time, or shorter meetings are needed, so discuss practical options when you arrange the first session.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
10+ years
Listed in
Hawaii
Languages
English, Japanese
Frequently asked questions
What kinds of concerns does she address?
She works with stress, anxiety, depression, grief, anger, self-esteem, addictions, relationship and family concerns, and related issues listed in her specialties.
How would you describe her therapeutic style?
She blends client-centered listening with cognitive behavioral techniques, existential reflection, and mindfulness exercises to help people try practical steps and notice patterns.
How much experience does she have?
She has ten years of mental health counseling experience and over 20 years in social work and case management roles.
What are her credentials and where is she based?
She is an LMHC (Licensed Mental Health Counselor) practicing from Hawaii.
Which languages are supported in sessions?
Sessions are offered in English and Japanese, and she accepts international clients.
What session formats are offered?
Please confirm current session options before booking, as the original profile does not list explicit formats.
How is cost handled?
Cost varies with location; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.