About Mihoko
Mihoko Kusachi is a licensed mental health counselor (LMHC) with ten years of clinical experience. She draws on a long career in social work and counseling across Japan, Australia, and the United States to support people facing emotional and life challenges. Mihoko creates a calm, nonjudgmental space where clients can talk through what matters most to them.
She helps people cope with stress, anxiety, grief, anger, low self-esteem, depression, and addictions.
Background and approach
She also addresses relationship and family concerns, trauma and abuse, sleep and eating issues, career questions, bipolar mood concerns, and ADHD. Mihoko works with both short-term problems and longer-term life transitions. Her approach is practical and person-centered.
She blends client-centered listening with cognitive behavioral techniques to challenge unhelpful thoughts. Mindfulness and existential ideas are used when exploring meaning, values, and identity. Sessions often include simple sensory or relaxation exercises and guided reflection that help with emotional regulation.
Mihoko emphasizes strengths and step-by-step strategies so clients can try concrete changes between sessions. She partners with clients to set achievable goals and adjust methods as needed. Born and educated in Japan, Mihoko completed advanced training in the San Francisco Bay Area and holds a master’s degree in counseling with a concentration in rehabilitation.
She has long experience supporting people with disabilities and those facing cultural adjustment. Mihoko offers therapy in English and Japanese and works with clients in Hawaii and internationally.
Approaches that guide online sessions
Client-centered therapy focuses on understanding each person’s experience through careful listening. It helps people feel heard and clarified so they can decide what matters most and take steps toward change.Cognitive Behavioral Therapy (CBT) targets unhelpful thoughts and habits by teaching simple skills to reframe thinking and try new behaviors. It is often useful for anxiety, low mood, and stress-related patterns.
Mindfulness approaches train attention to present-moment sensations and thoughts, offering simple exercises to reduce reactivity and support emotional regulation.
Finding the right approach is part of the work. The therapist will collaborate with each person to choose techniques that match their goals, preferences, and day-to-day reality. Methods can be adjusted over time based on what is helpful.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video sessions let people use visual cues and shared exercises. Phone sessions are useful when less bandwidth or a hands-free option is needed. Live chat and messaging support quick check-ins, brief coaching, or ongoing reflection between longer appointments. These options make it easier to fit therapy into a busy schedule and maintain continuity across locations.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Grief
- Anger management
Also listed
- Abandonment
- Addictions
- ADHD
- Aging and geriatric issues
- Attachment issues
- Autism and Asperger Syndrome
- Bipolar disorder
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Eating disorders
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Forgiveness
- Guilt and shame
- Hearing impaired
- Immigration issues
- Intellectual disability
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Prejudice and discrimination
- Relationship issues
- Self esteem
- Self-love
- Sleeping disorders
- Social anxiety and phobia
- Somatization
- Trauma and abuse
- Visually impaired
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 10 years
- Licensed
- Hawaii
- Languages
- English, Japanese
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