- CBT techniques
- Mindfulness practices
- Client-centered work
About Mihoko
Mihoko Kusachi is a Licensed Mental Health Counselor (LMHC) with 10 years of counseling experience. She works with people facing stress, anxiety, grief, anger, low self-esteem, depression, addictions, relationship and family concerns, trauma and abuse, eating and sleeping difficulties, career questions, bipolar disorder, ADHD, and coping with life changes.
Mihoko grew up in Japan and was educated in Tokyo and the San Francisco Bay Area. She holds a master’s degree in counseling with a concentration on rehabilitation for people with disabilities. Her work history spans Japan, Australia, and the United States, and she has long experience as a social worker and case manager in clinical settings.
Her approach blends client-centered methods with cognitive behavioral, existential, mindfulness, and motivational techniques. She uses body-mind awareness and simple sensory exercises alongside thought-challenging and relaxation practices. Sessions include practical steps and breathing or grounding tools to help manage strong emotions and unwanted thoughts.
Mihoko often reviews a person’s past to find useful insight, then focuses on present choices and small, doable actions. She emphasizes cultural context, social justice, and the effects of multiple minority identities on daily life. Her background includes supporting people with disabilities and those adjusting to cultural change.
She offers counseling in English and Japanese and accepts international clients. To begin, readers are asked to use the site’s matching process and schedule a first session so they and Mihoko can see if the fit feels right.
How Mihoko uses approaches online
Mihoko draws on client-centered therapy to listen closely and help people find their own answers. That approach focuses on respectful listening, reflective feedback, and working at a person’s pace to address anxiety or life stress.She also uses Cognitive Behavioral Therapy (CBT) to identify unhelpful thinking and try small behavioral experiments. CBT can help with social anxiety by breaking situations into manageable steps and practicing new responses.
Mindfulness-based techniques are part of her work, using short breathing or sensory exercises to reduce physiological tension and support emotional regulation during stressful moments.
Mihoko will work together with the client to decide which combination of approaches fits best based on the person’s goals and preferences. This is a collaborative process where methods can be adjusted over time as needs change.
Session formats are not listed in the biography, so confirm current online options before booking. Online sessions can make it easier to fit counseling into a busy day, reduce travel time, allow shorter check-ins when needed, and let people use calming exercises in their own routines.
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 concerns does she address?
Mihoko works with stress, anxiety, grief, anger, self-esteem, depression, addictions, relationship and family issues, trauma and abuse, eating and sleeping problems, career concerns, bipolar disorder, ADHD, and coping with life changes.
What is her therapeutic style?
She combines client-centered listening with cognitive behavioral techniques, mindfulness exercises, and motivational approaches to help people try practical changes.
How long has she practiced?
She has provided mental health counseling for 10 years and worked over 20 years in social work and case management roles.
Where is she based and what are her credentials?
She is based in Hawaii and holds the credential LMHC, listed as HI LMHC.
Which languages are supported?
Sessions are offered in English and Japanese, and international clients are accepted.
What session formats are available?
Session formats are not specified here; please confirm current session options before booking.
How does payment work?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin a first session?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.