- Focus on rest and balance
- Bilingual English Japanese
- Practical tools and reflection
About Mihoko
Mihoko Kusachi is a licensed mental health counselor (LMHC) with ten years of clinical counseling experience. She offers a calm, accepting presence and helps people find small, practical steps toward better rest and daily balance. She speaks English and Japanese and brings lived experience from Japan, Australia, and the United States.
Her background includes a master’s degree in counseling with a concentration on rehabilitation for people with disabilities. Before becoming an LMHC she worked more than 20 years as a social worker and case manager in clinical settings across the San Francisco Bay Area and the Big Island of Hawai'i. Those roles involved helping people with a wide range of concerns, including depression, anxiety, trauma, grief, and issues related to identity and cultural adjustment.
In session she uses a blend of client-centered work, cognitive-behavioral tools, existential reflection, and mindfulness practices. She often pairs thought-focused work with body-centered exercises and relaxation techniques to address stress and sleep problems. Sessions tend to focus on what the person needs now and on practical ways to ease symptoms and improve daily routines.
Mihoko invites clients to explore past experiences when that helps make sense of current patterns. She emphasizes strengths and cultural context while helping people test new ways of coping. Her approach aims to help clients feel more grounded, more rested, and more able to meet daily demands.
People who prefer a compassionate, culturally aware therapist who blends talk work with sensory-based strategies may find her style supportive. She frames therapy as a partnership focused on discovering what already helps and building on those resources.
How her approaches translate to online care
Client-Centered Therapy centers the person’s experience and priorities. In everyday terms, it means the therapist listens closely and follows the client’s lead to set goals and pace. Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thoughts and testing small behavior changes to reduce distress and improve routines like sleep. Existential Therapy invites reflection on meaning and values and can help when life changes or questions about purpose affect rest and motivation.Finding the right approach is part of the work. Mihoko will collaborate with each person to choose which methods to try first based on goals, lifestyle, and what feels comfortable. That process can include trying an exercise for a few sessions and adjusting based on how it feels and what helps.
The biography does not list specific online session formats, so please confirm which formats are offered before booking. In general, online therapy can make scheduling easier, reduce travel time, and fit shorter check-ins into a busy day. It can also allow using guided relaxation or breathing exercises during a session and practicing sleep routines in real time with therapist guidance. If you want to explore how sessions might fit into daily life, mention your schedule and preferences when you start the matching process.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
10+ years
Credentials
Hawaii
Languages
English, Japanese
Frequently asked questions
What concerns does Mihoko commonly help with?
She works with stress, anxiety, grief, anger, self-esteem, depression, addictions, relationship and family issues, trauma and abuse, eating concerns, sleeping problems, career questions, bipolar concerns, ADHD, and coping with life changes.
What is her general therapeutic style?
Her style is collaborative and gentle. She blends client-centered listening with cognitive-behavioral techniques, mindfulness, and practical exercises to ease symptoms and build routines.
How much clinical experience does she have?
She has provided mental health counseling for 10 years and earlier worked over 20 years as a social worker and case manager in clinical settings.
What credentials and region are listed for Mihoko?
She is a licensed mental health counselor - LMHC - registered in Hawaii and practices in Hawaii.
Which languages are supported in sessions?
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 the current session options before booking.
How are fees and payment handled?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Choose the Start Therapy button, complete a short matching questionnaire, and schedule a session according to the therapist's availability.