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MK Portrait of Mihoko Kusachi

Mihoko Kusachi

Calm, practical therapy grounded in multicultural experience

LMHC Hawaii

Experience
10 years in practice
Focus areas
Stress, Anxiety, Grief, Anger
Approaches
Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages
English, Japanese
Continue with Mihoko

About Mihoko

Mihoko Kusachi is a licensed mental health counselor (LMHC) with a decade of clinical experience and a life shaped by multicultural education and practice.

Background and approach

Raised in Japan and trained in Tokyo and the San Francisco Bay Area, she blends international perspectives with long-term work across Japan, Australia, and the United States to support clients navigating stress, anxiety, grief, depression, trauma, and related concerns.

Her graduate training concentrated on rehabilitation for people with disabilities, and she has more than 20 years of experience as a social worker and case manager in diverse clinical settings. Her therapeutic stance emphasizes collaboration, respect for individual strengths, and a body-mind integrative approach that combines elements of cognitive-behavioral, existential, client-centered, mindfulness, and motivational styles.

Sessions often include reflection on thought patterns, sensory-based exercises, relaxation, and practical self-regulation techniques to reduce distress and improve daily functioning. Mihoko pays close attention to cultural context, intersectional identities, and social justice, aiming to help clients discover inner resources and create meaningful, sustainable change in their lives.

Approach-Focused Online Therapy with Practical Tools



Mihoko uses Cognitive Behavioral Therapy (CBT) to help clients identify and modify unhelpful thinking patterns and test new behaviors; this approach is often used for anxiety, depression, and stress-related problems. She also draws from client-centered therapy, providing empathic listening and collaborative goal-setting so clients feel heard while exploring what matters most to them. Additionally, mindfulness-based techniques are woven into sessions to build present-moment awareness and practical self-regulation skills for emotional relief and improved coping.

Choosing the right mix of approaches is collaborative. Mihoko works with each person to determine which methods fit their goals, preferences, and daily life, and she adjusts strategies over time based on what helps the client make meaningful progress.

Online sessions are offered through video calls, phone, live chat, or text-based messaging, allowing for flexibility around work, family, and geographic constraints. These formats make it easier to maintain continuity of care while accessing therapeutic tools and exercises that can be practiced between sessions.

Frequently asked questions

What kinds of difficulties can Mihoko help with?
She works with a wide range of concerns including stress, anxiety, grief, anger, self-esteem, depression, addictions, relationship and family issues, trauma and abuse, eating or sleeping problems, career concerns, bipolar symptoms, ADHD, and coping with life changes.
What is her therapeutic style like?
Mihoko combines client-centered listening with cognitive-behavioral techniques, mindfulness practices, and existential exploration to help clients reflect, reframe negative thoughts, and try practical self-regulation exercises.
How much clinical experience does she have?
She has provided mental health counseling for 10 years as a licensed therapist and has over 20 years of experience working as a social worker and case manager in varied settings.
Where is she licensed and based?
She is a licensed mental health counselor with the designation HI LMHC MHC-329 and is based in Hawaii.
Which languages are available for sessions?
Therapy is offered in both English and Japanese, and she also accepts international clients who may prefer either language.
What session formats are offered online?
Clients can meet her via video calls, phone sessions, live chat, or text-based messaging depending on what works best for their schedule and communication preferences.
How are fees handled for sessions?
Cost varies with location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.
What are the steps to begin working together?
Interested clients should select the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyGriefAnger managementSelf esteemDepression

Also works with

AddictionsRelationship issuesFamily conflictsTrauma and abuseEating disordersSleeping disordersCareer difficultiesBipolar disorderCoping with life changesCompassion fatigueADHD

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesAutism and Asperger SyndromeCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommunication problemsControl issuesDivorce and separationEmptinessFamily of origin issuesFamily problemsForgivenessGuilt and shameHearing impairedImmigration issuesIntellectual disabilityIsolation / lonelinessLife purposeMidlife crisisMoney and financial issuesMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksPrejudice and discriminationSelf-loveSocial anxiety and phobiaSomatizationVisually impairedWomen's issuesWorkplace issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Existential TherapyMindfulness TherapyMotivational InterviewingSolution-Focused TherapySomatic TherapyTrauma-Focused Therapy

Experience

10+ years

Licensed

Hawaii

Languages

English, Japanese