About Mihoko
Mihoko Kusachi is a licensed mental health counselor with ten years of clinical practice. She brings a patient, steady presence to sessions and focuses on helping people find hope and courage to change. She welcomes conversations in English and Japanese and draws on a wide background living and working in Japan, Australia, and the United States.
Her style is warm and nonjudgmental. She creates a space where thoughts and feelings can be shared and examined.
Background and approach
Sessions include gentle reflection, coping skills, and sensory-based exercises to help people calm their bodies and think more clearly. Kusachi blends practical tools with deeper self-understanding. She uses client-centered methods and cognitive-behavioral ideas to challenge unhelpful thoughts.
Mindfulness and existential perspectives help people connect with meaning and values while handling everyday stressors like anxiety, sleep problems, or grief. She also draws on motivational interviewing to support change and build momentum. Work can include relaxation skills, thought records, and simple behavior experiments aimed at day-to-day improvements.
Therapists often explore past experiences when that helps someone understand current patterns. Her approach recognizes cultural background and the effect of multiple life roles. She has experience supporting people with mood concerns, trauma and abuse, addiction-related struggles, attention challenges, and caregiver fatigue.
Mihoko aims to help each person find tools that fit their strengths and life circumstances.
Therapeutic Approaches and Online Care
Many clients find Client-Centered Therapy helpful because it emphasizes listening and meeting people where they are. This approach supports emotional expression and helps people feel heard while they consider next steps. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thinking patterns and behaviors, and it works well for anxiety, depression, and sleep or eating concerns.Finding the right approach is part of the work. The therapist will collaborate with each person to choose methods that match goals, needs, and preferences. Sessions may incorporate mindfulness practices, motivational interviewing, or gentle exploration of meaning depending on what fits the client.
Online formats include video calls, phone sessions, live chat, and text-based messaging to provide flexibility. Video calls allow face-to-face conversation for deeper work. Phone sessions can be easier when bandwidth is limited or when a client prefers not to be on camera. Live chat and text messaging offer quick check-ins and ongoing support between full sessions. These options make it easier to fit therapy around work, family, school, or travel while keeping the focus on steady, practical steps toward change.
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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