- CBT techniques
- Mindfulness practice
- Client-centered focus
About Mihoko
Mihoko Kusachi is a Licensed Mental Health Counselor (LMHC) with 10 years of clinical counseling experience. She practices in Hawaii and works with people facing stress, anxiety, grief, anger, low self-esteem, depression, addictions, relationship and family concerns, trauma and abuse, sleep and eating issues, and challenges like ADHD and bipolar mood concerns.
She trained in Tokyo and the San Francisco Bay Area and has worked in Japan, Australia, and the U.S. Her background includes a master’s degree in counseling with a concentration in rehabilitation for people with disabilities, and over 20 years of experience as a social worker and case manager in varied clinical settings.
Mihoko uses a mix of Client-Centered, Cognitive Behavioral, Existential, and Mindfulness-based approaches. In sessions she helps people notice and challenge negative thoughts, practice sensory-based exercises, and learn relaxation and self-regulation techniques to reduce emotional reactivity. A body-mind approach guides the work when physical sensations relate to feelings.
She invites practical reflection and behavior change rather than abstract theory. Conversations may include looking at the past to gain insight, then trying small, concrete steps in the present to make daily life more manageable and balanced.
Mihoko offers counseling in English and Japanese and welcomes people from diverse cultural backgrounds. She frames therapy as collaborative work to identify what helps each person manage anger, cope with loss, or rebuild motivation in daily life.
How her approaches translate to online counseling
Client-Centered Therapy focuses on listening and reflecting back what matters to the person. It supports people who need space to sort through feelings about anger, loss, or identity without judgment. Cognitive Behavioral Therapy (CBT) looks at thoughts and behaviors that keep problems going and uses short exercises to test new ways of thinking. It can help with anger that comes from automatic thoughts or workplace frustration. Mindfulness Therapy teaches simple attention and breathing practices to reduce reactivity and increase awareness of bodily signals tied to strong emotions.Finding the right approach is part of the work together. The therapist will collaborate with each person to decide which combination of techniques best fits their goals, preferences, and everyday demands. Sessions can change over time as needs shift and practical strategies are tried and reviewed.
The biography does not list specific online formats, so confirm available session types before booking. Online sessions can make it easier to fit counseling into a busy week, allow shorter check-ins when time is tight, or let someone choose a session style that needs less bandwidth or no camera. Licensed professionals can guide how to use the chosen approach in the setting that works for the person.
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 kinds of concerns does she help with?
She works with stress, anxiety, grief, anger, self-esteem, depression, addictions, relationship and family issues, trauma and abuse, sleep and eating problems, career concerns, bipolar and ADHD-related challenges.
What is her therapeutic style like?
She uses a mix of client-centered conversations, cognitive behavioral techniques, mindfulness practices, and existential reflection to help people identify patterns and try practical changes.
How much clinical experience does she have?
She has provided mental health counseling for 10 years and has more than 20 years of prior work as a social worker and case manager.
What credentials and location are on record?
She is an LMHC licensed in Hawaii and practices there.
Which languages are supported in sessions?
Sessions are offered in English and Japanese, and she accepts international clients.
What session formats are available?
Session formats were not specified in the biography; please confirm current session options before booking.
How does payment and cost work?
Cost varies by location; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Start by selecting the See online therapy options button, complete a short matching questionnaire, and schedule a first session.