Works with
- Anger
- Stress, Anxiety
- Grief
- Anger management
- Self esteem
- Depression
How Mihoko works
Practical facts
- Credentials
- LMHC
- Licensed in
- Hawaii
- Years in practice
- 10
- Languages
- English, Japanese
- Session format
- Online, through our partner platform
About Mihoko
Mihoko Kusachi is a Licensed Mental Health Counselor (LMHC) with ten years of counseling experience. She brings a long career in social work and case management across Japan, Australia, and the United States. Mihoko works in English and Japanese and draws on lived experience to connect with people facing hard changes.
She creates a calm, nonjudgmental space where people can name what they feel. Sessions focus on practical steps and reflection.
Background and approach
Mihoko helps clients challenge negative thoughts and practice sensory-based exercises and relaxation techniques to manage stress, anxiety, anger, and other strong emotions. Her training includes work in rehabilitation counseling and a master's degree in counseling with a focus on disability. She has also supported people with grief, trauma, addictions, sleep and eating concerns, bipolar disorder, ADHD, and life transitions.
Mihoko pays attention to cultural background and how identity affects daily life. Therapy mixes client-centered listening with cognitive behavioral ideas and mindfulness exercises. She also uses existential questions to help people clarify values and find meaning.
Many sessions include short practices that can be used at home to reduce reactivity and improve mood. Mihoko emphasizes a body-mind approach that links physical sensations to emotions. She helps people build on existing strengths and practical routines.
The goal is steady, usable change rather than quick fixes.
What Mihoko works with
Everything Mihoko lists, in the therapist's own terms. Anger is the reason this directory exists; the rest tells you what usually sits alongside it in Mihoko's practice.
- Stress, Anxiety
- Grief
- Anger management
- Self esteem
- Depression
- Addictions
- Relationship issues
- Family conflicts
- Trauma and abuse
- Eating disorders
- Sleeping disorders
- Career difficulties
- Bipolar disorder
- Coping with life changes
- Compassion fatigue
- ADHD
- Abandonment
- Aging and geriatric issues
- Attachment issues
- Autism and Asperger Syndrome
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Communication problems
- Control issues
- Divorce and separation
- Emptiness
- 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
- Self-love
- Social anxiety and phobia
- Somatization
- Visually impaired
- Women's issues
- Workplace issues
Approaches Mihoko lists
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Existential Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.
Approaches that guide online sessions
Client-centered therapy focuses on listening and meeting people where they are, helping them feel heard and understood so they can decide what matters most. Cognitive Behavioral Therapy (CBT) teaches simple skills to notice and change unhelpful thoughts and behaviors, which can ease anxiety, anger, and low mood. Mindfulness therapy offers short practices to notice bodily sensations and breathing, which helps with emotional regulation and stress management.Finding the right mix of approaches is part of the work. The therapist will collaborate with each person to choose methods that match their goals, needs, and comfort level. That means trying practical tools, checking in about what helps, and adjusting the plan together.
Online therapy offers flexible ways to connect: video calls for face-to-face conversation, phone sessions when bandwidth is limited, live chat for brief check-ins, and text-based messaging for ongoing support. These options make it easier to fit therapy into a busy week, try short skills between commitments, or continue work across time zones for international clients. Licensed professionals adapt exercises and sensory-based practices so they work in whatever format the client prefers.
Questions people ask about Mihoko
What kinds of concerns are addressed here?
Common issues include stress, anxiety, grief, anger, depression, addictions, relationship and family problems, trauma and abuse, sleep and eating concerns, bipolar disorder, ADHD, and coping with life changes.
How would you describe the therapy style?
Sessions combine client-centered listening with cognitive behavioral strategies and mindfulness practices. The work is practical and reflective, with tools to use between sessions.
What is the therapist's background?
She has a master's degree in counseling with a concentration in rehabilitation and more than 10 years of mental health counseling experience, plus over 20 years in social work and case management.
Where is the therapist based and licensed?
The therapist practices from Hawaii and holds an HI LMHC credential.
Which languages are offered in sessions?
Sessions are offered in English and Japanese, and international clients are accepted.
What session formats are available?
Clients can meet by video calls, phone sessions, live chat, or text-based messaging depending on their needs and preferences.
How is cost handled for sessions?
Cost varies with location and therapist availability; services are delivered through a subscription model that can be canceled at any time.
How do I begin working together?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.