Mihoko Kusachi, LMHC

Mihoko Kusachi is a licensed mental health counselor (LMHC) with ten years of counseling experience. She draws on a wide international background and a long career in social work to support people facing stress, grief, anxiety, depression, and life transitions. She works in English and Japanese and practices from Hawaii. Ms. Kusachi keeps sessions focused on practical steps and personal meaning. She creates a calm, nonjudgmental space where thoughts and feelings can be shared. She helps people notice unhelpful thought patterns, try small changes, and build self-regulation skills through sensory-based exercises and relaxation. Her training and life experience include study in Tokyo and the San Francisco Bay Area and more than 20 years as a social worker and case manager across Japan, Australia, and the United States. Her master’s degree concentrated on rehabilitation for people with disabilities, and she has supported both children and adults in clinical settings. In therapy she blends client-centered work with cognitive-behavioral and existential ideas. She also draws on mindfulness techniques and somatic awareness to address emotional and physical reactions. Sessions may include reflection on past experiences to gain insight and to support more authentic living in the present. Ms. Kusachi pays attention to culture, identity, and social justice. She is sensitive to the effects of race, gender identity, disability, and socioeconomic factors. She aims to help people discover their existing strengths, set practical goals, and move toward a more balanced sense of well-being.

How her approaches translate to online therapy

Client-Centered Therapy focuses on listening and building a respectful, collaborative relationship. It helps people feel heard and noticed while they sort through decisions and goals. Cognitive Behavioral Therapy, or CBT, helps identify and change unhelpful thoughts and behaviors with practical exercises and short homework tasks to test new ways of thinking.

Finding the right approach is a collaborative process. The therapist will work with the client to choose methods that match the person’s goals, needs, and preferences. Together they review what works and adjust the plan over time so sessions stay useful and relevant.

Session logistics and formats are not listed here, so confirm current options before booking. Online therapy can make it easier to fit sessions into a busy life - for example, shorter check-ins during a work break or avoiding travel time. It also allows continued access when someone has relocated or lives outside the therapist’s geographic area. Licensed professionals use these approaches to guide practical skill-building, reflection, and small behavioral changes that fit into everyday routines.