- Client-centered care
- Mindfulness practices
- Bilingual English Japanese
About Mihoko
Mihoko Kusachi is a licensed mental health counselor with ten years of clinical experience. She helps people find hope and the courage to make changes. She creates an open, nonjudgmental space where thoughts and feelings can be shared. She values mutual growth and aims to support clients in finding purpose.
Born in Japan and educated in Tokyo and the San Francisco Bay Area, she brings international life and work experience. She has worked in Japan, Australia, and the United States and has more than 20 years of experience as a social worker and case manager. She earned a master’s degree in counseling with a concentration on rehabilitation for people with disabilities and holds the LMHC credential.
Mihoko draws on a mix of approaches including client-centered methods, mindfulness, existential ideas, and cognitive-behavioral techniques. She blends body-mind or psychosomatic practices with thought work and sensory-based exercises. Sessions may include relaxation and self-regulation techniques to ease emotional difficulty.
Clients may reflect on past experiences to gain insight and build more authentic ways of living now. She often works on challenging negative thoughts and finding practical solutions for daily life. Her philosophy is socially aware and culturally responsive, with special sensitivity to race, gender identity, disability, and socioeconomic differences.
She has supported people through depression, anxiety, trauma and grief, relationship and family issues, addiction concerns, ADHD, codependency, and caregiving stress. Mihoko encourages people to rediscover their inner resources and use those strengths to move forward.
How Mihoko’s approaches translate to online work
Mihoko uses client-centered listening to understand what matters most to each person. This approach focuses on the client’s experience and supports them as they name goals and priorities. Cognitive Behavioral Therapy helps people identify and change unhelpful thinking patterns and try small behavioral shifts to feel better. Mindfulness practices teach simple attention and relaxation exercises that reduce stress and improve focus.Finding the right approach is part of the work. Mihoko will collaborate with each person to choose methods that fit their needs, goals, and preferences. She emphasizes practical techniques and tailors the pace so people can build skills step by step together.
If you are considering online therapy, confirm the session formats offered before booking since the biography does not list specific options. Online sessions can make it easier to fit therapy into a busy life, reduce travel time, and allow shorter check-ins when schedules are tight. They can also let people use sensory-based exercises and relaxation practices in places that feel convenient. Ask about formats and scheduling when you complete the matching questionnaire to find an arrangement that suits your routine.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
10+ years
Credentials
Hawaii
Languages
English, Japanese
Frequently asked questions
What concerns does Mihoko Kusachi address?
She works with a wide range of concerns including stress, anxiety, depression, grief, trauma and abuse, relationship and family issues, addictions, ADHD, and codependency.
How would you describe her therapeutic style?
Her approach is collaborative and warm, using client-centered listening alongside practical tools like mindfulness and cognitive techniques.
What is her professional background?
She has 10 years of mental health counseling experience and over 20 years as a social worker and case manager in multiple countries.
What credentials and region are listed?
She is an LMHC and practices from Hawaii, holding the Hawaii LMHC credential.
Which languages are supported for sessions?
Sessions are offered in English and Japanese, and she accepts international clients.
What session formats are available?
Please confirm current session options before booking since specific formats are not listed in the biography.
How are costs handled?
Cost varies with location and therapist arrangements; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Click the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.
Profile details come from information the therapist supplied to BetterHelp. Credential and registration rules differ between the United States, the United Kingdom and Australia.