About Marissa
Marissa Yoshikawa-Machado helps people facing stress, anxiety, depression, grief, relationship strain, trauma and life changes. She also supports those dealing with self-esteem, communication problems, guilt and shame, loneliness, forgiveness, and workplace issues. Marissa practices in Hawaii and brings a calm, practical approach to short- and longer-term concerns.
Marissa is a licensed mental health counselor - LMHC - with four years of experience. She has worked in different settings and has talked with people about anxiety, depression, major life transitions, and communication struggles.
Background and approach
She uses clear tools rather than jargon so people can try things between sessions. Her sessions focus on what matters most to each person. Marissa listens, helps name patterns, and then introduces simple strategies to manage difficult thoughts and feelings.
She mixes cognitive behavioral ideas with mindfulness and a client-centered attitude so people can find what fits them. In the room she aims to build trust and openness. Clients can expect a nonjudgmental space to share worries, to look at past difficulties, and to plan small steps forward.
Progress is practical and pace is set by each person’s needs. Marissa invites people who want straightforward help for everyday challenges to reach out. She supports goal setting, coping skills, and clearer communication so people can move toward more balanced days.
Remote approaches that focus on practical change
Client-centered therapy is about listening and responding to each person's needs. The therapist follows the person's lead and creates a respectful, nonjudgmental space to name problems and goals. Cognitive behavioral therapy, or CBT, looks at thoughts and behaviors that keep problems going and teaches straightforward tools to change them, which can help with anxiety, depression, and coping with life changes. Mindfulness therapy teaches simple attention and breathing practices to reduce reactivity and increase calm in stressful moments.Finding the right approach is part of the work. Marissa will collaborate with each person to decide which tools to try first, adjust methods as progress is seen, and blend approaches when that fits the client's goals and preferences.
Online therapy offers flexible ways to meet. Video calls let people read facial cues and work through exercises together. Phone sessions can be easier when bandwidth is limited or when someone prefers not to be on camera. Live chat and text-based messaging work well for quick check-ins, brief skill practice, or when a shorter touchpoint fits into a busy day. These options make it easier to fit therapy into work, family, or travel schedules while using the approaches above.
Frequently asked questions
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Specialties and expertise
Top specialties
Also works with
Therapeutic approaches
- Experience
- 4 years
- Licensed
- Hawaii
- Languages
- English