About Mihoko
Mihoko Kusachi is a licensed mental health counselor (LMHC) with ten years of clinical experience. She draws on a broad international background and a longtime career in social work to help people facing sudden or slow life changes. Mihoko speaks English and Japanese and brings a calm, steady presence to sessions.
She creates an open space where thoughts and feelings can be shared without judgment. Sessions are conversational and practical.
Background and approach
Mihoko uses reflection, gentle challenge, and sensory-based exercises to help people notice what is happening in their bodies and minds. Her work often focuses on everyday stresses like anxiety, sleep problems, grief, anger, and low self-esteem. She also supports people dealing with trauma, addictions, bipolar-related concerns, caregiving strain, and challenges tied to neurodiversity and chronic illness.
Mihoko helps with relationship and family issues as they affect an individual’s wellbeing. Therapy blends client-centered listening with tools from cognitive behavioral and mindfulness approaches. She also draws from existential ideas to help people find purpose and meaning.
Practical techniques include breathwork, relaxation, thought-challenging, and step-by-step behavioral changes. Mihoko emphasizes cultural awareness and social justice in her practice. She understands life from multiple cultural perspectives, having lived and worked in Japan, Australia, and the United States.
The work is collaborative - she partners with each person to identify strengths and set realistic steps forward.
How her approaches translate to online therapy
Client-Centered Therapy focuses on listening and building a trusting relationship. Mihoko offers an accepting, nonjudgmental space where the person’s concerns guide each session and goals are set together. Cognitive Behavioral Therapy, or CBT, helps people spot and change unhelpful thinking and behavior patterns. Mihoko uses simple exercises and thought-challenging tools that translate well to video or phone sessions to reduce anxiety, depression, and sleep problems.Choosing the right approach is a team effort. Mihoko will talk about your goals, try techniques that match your needs, and adjust methods over time. She works collaboratively to find what feels useful, whether that means more skills practice, reflective discussion, or sensory-based exercises.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video lets you work face to face for deeper conversation and guided exercises. Phone sessions require less bandwidth and can fit into a short break from work. Live chat and text are helpful for quick check-ins, journaling prompts, or when typing feels easier than speaking. These options make therapy more flexible and easier to fit into daily life.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Grief
- Anger management
Also works with
- Abandonment
- Addictions
- ADHD
- Aging and geriatric issues
- Attachment issues
- Autism and Asperger Syndrome
- Bipolar disorder
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Eating disorders
- Emptiness
- Family conflicts
- 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
- Relationship issues
- Self esteem
- Self-love
- Sleeping disorders
- Social anxiety and phobia
- Somatization
- Trauma and abuse
- Visually impaired
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 10 years
- Licensed
- Hawaii
- Languages
- English, Japanese