Mihoko Kusachi

Mihoko Kusachi is a Licensed Mental Health Counselor (LMHC) with ten years of clinical counseling experience. She aims to help people find hope and courage when facing hard changes. Mihoko creates a calm, nonjudgmental space so thoughts and feelings can be shared openly. She speaks English and Japanese and brings a multicultural perspective to her work.

She grew up in Japan and studied in Tokyo and the San Francisco Bay Area. Mihoko holds a master’s degree in counseling with a concentration in rehabilitation of people with disabilities. She has worked as a social worker and case manager for over 20 years across Japan, Australia, and the United States, including time on the Big Island of Hawai’i.

Mihoko uses a body-mind approach that combines client-centered listening with practical tools. In sessions she helps people notice and challenge negative thoughts, practice relaxation and sensory-based exercises, and try simple self-regulation techniques. She also supports gentle exploration of past experiences when that helps illuminate present choices.

Her practice addresses a wide range of concerns such as stress, anxiety, grief, depression, anger, addictions, ADHD, and trauma or abuse. She also helps with life transitions, caregiver stress, chronic illness or pain, attachment issues, and relationship or communication problems.

Mihoko emphasizes cultural sensitivity and social justice in her work. She focuses on people’s strengths and preferences and partners with clients to find practical steps forward. The goal is clearer direction and more balanced well-being rather than quick fixes.

Therapeutic Approaches and Online Support

Mihoko draws from Client-Centered Therapy to create an accepting space where the client guides the pace and focus of sessions. This approach helps when someone needs to feel heard and make meaning of their experiences.

She also uses Cognitive Behavioral Therapy (CBT) techniques to help people notice and change unhelpful thinking patterns. CBT tools are useful for managing anxiety, low mood, and stress with concrete exercises and practice tasks.

Choosing the right approach is a team effort. Mihoko will work with each person to match methods to goals, preferences, and daily life. She balances listening with practical steps and adjusts the plan as needs change.

Session logistics should be confirmed before booking, since formats are not specified in the biography. Online therapy can make it easier to fit sessions into a busy schedule, reduce travel time, and allow shorter check-ins when needed. It can also let people join from different time zones when international work is required. Ask about available session options when you schedule so arrangements fit your routine.