Mihoko Kusachi, LMHC

Mihoko Kusachi is a licensed mental health counselor (LMHC) with ten years of counseling experience. She brings a global perspective from living and working in Japan, Australia, and the United States. Mihoko focuses on helping people facing anxiety, depression, grief, and everyday struggles like sleep and eating problems. She also supports those coping with life changes, ADHD, compassion fatigue, and issues around self-esteem and relationships.

Her approach is grounded in practical, person-focused work. She encourages clients to notice and challenge unhelpful thoughts while trying simple self-regulation tools. Sessions may include sensory-based exercises, relaxation techniques, and mindful reflection to ease emotional distress. Mihoko emphasizes body-mind connections to address both feelings and physical reactions.

She trained in counseling with a concentration on rehabilitation for people with disabilities and has worked over 20 years as a social worker and case manager in clinical settings. That background informs a restorative, strengths-based way of working with clients. Mihoko values cultural responsiveness and pays attention to how identity and life context shape emotional struggles.

In sessions she aims to create an open, nonjudgmental space where people can speak honestly about thoughts and feelings. She frames therapy as a collaborative process and helps people find practical steps that fit their daily life. Mihoko’s work often focuses on Thoughts and everyday habits as a route to better balance.

People who want a partner in change will find a steady, reflective style. She works in English and Japanese and is based in Hawaii, combining clinical skills with lived experience across cultures.

How Mihoko’s approaches translate to online work

Client-Centered Therapy focuses on listening and meeting people where they are, helping them feel heard and understood so they can explore goals at their own pace. Cognitive Behavioral Therapy (CBT) looks at thoughts and everyday habits, and helps people try new ways of thinking and behaving to reduce distress. Mindfulness Therapy teaches simple attention and breathing practices that can lower anxiety and improve sleep and focus.

Choosing the right approach is part of the process. The therapist will work collaboratively to decide which methods fit a person’s needs, goals, and preferences. That may mean combining gentle mindfulness practice with thought-challenging exercises and body-focused techniques to match what the client finds most helpful.

Please confirm the exact session formats before booking because specific formats were not listed in the profile information. Online therapy can make sessions easier to fit into a busy life, allow shorter check-ins when needed, and remove travel time. Some approaches, like CBT worksheets or mindfulness exercises, translate well to remote sessions and can be practiced between meetings to reinforce progress.