Mihoko Kusachi , LMHC

Mihoko Kusachi is a licensed mental health counselor (LMHC) with ten years of clinical practice. She brings an international background, having lived and worked in Japan, Australia, and the United States. Mihoko aims to help people find hope and courage as they work toward meaningful change.

She creates a welcoming space where thoughts and feelings can be spoken without judgment. Sessions emphasize collaboration and practical steps rather than medical jargon. Mihoko draws on her life and work experience to meet each person where they are.

Her approach blends client-centered listening with evidence-informed tools. She uses cognitive-behavioral techniques to notice and change unhelpful thinking. Mindfulness and body-mind exercises help calm the nervous system and build self-regulation skills.

Mihoko also uses existential ideas to support people wrestling with meaning, purpose, and life transitions. Motivational interviewing helps when someone feels stuck or unsure about change. She adapts methods to a person’s strengths, culture, and preferences.

Clients bring many concerns, including stress, anxiety, depression, grief, relationship and family issues, trauma and abuse, addiction, sleep and eating problems, ADHD, and career shifts. Mihoko is attentive to cultural identity, caregiving stress, aging concerns, and chronic illness when these issues arise.

She works in English and Japanese and practices from Hawaii. Mihoko’s style is respectful and steady, focused on helping people notice what already works for them and try small, doable steps toward a more balanced life.

Approaches you can use in online sessions

Client-centered therapy focuses on listening closely and following what matters most to the person. It helps people feel heard and supported while they identify goals and next steps. Cognitive behavioral therapy (CBT) teaches straightforward skills to notice thinking patterns and try different responses; it often helps with anxiety, depression, and sleep problems. Mindfulness-based techniques include simple breathing and body-awareness exercises that reduce reactivity and improve emotional regulation.

Finding the right mix of approaches is part of the work together. Mihoko will collaborate with each person to decide which methods fit their goals, preferences, and life situation. She adjusts suggestions over time and invites feedback so the plan stays useful and relevant.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face conversation and visual cues. Phone sessions can be a good option when bandwidth is limited or when someone prefers not to use a camera. Live chat and text messaging offer shorter check-ins, quick problem-solving, and flexible ways to stay connected between sessions. These options make it easier to schedule therapy around work, caregiving, or travel while keeping focus on practical progress.