Mihoko Kusachi, LMHC - Therapist in Hawaii

About Mihoko

Mihoko Kusachi is a Licensed Mental Health Counselor who brings ten years of clinical experience to her work. She practices in Hawaii and supports people dealing with common life struggles. She speaks English and Japanese and has lived and worked in Japan, Australia, and the United States.

She creates a calm, nonjudgmental space where people can talk about what matters to them. She emphasizes honesty and mutual respect in the therapy relationship.

Background and approach

Her aim is to help clients find practical steps toward a more authentic life. Kusachi trained in counseling with a focus on rehabilitation for people with disabilities and has over 20 years of background as a social worker and case manager. That mix of counseling and hands-on social services informs how she frames problems and solutions.

She has supported children and adults with a wide range of concerns, from depression and anxiety to trauma, grief, and cultural adjustment. Her approach blends client-centered work with cognitive behavioral and existential ideas, plus mindfulness and motivational techniques. Sessions often involve reflection, noticing body sensations, and trying concrete tools to manage difficult feelings.

She also helps clients look at past experiences to gain helpful insight. Parents reading this will find a therapist who values cultural sensitivity, social justice, and practical skill building. She emphasizes strengths and works collaboratively to identify what fits each person.

The goal is clearer daily coping and a path forward that feels meaningful.

How Mihoko’s Approaches Translate to Online Care

Client-centered therapy focuses on understanding each person as they are. Online sessions give space for open listening and respect, letting clients set the pace and topics. Cognitive Behavioral Therapy, or CBT, helps people notice unhelpful thoughts and try practical experiments to change actions and mood, which works well in virtual sessions through homework and short exercises.

Finding the right way to work is part of the process, and the therapist will collaborate with each client to choose methods that match their goals and comfort. Together they review what’s helping and adjust techniques based on progress and preference, so the plan evolves naturally over time.

Online formats include video calls, phone sessions, live chat, and text-based messaging. These options let people fit therapy into busy days and connect from different places. The flexibility helps parents, shift workers, and those living far from therapists access consistent care and try tools between sessions.

Client-Centered Therapy

The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.

Cognitive Behavioral Therapy (CBT)

CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.

Existential Therapy

Takes the larger questions seriously: meaning, choice, mortality, responsibility. Suited to periods when the difficulty is less a symptom than a sense that something has to change.

Frequently asked questions

What kinds of problems does she address?

She helps with stress, anxiety, depression, grief, anger, self-esteem, addictions, relationship and family concerns, trauma and abuse, sleep and eating issues, career matters, bipolar disorder, ADHD, and coping with life changes.

How would you describe her therapy style?

Her style is collaborative and down-to-earth. She uses client-centered conversations, cognitive behavioral techniques, mindfulness, existential reflection, and motivational interviewing to find practical steps forward.

What is her professional background?

She has 10 years of mental health counseling experience and over 20 years as a social worker and case manager across Japan, Australia, and the United States.

Where is she based and what credential does she hold?

She is based in Hawaii and is a Licensed Mental Health Counselor with credential HI LMHC MHC-329.

Which languages are available for sessions?

Sessions are offered in English and Japanese.

Can international clients work with her?

Yes, she accepts international clients.

What session formats does she use?

Sessions are available as video calls, phone sessions, live chat, or text-based messaging to fit different needs and schedules.

How are fees and getting started handled?

Cost varies with location and therapist availability and sessions use a subscription that can be canceled at any time. To begin, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Specialties and expertise

Top specialties

Stress, Anxiety
Grief
Anger management

Also works with

Therapeutic approaches

Experience: 10 years
Licensed: Hawaii
Languages: English, Japanese

Next step

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