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LMHC

Mihoko Kusachi, LMHC

  • Experience10 years
  • LocationHawaii
  • Focus areasADHD, Stress and Anxiety, and Grief
  • Therapy approachesClient-Centered Therapy and Cognitive Behavioral Therapy (CBT)
  • LanguagesEnglish and Japanese
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About Mihoko

Mihoko Kusachi brings a decade of professional counseling experience and a cross-cultural background to her therapy practice. Trained in both Japan and the San Francisco Bay Area, she holds a master’s degree in counseling and practices as an LMHC (HI LMHC MHC-329).

Background and approach

Her career spans work as a social worker and case manager across Japan, Australia, and the United States, and she has provided mental health support to people of various ages and abilities. Mihoko emphasizes a collaborative, client-centered stance that blends cognitive-behavioral, existential, and mindfulness-informed strategies with somatic awareness.

She creates a respectful, nonjudgmental space where clients can reflect on thoughts and feelings, practice sensory-based and relaxation techniques, and explore past experiences to find meaning in the present. Her areas of focus include stress, anxiety, depression, grief, trauma, ADHD, and a wide range of relational and life-transition concerns.

With a social justice orientation and sensitivity to cultural and intersectional identities, Mihoko aims to empower clients to uncover internal strengths and practical solutions. She partners with each person to tailor interventions to their preferences and goals, helping them build resilience and pursue a more authentic, balanced life.

Therapeutic Approaches and Online Support

Client-centered therapy focuses on creating an empathetic, accepting environment where clients lead the pace and topics of exploration; this approach supports self-discovery and personal growth while addressing concerns like low self-esteem, cultural adjustment, and life transitions.

Cognitive behavioral therapy (CBT) helps people identify and challenge unhelpful thinking patterns and learn practical coping skills for anxiety, depression, ADHD-related challenges, and mood regulation. Mindfulness-based techniques are used alongside CBT to cultivate present-moment awareness and self-regulation through breathing, sensory exercises, and relaxation practices.

Finding the right approach is a collaborative process. The therapist works with clients to assess needs, goals, and preferences and will adapt methods over time so the work aligns with what feels most useful to the individual.

Online sessions are offered through video calls, phone sessions, live chat, or text-based messaging to provide flexibility for different schedules and comfort levels. These formats make it possible to engage in reflective work, skills practice, and ongoing support from a licensed professional without geographic constraints, allowing clients to continue therapy while balancing daily life.

Frequently asked questions

What kinds of difficulties does this therapist address?
She helps people manage a broad range of concerns including stress, anxiety, depression, grief, trauma, relationship and family problems, ADHD, eating and sleeping issues, and career transitions.
What is the therapeutic style and approach?
The practice emphasizes a collaborative, client-centered relationship using approaches like cognitive behavioral techniques, mindfulness practices, existential exploration, and motivational interviewing to support reflection and practical change.
How much clinical experience does the therapist have?
The therapist has 10 years of counseling experience and over 20 years of prior work as a social worker and case manager across several countries.
What credentials and location are listed for this clinician?
She is a licensed mental health counselor with credential HI LMHC MHC-329 and is based in Hawaii.
Which languages are available for sessions?
Sessions are offered in English and Japanese, and the therapist accepts international clients.
In what formats are sessions offered?
Clients can meet via video calls, phone sessions, live chat, or text-based messaging depending on preference and scheduling.
How is cost and billing handled?
Fees vary with location and therapist availability and sessions use a subscription model that can be canceled at any time.
What are the first steps to begin therapy?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule a session according to the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyGriefAnger managementSelf esteemDepression

Also works with

AddictionsRelationship issuesFamily conflictsTrauma and abuseEating disordersSleeping disordersCareer difficultiesBipolar disorderCoping with life changesCompassion fatigueADHD

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesAutism and Asperger SyndromeCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommunication problemsControl issuesDivorce and separationEmptinessFamily of origin issuesFamily problemsForgivenessGuilt and shameHearing impairedImmigration issuesIntellectual disabilityIsolation / lonelinessLife purposeMidlife crisisMoney and financial issuesMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksPrejudice and discriminationSelf-loveSocial anxiety and phobiaSomatizationVisually impairedWomen's issuesWorkplace issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Existential TherapyMindfulness TherapyMotivational InterviewingSolution-Focused TherapySomatic TherapyTrauma-Focused Therapy

Experience

10+ years

Licensed

Hawaii

Languages

English, Japanese

What Mihoko can help with

Mihoko Kusachi works with clients on stress and anxiety, grief, anger management, self esteem, and depression.

Mihoko works with individuals of all ages, children and adults, with or without disabilities.

Mihoko works with depression.

How Mihoko approaches therapy

Mihoko's clinical approaches include Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Existential Therapy, Mindfulness Therapy, Motivational Interviewing, Solution-Focused Therapy, Somatic Therapy, and Trauma-Focused Therapy.

Experience and training

Mihoko is a Licensed Mental Health Counselor practicing in Hawaii, with 10 years of clinical experience.