Where Mihoko stands
- Credentials
- LMHC
- License
- LMHC, Hawaii / MHC-329
- NPI
- 1295124949
- Experience
- 10 years
- Languages
- English, Japanese
- Location
- Hawaii
About
- Client-centered
- CBT techniques
- Mindfulness
About Mihoko
Mihoko Kusachi is a Licensed Mental Health Counselor (LMHC) with ten years of clinical experience. She has worked in Japan, Australia, and the United States and practices from Hawaii. She helps people facing stress, anxiety, depression, grief, relationship strain, codependency, and other life challenges.
Her background includes a master's degree in counseling with a concentration on rehabilitation for people with disabilities. She also spent more than twenty years as a social worker and case manager in clinical settings in the San Francisco Bay Area and on the Big Island of Hawai'i. That range of work shapes how she approaches counseling today.
In sessions she uses a mix of client-centered methods, cognitive behavioral techniques, existential questions, and mindfulness practices. Conversations focus on identifying unhelpful thoughts, exploring life meaning, and trying small skills to ease distress. Practical exercises such as relaxation and sensory-based self-regulation are often used.
Mihoko pays attention to how the body and mind interact. She invites reflection on past experiences when that helps clarify present patterns. The goal is to find realistic steps that fit each person's daily life rather than abstract plans.
She is experienced supporting people with trauma, addiction, bipolar concerns, ADHD, caregiving stress, chronic illness, and family-of-origin issues. Sessions are offered in English and Japanese, and she includes a culturally aware, social-justice perspective in her work.
How sessions work
How Mihoko Uses Talk Work and Skills Online
Client-centered therapy focuses on listening and collaboration. The therapist reflects what you say, helps you feel understood, and supports you in making choices that matter. This approach is useful when someone needs a steady, respectful partner to sort through feelings and decisions.Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and actions. It uses short experiments and practical exercises to challenge unhelpful thoughts and try new behaviors, which can help with anxiety, low mood, and intrusive worries.
Mindfulness therapy teaches simple attention and grounding practices. These are short self-regulation techniques and breathing or sensory exercises that can reduce reactivity and calm the body when emotion spikes.
Choosing the right approach is collaborative. The therapist will talk with the client about goals, try methods together, and adjust what’s used based on what helps. Expect a mix of talking, thought work, and brief skill practice rather than a single fixed method.
Session formats are not specified in the biography, so confirm current options before booking. Online work can make it easier to fit therapy into a busy week, allow shorter check-ins when needed, and let someone join from a convenient location. Licensed professionals can use these practical advantages to keep sessions regular and workable alongside everyday life.
Areas of focus
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
10+ years
Listed in
Hawaii
Languages
English, Japanese
Questions
Frequently asked questions
What kinds of problems does she help with?
She works with stress, anxiety, depression, grief, relationship and family concerns, codependency, addictions, trauma, and related issues.
What is her therapy style like?
Her approach blends client-centered listening with cognitive behavioral techniques, existential reflection, and mindfulness exercises to address thoughts, feelings, and behavior.
How long has she been practicing?
She has ten years of counseling experience and more than twenty years working as a social worker and case manager in clinical settings.
Where is she based and what credential does she hold?
She is based in Hawaii and holds the credential HI LMHC as a Licensed Mental Health Counselor.
Can I see her if I don’t speak English?
Sessions are offered in English and Japanese.
Does she work with clients outside the United States?
She does accept international clients; confirm session logistics before booking.
How much do sessions cost?
Cost varies with location. Sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule your first session.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If you are not safe at home, use the crisis and helpline numbers.