Therapist profile
Mihoko Kusachi, LMHC
Licensed Mental Health Counselor - Family and parenting concerns
Continue with MihokoAbout
- Client-centered work
- Cognitive behavioral tools
- Mindfulness practices
About Mihoko
Mihoko Kusachi is a Licensed Mental Health Counselor (LMHC) with 10 years of clinical counseling experience based in Hawaii. She supports adults facing stress, anxiety, grief, anger, low self-esteem, depression, addictions, relationship and family concerns, trauma and abuse, sleep and eating struggles, career questions, bipolar disorder, coping with life changes, compassion fatigue, and ADHD. Sessions are offered in English and Japanese and she accepts international clients.
Mihoko grew up in Japan and trained in Tokyo and the San Francisco Bay Area. She also has work experience in Australia and on the Big Island of Hawai'i. Her background includes a master's degree in counseling with a concentration in rehabilitation for people with disabilities, plus over 20 years as a social worker and case manager in varied clinical settings.
Her approach draws on client-centered listening, cognitive behavioral techniques, existential ideas, mindfulness practices, and motivational interviewing. In practical terms she helps people notice and challenge unhelpful thoughts, learn grounding and self-regulation exercises, and try small behavioral changes that feel doable.
She describes an integrated body-mind approach that uses sensory-based exercises and relaxation to ease emotional distress. People may also look at past experiences to gain insight for present choices. The work emphasizes cultural responsiveness and attention to how race, gender identity, disability, and socioeconomic factors shape experience.
Mihoko frames therapy as collaborative. She focuses on identifying strengths already present and on practical steps that help daily life feel more balanced. To start, prospective clients complete a short matching questionnaire and schedule a first session through the online options.
How sessions work
How Mihoko’s approaches translate online
Her work combines client-centered listening with cognitive behavioral tools and mindfulness practices. Client-Centered Therapy focuses on careful listening and understanding a person’s perspective, helping people feel heard and able to choose changes that matter to them. Cognitive Behavioral Therapy (CBT) helps identify and change unhelpful thoughts and behaviors through practical exercises and small steps. Mindfulness Therapy teaches attention and breathing or grounding techniques to reduce reactivity and calm the body.Finding the right mix of methods is collaborative. The therapist will discuss goals and preferences, try approaches that fit the person’s needs, and adjust methods over time based on what helps. Clients and therapist decide together whether to emphasize thought work, mindfulness, existential reflection, or motivational interviewing techniques.
The biography does not specify which online session formats are offered, so confirm current options before booking. Online work can make it easier to fit counseling into a day - for example, shorter check-ins can be scheduled during a work break, sessions without video can reduce bandwidth needs, and remote sessions remove travel time. Licensed professionals can adapt exercises like grounding or behavioral experiments to an online setting so work stays practical and focused on 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 family or parenting concerns does she address?
She helps people with relationship and family problems, family of origin issues, communication problems, and parenting-related stress. These topics are listed among her focus areas.
How would you describe her therapy style?
Her style blends client-centered listening with cognitive behavioral techniques, existential reflection, mindfulness, and motivational interviewing. Sessions often include thought work, sensory exercises, and relaxation methods.
How long has she been practicing?
She has provided mental health counseling for 10 years and has more than 20 years of experience as a social worker and case manager in clinical settings.
What credential does she hold and where is she based?
She is a Licensed Mental Health Counselor (LMHC) with an HI LMHC credential and is based in Hawaii.
Can she work with people who speak Japanese?
Yes. Sessions are offered in English and Japanese, and she accepts international clients.
What session formats are offered?
The original biography does not list session formats. Please confirm current session options before booking.
How are session costs handled?
Cost varies with location and sessions use a subscription that can be canceled at any time according to the provided information.
How do I begin working with her?
Start by selecting the See online therapy options button, completing a short matching questionnaire, and scheduling a 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 anyone is in danger, use the crisis numbers.