About Mihoko
Mihoko Kusachi is a licensed mental health counselor with ten years of clinical practice. She brings a life experience across Japan, Australia, and the United States to the therapy room. Mihoko creates a warm, nonjudgmental space where people can name their struggles and begin to change.
She speaks English and Japanese and works with individuals who want practical ways to feel better in daily life. Mihoko draws on a body-mind approach that links physical sensations with thoughts and emotions.
Background and approach
Sessions often include gentle sensory exercises, relaxation practices, and attention to how the body responds to stress. She also uses common talk-based methods to help people challenge unhelpful thinking and find workable solutions. Her background includes a master’s degree in counseling with a concentration on rehabilitation for people with disabilities.
She holds the LMHC credential - HI LMHC MHC-329 - and has provided mental health counseling for a decade. Prior to that she spent over 20 years as a social worker and case manager in a range of clinical settings. Mihoko commonly helps with stress, anxiety, depression, grief, trauma and abuse, sleep and eating challenges, and issues around self-esteem and motivation.
She also supports people facing life changes, caregiver strain, chronic illness or disability, and questions about identity or purpose. In sessions she works collaboratively, tailoring techniques to each person’s strengths and preferences. The aim is to help people build simple, concrete skills to ease distress and live more in line with their values.
How Mihoko Brings Body-Aware Therapy Online
Somatic-informed work pays attention to how thoughts show up in the body. Mihoko uses simple sensory-based exercises and relaxation techniques to help people notice tension, breath, and other physical signals that relate to stress or emotion. This approach can be useful for anxiety, trauma symptoms, and chronic stress.Client-centered therapy focuses on listening and collaboration. The therapist follows the person’s pace, reflects what they share, and helps them find their own solutions. Cognitive Behavioral Therapy, or CBT, helps people identify and change unhelpful thinking patterns with practical exercises and small behavioral steps that reduce distress.
Finding the right approach is part of the work together. Mihoko will discuss options and adapt techniques based on each person’s goals, comfort, and preferences. Decisions about pace, body-based practices, or more talk-focused work are made collaboratively during sessions.
Online sessions are offered by video call, phone, live chat, or text-based messaging to make therapy more flexible. These formats allow people to practice exercises and use self-regulation tools from home, at work, or while traveling. The variety of options also helps fit therapy into busy schedules and different life situations.
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Grief
- Anger management
Also works with
- Abandonment
- Addictions
- ADHD
- Aging and geriatric issues
- Attachment issues
- Autism and Asperger Syndrome
- Bipolar disorder
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Eating disorders
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Forgiveness
- Guilt and shame
- Hearing impaired
- Immigration issues
- Intellectual disability
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Prejudice and discrimination
- Relationship issues
- Self esteem
- Self-love
- Sleeping disorders
- Social anxiety and phobia
- Somatization
- Trauma and abuse
- Visually impaired
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 10 years
- Licensed
- Hawaii
- Languages
- English, Japanese