Mihoko Kusachi, LMHC
Integrative LMHC supporting meaningful change
- Integrative therapy approach
- Licensed Mental Health Counselor
- Bilingual English Japanese
About Mihoko Kusachi
Mihoko Kusachi brings a practical, compassionate approach to therapy, helping people find steady ground when life feels overwhelming. She fosters a welcoming space where thoughts and feelings can be expressed without judgment, and she emphasizes courage and mutual growth as part of the therapeutic relationship. Having grown up in Japan and completed studies in Tokyo and the San Francisco Bay Area, she combines international life experience with a clinical education to support clients from diverse backgrounds.
She holds a master’s degree in counseling with a concentration in rehabilitation of people with disabilities and has provided mental health counseling for 10 years as a licensed clinician. She is credentialed as an LMHC - Licensed Mental Health Counselor - and has over 20 years of experience as a social worker and case manager in the San Francisco Bay Area and on the Big Island of Hawai’i. Mihoko has supported children and adults, with or without disabilities, across a wide range of concerns including depression, anxiety, trauma, grief and loss, relationship and family challenges, addiction, self-esteem, sleep and eating issues, career transitions, ADHD, bipolar disorder, and coping with life changes.
Her practice blends client-centered values with cognitive-behavioral, existential, somatic, and mindfulness-based techniques, and she also uses motivational interviewing strategies when appropriate. Mihoko emphasizes a body-mind integrative perspective, incorporating sensory-based exercises, relaxation, and self-regulation techniques alongside reflective work to help clients understand how past experiences shape present choices. Grounded in a social justice orientation and sensitivity to intersectionality, she aims to empower individuals to discover and use their existing strengths to move forward with purpose and balance.
She holds a master’s degree in counseling with a concentration in rehabilitation of people with disabilities and has provided mental health counseling for 10 years as a licensed clinician. She is credentialed as an LMHC - Licensed Mental Health Counselor - and has over 20 years of experience as a social worker and case manager in the San Francisco Bay Area and on the Big Island of Hawai’i. Mihoko has supported children and adults, with or without disabilities, across a wide range of concerns including depression, anxiety, trauma, grief and loss, relationship and family challenges, addiction, self-esteem, sleep and eating issues, career transitions, ADHD, bipolar disorder, and coping with life changes.
Her practice blends client-centered values with cognitive-behavioral, existential, somatic, and mindfulness-based techniques, and she also uses motivational interviewing strategies when appropriate. Mihoko emphasizes a body-mind integrative perspective, incorporating sensory-based exercises, relaxation, and self-regulation techniques alongside reflective work to help clients understand how past experiences shape present choices. Grounded in a social justice orientation and sensitivity to intersectionality, she aims to empower individuals to discover and use their existing strengths to move forward with purpose and balance.
Areas of Expertise
Primary Focus
Also Specializes In
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 Approach
Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Existential Therapy Mindfulness Therapy Motivational Interviewing Solution-Focused Therapy Somatic Therapy Trauma-Focused Therapy
Frequently Asked Questions
How much experience does Mihoko Kusachi have?
Mihoko Kusachi has 10 years of experience providing mental health counseling as a licensed therapist.
Is Mihoko Kusachi a licensed therapist?
Yes. She holds the credential LMHC, which stands for Licensed Mental Health Counselor. License details include HI LMHC MHC-329.
In which languages does Mihoko Kusachi provide therapy?
Mihoko provides therapy in English and Japanese.
Where is Mihoko Kusachi located?
Mihoko is located in Hawaii.
How can I work with Mihoko Kusachi as my therapist?
You can work with Mihoko through video calls, phone sessions, live chat, or text-based messaging.
Does Mihoko Kusachi work with international clients?
Yes, Mihoko works with international clients.
How much does therapy with Mihoko Kusachi cost?
The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.
How can I get started with therapy?
Getting started with therapy is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.
Integrative approaches and online therapy options
Mihoko often uses client-centered therapy to create a respectful, accepting environment where clients lead the pace of change while the therapist offers support and reflection. This approach helps people work through relationship concerns, identity questions, and motivation to change.Cognitive Behavioral Therapy (CBT) is another frequent component of her work; it focuses on identifying unhelpful thinking patterns and building practical skills to manage anxiety, depression, and stress-related problems. Mindfulness therapy is used alongside other methods to teach present-moment awareness and self-regulation strategies, which can ease emotional reactivity and support coping with trauma or chronic stress.
Finding the right combination of techniques is part of the therapeutic process. Mihoko collaborates with each person to identify the approaches that best match their needs, goals, and preferences, adjusting strategies over time as progress and priorities evolve.
Online therapy through video calls, phone sessions, live chat, or text-based messaging offers flexibility for busy schedules, geographic distance, and varied communication styles. These options make it easier to access licensed professionals and therapists from different locations while maintaining continuity of care and adapting sessions to what works best for each individual.