- Client-centered care
- Body-mind focus
- English and Japanese
About Mihoko
Mihoko Kusachi is a Licensed Mental Health Counselor (LMHC) with ten years of clinical practice. She brings a calm presence and practical focus to sessions, helping people build hope and courage as they make changes. Mihoko grew up in Japan and trained in Tokyo and the San Francisco Bay Area, and she blends those life experiences into her work in Hawaii and beyond.
She uses a body-mind integrative approach that combines client-centered listening with practices drawn from cognitive behavioral and mindfulness-based methods. Sessions often include gentle reflection, identifying and challenging negative thoughts, and sensory or relaxation exercises to ease strong emotions. Mihoko also incorporates existential themes when people are facing questions about purpose and meaning.
Her background includes a master’s degree in counseling with a concentration in rehabilitation of people with disabilities, plus over 20 years of prior experience as a social worker and case manager across the San Francisco Bay Area and the Big Island of Hawai’i. That mix of roles contributed to practical skills for helping with daily living as well as emotional concerns.
People bring many kinds of struggles to her work, such as anxiety, depression, grief, low self esteem, trauma, relationship and family difficulties, ADHD, addictions, sleeping and eating problems, chronic health issues, and life transitions. Mihoko pays attention to cultural context, intersectionality, and the strengths clients already carry.
Therapy with her focuses on collaboration. She supports clients in noticing patterns, trying small changes, and building steady coping tools that fit their life.
She uses a body-mind integrative approach that combines client-centered listening with practices drawn from cognitive behavioral and mindfulness-based methods. Sessions often include gentle reflection, identifying and challenging negative thoughts, and sensory or relaxation exercises to ease strong emotions. Mihoko also incorporates existential themes when people are facing questions about purpose and meaning.
Her background includes a master’s degree in counseling with a concentration in rehabilitation of people with disabilities, plus over 20 years of prior experience as a social worker and case manager across the San Francisco Bay Area and the Big Island of Hawai’i. That mix of roles contributed to practical skills for helping with daily living as well as emotional concerns.
People bring many kinds of struggles to her work, such as anxiety, depression, grief, low self esteem, trauma, relationship and family difficulties, ADHD, addictions, sleeping and eating problems, chronic health issues, and life transitions. Mihoko pays attention to cultural context, intersectionality, and the strengths clients already carry.
Therapy with her focuses on collaboration. She supports clients in noticing patterns, trying small changes, and building steady coping tools that fit their life.