Mihoko Kusachi, LMHC

Mihoko Kusachi is a Licensed Mental Health Counselor (LMHC) with 10 years of clinical counseling experience. She works from Hawaii and communicates in English and Japanese. Her practice addresses common concerns such as stress, anxiety, grief, anger, depression, addictions, and issues around self-esteem and relationships.

She trained in counseling with a focus on rehabilitation for people with disabilities and has lived and worked in Japan, Australia, and the United States. Before becoming a therapist she spent over 20 years as a social worker and case manager in community and clinical settings. That background informs a practical, down-to-earth way of working with life’s difficulties.

Mihoko uses approaches drawn from client-centered work, mindfulness, cognitive behavioral methods, existential ideas, and motivational interviewing. In sessions she helps people notice and challenge negative thinking, practice sensory-based exercises, and learn simple self-regulation skills. These tools are used alongside reflection on past experiences when that is helpful.

Her focus includes coping with life changes, trauma and abuse, family-of-origin issues, caregiver stress, and chronic health concerns. She also supports people dealing with issues such as ADHD, bipolar disorder, eating and sleeping problems, and compassion fatigue. She frames work around strengths and practical strategies rather than jargon.

Mihoko pays attention to cultural and social context, including minority status and cross-cultural challenges. She encourages collaboration so each person can find what fits them. To begin, visitors are asked to use the site’s matching process and schedule an initial session through the online options button.

How her approaches translate to online work