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Mihoko Kusachi

Holistic Jungian therapist specializing in trauma and relationships

About

I feel honored when I can instill in people a sense of hope and courage in working towards a change. I work with my clients to create open and safe space where thoughts and feelings can be shared without fear of judgment. I know firsthand that it takes courage to pursue an authentic life. I feel connected with you because you have taken the very first step towards a change by reading this. Congratulations on your bravery! I believe in reciprocity and mutual growth in all relationships including ours. My role is to support and empower you to find purpose in your life. I grew up in Japan and have been educated in Tokyo and San Francisco Bay Area. I have a broad range of work and life experience in Japan, Australia and America. I received a master’s degree in counseling with concentration on rehabilitation of people with disabilities. I have provided mental health counseling for the past 10 years as a licensed therapist. I have worked for over 20 years as social worker/case manager in a variety of clinical settings in San Francisco Bay Area and on the Big Island of Hawai’i. I have supported individuals of all ages, children and adults, with or without disabilities. The issues I helped my clients manage include depression, anxiety, trauma, grief & loss, gender identity, cultural adjustment, guilt, shame, self-esteem, motivation, loneliness, purpose, among other emotional and situational challenges. My therapy approach draws influences from Humanistic, Existential, Somatic, and Mindfulness-Based Cognitive-Behavioral therapies. I adopt an body-mind (psychosomatic) integrative approach to help people make changes, based on their strengths and preferences. In my therapy room, clients engage in personal reflection by challenging their negative thoughts, with the help of sensory-based exercises, relaxation, and other self-regulation techniques to ease their emotional difficulties. My clients may also explore their past to gain insight into themselves to help them live more authentically in the present. I have seen my clients improve their overall well-being, be it physical, emotional, behavioral, and/or spiritual. We will work together to find what works best for you in order to achieve the most balanced well-being, while seeking practical solutions to your life’s challenges. My philosophy is social justice-driven and culturally responsive to promote the individuality of people of all backgrounds. I particularly feel strongly about supporting those traditionally underserved in the helping professions given my firsthand experience growing up as such. I am particularly sensitive to intersectionality of multiple minority status, such as race, ethnicity, gender identity, disability, and socioeconomic status. Most importantly, I believe in what we already have within despite our environment. My role is to be your partner to help you discover or rediscover your inner resources that are yet to be tapped, nurture and use them to move forward in your life.

Years Experience: 10
Location: Hawaii, United States
Accepting New Clients: No
Gender: Female
Accepting international clients: Yes
NPI Number: 1295124949
Credentials: HI LMHC MHC-329
Languages Spoken: English, Japanese
Licenses: LMHC (Hawaii) #MHC-329 exp 2026-06-30
List of Specialties: Stress, Anxiety, Grief, Anger, Self esteem, Depression, Addictions, Relationship, Family, Trauma and abuse, Eating, Sleeping, Career, Bipolar, Coping with life changes, Compassion fatigue, ADHD, Black therapist, Therapist of color, Female therapist, Older, Non-religious, Liberal therapist
Where Can You Work With This Therapist: BetterHelp
Therapist of color: Yes
Communication options: Phone • Video • Live Chat • Messaging

Mihoko Kusachi

Compassionate, culturally attuned therapy
  • Stress and anxiety support
  • Grief and trauma care
  • Japanese-English therapy

Licensed · Professional · Cancel Anytime

About

Mihoko Kusachi brings a calm, encouraging presence to therapy and aims to help people find hope and the courage to pursue meaningful change. She creates an open, nonjudgmental space where thoughts and feelings can be shared and explored, and she honors the bravery of anyone who has taken the first step toward change.

Raised in Japan and educated in Tokyo and the San Francisco Bay Area, Mihoko combines international life and work experience across Japan, Australia, and America with a master’s degree in counseling focused on rehabilitation for people with disabilities. She is a licensed mental health counselor in Hawaii (license MHC-329) and has provided mental health counseling for the past ten years. In addition, she has more than twenty years of experience as a social worker and case manager in clinical settings in the San Francisco Bay Area and on the Big Island of Hawai’i.

Mihoko has supported children and adults, with and without disabilities, through challenges including stress, anxiety, grief, anger management, low self-esteem, depression, addictions, relationship and family conflicts, trauma and abuse, eating and sleeping disorders, career difficulties, bipolar disorder, attention-deficit challenges, coping with life changes, and compassion fatigue. Her clinical approach is shaped by Humanistic, Existential, Somatic, and Mindfulness-Based Cognitive-Behavioral therapies, and she prefers an integrated body-mind, or psychosomatic, framework that honors each person’s strengths and preferences.

In sessions, Mihoko guides personal reflection and the examination of unhelpful thoughts while using sensory-based exercises, relaxation practices, and other self-regulation techniques to ease emotional distress. Clients may also explore past experiences to gain insight that supports more authentic living in the present. She has witnessed improvements across physical, emotional, behavioral, and spiritual domains, and she works collaboratively to find practical, individualized strategies that promote balanced well-being.

Grounded in a social justice orientation, Mihoko’s work is culturally responsive and oriented toward promoting individuality across backgrounds. Having grown up with firsthand experience of being traditionally underserved, she is especially committed to supporting people in marginalized positions and is sensitive to the intersectionality of race, ethnicity, gender identity, disability, and socioeconomic status. Her role is to partner with clients to uncover and nurture the inner resources that help them move forward.

Location: Hawaii, United States
Years Experience: 10
Gender: Female
Languages Spoken: English, Japanese
Therapist of Color: Yes
Communication Options: Phone • Video • Live Chat • Messaging
Ready To Start Your Journey?

Therapist Available Through: BetterHelp
Currently Accepting New Clients: No
Accepting International Clients: Yes

Credentials & Verification

  • Credentials: HI LMHC MHC-329
  • NPI Number: 1295124949
  • License: LMHC (Hawaii) #MHC-329 exp 2026-06-30

Is Online Therapy the Right Step Toward Better Mental Health?

Many people wonder whether therapy delivered online can truly help. For common concerns such as stress, anxiety, depression, relationship challenges, and navigating life transitions, online therapy has been found to be as effective as traditional in-person work for most individuals.

One significant benefit is flexibility – clients can choose the format that best fits their needs and comfort, including video calls, phone sessions, live chat, or in-app messaging. This adaptability makes it easier to maintain continuity of care alongside work, family, and other commitments.

All therapists providing online services are licensed professionals, and clients have the option to change therapists if they seek a different fit. For many people, online therapy offers an accessible, practical way to get consistent support while pursuing mental health goals.

How much experience does Mihoko Kusachi have?

Mihoko Kusachi has ten years of experience providing therapy services.

Is Mihoko Kusachi a licensed therapist?

Yes. Mihoko Kusachi is a licensed mental health counselor in Hawaii, holding license number MHC-329.

In which languages does Mihoko Kusachi provide therapy?

Mihoko Kusachi provides therapy in English and Japanese.

Where is Mihoko Kusachi located?

Mihoko Kusachi is based in Hawaii.

How can I work with Mihoko Kusachi as my therapist?

You can work with Mihoko Kusachi by phone, video, live chat, or messaging.

Does Mihoko Kusachi work with international clients?

Mihoko Kusachi does work with international clients.

How much does therapy with Mihoko Kusachi cost?

The cost of therapy can vary based on your location and Mihoko Kusachi’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 is straightforward. Click the ‘Start Therapy’ button and complete a brief questionnaire that helps match you with Mihoko Kusachi. Depending on availability, you can then schedule your first session by phone, video call, live chat, or in-app messaging.

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