Mihoko Kusachi, LMHC
Hawaii · 10 years in practice
Mihoko Kusachi is a licensed mental health counselor (LMHC) with ten years of counseling experience.
License and registration
- LMHC, Hawaii
- MHC-329 · expires June 2026
- NPI
- 1295124949 · national provider identifier
- Years in practice
- 10
- Languages
- English, Japanese
Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.
About Mihoko
Mihoko Kusachi is a licensed mental health counselor (LMHC) with ten years of counseling experience. She brings a global background, having lived and worked in Japan, Australia, and the United States, and speaks both English and Japanese. Mihoko focuses on helping people find purpose and steady footing when life feels uncertain.
Her style is warm and direct. She creates an open space where clients can speak honestly without fear of judgment.
Background and approach
Sessions include gentle reflection, practical skills, and sensory-based exercises to ease strong feelings. Mihoko draws on Existential ideas alongside client-centered and cognitive-behavioral methods. That means conversations can range from looking at daily habits and thoughts to talking about meaning, identity, and life choices.
She also uses mindfulness and motivational techniques to support small, doable change. She has worked in clinical settings and as a social worker and case manager for more than 20 years, and her counseling master's concentrated on rehabilitation for people with disabilities. Her past roles involved supporting people with depression, anxiety, trauma, grief, gender identity questions, cultural adjustment, and related challenges.
Mihoko is comfortable helping people cope with stress, addiction, relationship strain, caregiving burden, chronic illness, ADHD, and life transitions. She emphasizes each person’s strengths and cultural background while working together to find practical steps forward. People who meet with her can expect a partner who listens, gently challenges unhelpful thinking, and offers sensory and relaxation tools to manage emotions.
The focus is on finding what helps each person live more authentically and move toward balance.
Focus areas and approaches
Everything Mihoko lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Grief
- Anger management
- Self esteem
- Depression
- Addictions
- Relationship issues
- Family conflicts
- Trauma and abuse
- Eating disorders
- Sleeping disorders
- Career difficulties
- Bipolar disorder
- Coping with life changes
- Compassion fatigue
- ADHD
- Abandonment
- Aging and geriatric issues
- Attachment issues
- Autism and Asperger Syndrome
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Communication problems
- Control issues
- Divorce and separation
- Emptiness
- 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
- Self-love
- Social anxiety and phobia
- Somatization
- Visually impaired
- Women's issues
- Workplace issues
Approaches Mihoko names
- Existential Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Mindfulness Therapy
- Motivational Interviewing
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.
Online support
How Mihoko’s Approaches Work Online
Mihoko uses Existential Therapy to help people talk about meaning, identity, and life choices in a straightforward way. This approach is useful when someone feels stuck, empty, or unsure about direction and wants to clarify what matters to them.She also uses Client-Centered Therapy, which centers the conversation on the person’s experience and priorities. That means sessions focus on listening, understanding, and following the client’s pace while offering support and reflection.
Her work often includes Cognitive Behavioral Therapy (CBT) techniques to spot and change unhelpful thoughts and behaviors. CBT helps with anxiety, depression, sleeping and eating problems, and day-to-day coping by giving clear, practical exercises to try between sessions.
Finding the right mix of approaches is part of the process. The therapist will collaborate with each person to decide what methods match their needs, goals, and comfort level. Together they check progress and adjust the plan as needed so therapy stays useful and relevant.
Online sessions make it easier to fit counseling into a busy life. Video calls allow face-to-face conversation; phone sessions need less bandwidth and can work during breaks; live chat and text messaging suit quick check-ins, short reflections, or ongoing support between sessions. These options give flexibility so people can choose what works best for their schedule and circumstances.
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Questions people ask
What concerns does Mihoko often help with?
She supports people facing stress, anxiety, depression, grief, anger, self-esteem issues, addictions, relationship and family struggles, trauma and abuse, eating and sleeping problems, career questions, bipolar disorder, ADHD, and coping with life changes.
What is her therapy style like?
She blends a person-centered approach with existential reflection and practical techniques from cognitive-behavioral and mindfulness work. Sessions mix conversation, thought-challenging, and sensory-based exercises to manage emotions.
How much experience does she have?
She has ten years of counseling experience and over 20 years of work as a social worker and case manager in a variety of clinical settings.
Where is she based and what are her credentials?
She practices from Hawaii and holds the credential LMHC, listed as HI LMHC.
Which languages are supported for sessions?
Sessions are offered in English and Japanese, and she also accepts international clients.
What session formats are available?
She meets with clients via video calls, phone sessions, live chat, and text-based messaging.
How are sessions paid for and what does cost look like?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to therapist availability.
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