Therapist listings are provided by BetterHelp. We will earn a commission at no additional cost to you if you sign up through our links.

Mihoko Kusachi

Mihoko Kusachi, LMHC

Therapist in Hawaii

Compassionate counselor blending mind and body care

Continue with Mihoko Review online therapy options on BetterHelp.
  • LMHC with 10 years
  • Speaks English and Japanese
  • Integrative body-mind focus

About Mihoko

Mihoko Kusachi is a licensed mental health counselor with ten years of clinical practice. She offers a calm, respectful presence and helps people build courage and hope as they make changes in their lives. Mihoko speaks English and Japanese and brings life and work experience from Japan, Australia, and the United States.

She earned a master's degree in counseling with a concentration in rehabilitation for people with disabilities. Before becoming an LMHC she worked over 20 years as a social worker and case manager in multiple clinical settings. That background shaped a practical, person-focused way of working with emotional and situational challenges.

Mihoko uses a body-mind integrative approach that blends client-centered listening, cognitive techniques, and mindfulness exercises. Sessions often include questioning negative thoughts, sensory-based exercises, relaxation, and other self-regulation practices to ease strong emotions.

She also helps people reflect on past experiences when that insight can support present change. The aim is to find simple, real-life steps that match each person's strengths and preferences so progress feels manageable and meaningful.

Mihoko is attentive to culture, identity, and social context and strives to support those from underserved backgrounds. She focuses on issues such as stress, anxiety, depression, grief, trauma, relationship and family concerns, addiction and compulsive behaviors, sleep and eating difficulties, ADHD, and coping with life transitions.

This summary is based on the profile information listed on BetterHelp.

How her approaches translate to online therapy

Client-centered work focuses on listening and responding to what matters most to the person. Online sessions can keep that focus by using conversation, reflection, and guided exercises to help people feel heard and understood.

Cognitive Behavioral Therapy (CBT) helps people notice and test unhelpful thoughts and try small behavior changes. Delivered online, CBT often uses short, practical exercises and homework to build new habits between sessions.

Mindfulness-based methods teach simple attention and breathing practices to calm the body and mind. These can be led in-session and then practiced during the week to reduce stress and improve sleep and focus.

Choosing an approach is a collaborative process. The therapist will talk with the person about goals, preferences, and what has worked before, then try approaches that match those needs. Adjustments are made together as progress unfolds.

The biography does not specify which online session formats are offered, so confirm current options before booking. Online work can make regular care easier to fit into daily life, allow shorter check-ins when schedules are tight, and let people practice techniques between sessions without extra travel.

Frequently asked questions

What concerns does Mihoko commonly address?

She works with stress, anxiety, depression, grief, trauma and abuse, relationship and family problems, addictions, sleep and eating issues, ADHD, bipolar, and other life changes.

How would you describe her therapy style?

Her style is client-centered and collaborative, combining cognitive work, mindfulness, and body-mind exercises to manage emotions and change unhelpful thought patterns.

What is her background and experience?

She has ten years of counseling experience and over 20 years as a social worker and case manager in varied clinical settings across the San Francisco Bay Area and Hawai'i.

Which credential does she hold and where is she based?

She is a LMHC - Licensed Mental Health Counselor - and practices from Hawaii.

Which languages are sessions offered in?

Sessions are offered in English and Japanese, and she also accepts clients from outside the country.

What session formats are available?

The original biography does not list specific session formats, so please confirm current session options before booking.

How does billing and cost work?

Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.

How do I begin working with her?

Click the Start Therapy button, complete a short matching questionnaire, and schedule according to the therapist's availability.

Therapists on BetterHelp do not prescribe medication. A doctor can talk with you about medical options. If you are thinking about suicide, call or text 988; in an emergency, call 911.

Mihoko KusachiContinue with Mihoko