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Clients Accepted

Adult individuals.  

Adult couples of all types and at any stage in their relationship. 

Families with children 16 years and older. 

Michelle is accepting English-speaking clients who are living in Japan for online sessions. For those living in Tokyo, there may be opportunity to supplement online sessions with occasional in-person sessions at Michelle's Hiroo office.  Online therapy is additionally offered for peoples residing in Washington state or those living/working on overseas U.S. military installations.


Working with relational trauma, incidental trauma, loss, grief, terminal illness, medical trauma and sexual trauma. Adult adoptee issues, adoption triad challenges with adoptive parents and relinquishing parents.  

Types of Therapy

Humanistic and Person-Centered Approaches, Gestalt Theories/Practices, Attachment-based Therapy, Acceptance and Commitment Therapy (ACT), Somatic Experiencing (SE), Somatic Psychology, Trauma-Informed Practices, Polyvagal Theory, Bowen Family Systems, Internal Family Systems, Emotionally Focused Therapy for Couples, Mindfulness-Based Practices, Motivational Interviewing, Dialectical Behavioral Therapy (DBT), Multicultural Therapy, Nature-based therapies, Eco-Psychology, Art Therapy and Expressive Therapy techniques.

Group Therapy

Michelle offers online group therapy in the following ares: grief/loss, DBT skills, mindfulness/somatic skills for emotional regulation. Groups vary in scheduling. Email Michelle to inquire about group work, schedule, and appropriateness at

Nature-Based Walk & Talk Therapy

For individual clients living in Tokyo, Michelle offers therapy sessions in one of the many parks or nature settings around the city. This provides the client direct experience with evidence-based nature therapy that promotes emotional regulation. This option can be particularly beneficial for the client who has been in long-term isolation and is looking for more connection than what can be experienced over a video screen session. In times of this pandemic, nature-based therapy can also serve to provide an in-person session with the ability to social distance. These sessions are rooted in mental health counseling theory and are not promoting exercise. Email Michelle to inquire about nature-based walk & talk therapy at

When we are no longer able to change a situation,

we are challenged to change ourselves.

—Viktor Frankl, Austrian Pscyhiatrist, Author of Man's Search for Meaning

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