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Counseling and Psychotherapy

Tokyo Mental Health provides a comprehensive psychotherapy service for mental health problems such as depression, anxiety, PTSD and trauma, emotional instability, anger management, worry and stress.

We offer both client-centered counseling approaches and a variety of more directive and evidence-based psychological treatments, such as cognitive therapy, mindfulness-based therapies, acceptance and commitment therapy, and systems-focused psychotherapies. We work with individuals, couples, and families, and people of all ages including children and adolescents.

Counseling and Psychotherapy at TMH

Services within Counseling and Psychotherapy

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Why Choose TMH?

All psychotherapies are offered in native English, Mandarin, Spanish or Japanese with one of our fully bilingual and internationally qualified therapists. We have a multidisciplinary team of therapists including clinical psychologists, couples and family therapists, counselors and Dr Andrew Kissane, a UK-trained English psychiatrist.

Our goal is to provide mental health expertise and international-standard psychotherapy in native English and other languages specifically for the foreign community and Japanese returnees, in both the Tokyo area, and Okinawa, and via telehealth, across all of Japan.

If you would like more information, please contact us by email ( [email protected]) or use the contact form below.

TMH Staff at Therapy Room

Methods and Interventions

Click and learn more about our methods and interventions below.

Cognitive Therapy works under the premise that our thoughts can influence our emotions and behaviors. By acquiring a variety of new cognitive techniques during Cognitive Therapy, the client becomes able to change their thinking habits, improving their emotional condition.

Psychodynamic psychotherapy is a long-established therapeutic approach that focuses on exploring and interpreting unconscious motivations and conflict. Psychodynamic psychotherapy often places the relationship between the client and therapist at the centre of the therapeutic process. This approach is based on the work of Freud, Klein, Winnicott, and often more contemporary practitioners in the intersubjective and relational schools.

Play therapy is a type of psychological therapy that uses play as a platform to allow children to express and develop feelings and ideas within a safe environment, guided by a therapist. Play therapy is commonly used to help children with emotional problems such as anxiety, attachment problems, and difficulties with emotional regulation, social problems such as school refusal, communication problems, social integration, behavioral problems and trauma.

Contemporary mindfulness-based psychological therapies integrate concepts such as, willing acceptance, being in the moment, self as context, and loving kindness, with other concepts from cognitive and behavioral psychology and traditional psychodynamic psychotherapy. The therapist aids clients in their recovery from the symptoms they are suffering and assists them to give meaning and direction to their daily life.

Person-centered or client-centered therapy was founded by Carl Rogers in the 1950s and asserts that the client is the expert on themselves and their experiences. The therapist encourages the client to explore and understand themselves and their problems. The therapist does this by offering a safe environment in which the client can come to understand how their past experiences inform their present. A key part of person-centered therapy is understanding the self-concept which can require a lot of in-depth exploration. person-centered therapy is a flexible approach best suited for those who want to have a greater understanding of themselves and their experiences in a safe environment free from judgement, where your experiences are valued and understood.

Narrative therapy was developed by Michael White during 1970s-1980s. Narrative therapists believe “The person is not the problem; the problem is the problem.” Narrative therapists view people as the expert of their own life, and that the role of the therapist is to assist the person by helping them map the direction of their own healing process.

Acceptance and Commitment Therapy aims to help with “learning to accept what cannot be changed and to change what can be changed.” ACT is predicated on the idea that we experience more distress when we fight against internal phenomena that we cannot control. Instead, ACT encourages clients to make space for our unwanted thoughts or emotions. ACT provides mindfulness-based and behavioral techniques to: accept our reactions and be present, choose a valued direction, and take action to work towards living a life we would value.

In this model, the therapist works from the assumption that problems are maintained by dysfunctional patterns in people’s relationships. Rather than analyzing the origins of unhealthy patterns, systemic therapy focuses on recognizing and altering those patterns. This process helps uncover how people communicate and behave within the system. This approach emphasizes the “here and now” and tends to be solution-focused, rather than problem saturated.

Dialectical Behavior Therapy is designed to help people effectively regulate overwhelming emotions by building skills in four key areas:

Mindfulness: Strengthening focus on the present moment

Emotional Regulation: Improving emotional management skills

Distress Tolerance: Learning how to soothe overwhelming emotions in healthier ways

Interpersonal Effectiveness: Assisting in building healthier relationships

EFT aims to help an individual (or couple) enhance their emotional connections by increasing emotional accessibility and responsiveness. EFT changes the ineffective interactions in our relationships so our fundamental needs of safety and love can be met.

Available Locations


Tokyo Mental Health Shintomi Therapy Office
American Clinic Tokyo


Online or telephone services available


TMH Okinawa Mihama Therapy Office

Our Counselors and Psychologists

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Make an Appointment

To make a counseling and psychotherapy appointment, please use the booking form below, or use the following email address : [email protected].


If you have not heard back from us within 48 hours, please check your email spam folder. If you still don’t see it, please contact us at [email protected] (for individual enquiries),  [email protected] (for those referred from US bases with TRICARE Prime), or call us on 03-6280-4750 (12:30-16:30 on weekdays; English only).

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