Marissa Yoshikawa-Machado is a licensed mental health counselor who helps people dealing with stress, anxiety, low self-esteem, depression, grief, trauma, relationship and family concerns, and major life changes. She listens without judgment and encourages small, practical steps that make daily life feel more manageable. Her approach aims to make room for people’s feelings while focusing on what they want to change.
With four years of experience in counseling settings, Marissa blends client-centered care with cognitive behavioral and mindfulness practices. She uses straightforward tools to spot unhelpful thinking patterns and to build new coping habits. Mindfulness work helps clients notice thoughts and feelings without getting swept up by them.
Marissa prioritizes building trust and openness at the start of work together. Sessions focus on what matters most to each person, whether that is improving communication, working through shame and guilt, or strengthening self-love. She also addresses workplace stress and isolation by breaking concerns into concrete steps.
Her style is practical and compassionate. She guides conversations, asks clear questions, and offers exercises to try between sessions. Progress is measured in everyday changes clients can see and feel.
People can expect collaboration on goals and a plan that fits their life. Marissa helps set realistic next steps and reviews them regularly to keep work focused and relevant.
How these approaches work for online therapy
Client-Centered Therapy focuses on listening and understanding each person's experience. The therapist follows the client's pace and priorities, offering support that respects what matters to the individual and helps build trust in the relationship.
Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and actions connect. It uses practical exercises to identify unhelpful thinking patterns and to practice new behaviors that reduce anxiety, depression, and low self-esteem.
Mindfulness Therapy teaches simple attention skills to notice thoughts and emotions without reacting automatically. This can help with stress, rumination, and overwhelming feelings by creating space to choose a different response.
Finding the right approach is part of the process. The therapist will work together with the client to decide which methods fit their goals, needs, and personal preferences. That collaborative process may include trying different tools and adjusting the plan based on what helps most.
Session options are not specified in the biography, so confirm the available online formats before booking. Online work can make it easier to fit therapy into a busy day, allow shorter check-ins when needed, reduce travel time, and let people use breathing and grounding practices in familiar routines. Licensed professionals can tailor methods so sessions feel practical and useful for everyday life.
She supports people with stress, anxiety, depression, grief, trauma and abuse, relationship and family concerns, and coping with life changes, with additional focus on communication problems, guilt and shame, and workplace issues.
How would you describe the therapeutic style?
Sessions are client-centered and practical, focusing on listening, clear questions, and exercises to try between meetings.
What is her background and experience?
She has four years of experience working in various counseling settings with people facing anxiety, depression, life transitions, and communication difficulties.
What credentials and region are listed?
She is a Licensed Mental Health Counselor (LMHC) practicing in Hawaii with the credential shown as HI LMHC.
Which languages are supported and are international clients accepted?
Sessions are offered in English, and international clients are not currently accepted.
What formats are used for sessions?
The original biography does not list specific session formats; please confirm current session options before booking.
How is cost handled for sessions?
Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.
How do I begin working with this therapist?
Click the continue button on this profile, complete a short matching questionnaire, and schedule according to the therapist's availability.