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- CBT methods
- Mindfulness work
- Communication help
About Marissa
Licensed Mental Health Counselor (LMHC) in Hawaii with four years of experience, Marissa Yoshikawa-Machado helps people manage stress, anxiety, relationship and family strain, trauma and abuse, grief, self-esteem issues, depression, and life changes. She also focuses on communication problems, forgiveness, guilt and shame, loneliness, self-love, and workplace issues. Marissa works using Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), and Mindfulness Therapy to guide sessions.
Marissa favors clear, practical conversation. She listens to what is happening now and what goals a person has. Sessions include talking through patterns of thought and behavior and practicing simple mindfulness exercises. She aims to identify small changes that make day-to-day life more manageable.
Her background includes clinical work across several settings with people who have anxiety, depression, autism spectrum differences, major life transitions, and communication challenges. That variety informs how she adapts tools from CBT and mindfulness to different situations. The LMHC credential means she is a licensed mental health counselor.
In sessions she helps people explore current problems and past difficulties when those are relevant. She emphasizes straightforward techniques for coping and improving communication. Expect collaborative planning of goals and step-by-step practice between sessions.
To get started, readers should use the site button that lists online therapy options. Complete a short matching questionnaire and schedule a first session. Confirm the available session formats before booking.
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How Marissa applies CBT and mindfulness in online work
Client-Centered Therapy centers the conversation on the person's experience. The therapist listens and helps reflect what matters most so goals can be chosen together. Cognitive Behavioral Therapy (CBT) looks at links between thoughts, feelings, and actions and uses practical exercises to change unhelpful patterns. Mindfulness Therapy introduces simple attention and breathing practices to reduce reactivity and increase present-moment awareness.Finding the right combination of approaches is part of the work. Marissa will collaborate with each person to decide which methods to emphasize based on their needs, goals, and preferences. That may mean trying CBT tools for a while, then adding mindfulness practices, or starting with listening and relationship-focused conversation.
Confirm the session formats before booking to know how sessions are delivered. Online sessions can make it easier to fit counseling into daily life by reducing travel and allowing shorter check-ins when needed. They also let people practice skills in familiar routines and bring real-life examples into sessions. Ask about the available formats when scheduling so sessions match your practical needs.
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
4+ years
Listed in
Hawaii
Languages
English
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Frequently asked questions
What concerns does she address?
She focuses on stress, anxiety, relationship and family strain, trauma and abuse, grief, self-esteem, depression, and coping with life changes, plus related issues like communication problems and workplace stress.
What style of therapy does she use?
Her approach combines Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), and Mindfulness Therapy. Sessions involve conversation, thought-behavior work, and simple mindfulness practices.
How much clinical experience does she have?
She has four years of experience working in counseling settings with a range of concerns including anxiety, depression, autism spectrum differences, and major life transitions.
What credential does she hold and where is she based?
She is a licensed Mental Health Counselor (LMHC) practicing in Hawaii.
Which languages are sessions offered in?
Sessions are offered in English.
Can international clients work with her?
International clients are not currently accepted.
How are fees handled?
Cost varies with location. Sessions use a subscription model that can be canceled at any time.
How do I begin a first session?
Click the See online therapy options button, complete the short matching questionnaire, and schedule a first session. Confirm the current session formats before booking.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.