Marissa Yoshikawa-Machado , LMHC

Marissa Yoshikawa-Machado is a Licensed Mental Health Counselor (LMHC) practicing in Hawaii who draws on evidence-based techniques to support people facing stress, anxiety, relationship and family difficulties, trauma and abuse, grief, low self-esteem, depression, and major life changes. With four years of experience in a variety of care settings, she has worked with clients managing anxiety and depression, Autism Spectrum Disorder, communication challenges, and transitions that require new coping strategies.

Her approach blends Cognitive Behavioral Therapy - which helps identify and shift unhelpful thought and behavior patterns - with mindfulness practices that build present-moment awareness and emotional regulation. Marissa aims to offer a compassionate space where openness and trust are encouraged, and where feelings and thoughts can be explored without judgment. She partners with clients to navigate current challenges, examine past difficulties when relevant, and set practical goals for the future.

Marissa values collaborative work and meets people where they are, using techniques tailored to each person's needs and preferences. She looks forward to connecting with individuals who are ready to take steps toward greater balance, clearer communication, and improved coping skills.

Therapeutic Approaches for Online Support

Marissa integrates Cognitive Behavioral Therapy and Mindfulness Therapy into her online practice. Cognitive Behavioral Therapy helps clients identify patterns of thought and behavior that contribute to stress or low mood and teaches practical strategies to shift those patterns, which is useful for anxiety, depression, and coping with life changes. Mindfulness Therapy focuses on cultivating present-moment awareness and gentle acceptance, offering tools to manage emotional reactivity and reduce rumination.

Finding the right approach is a collaborative process. Marissa works with clients to understand their needs, goals, and preferences, and then tailors techniques from these approaches to fit each person’s situation. Together they explore what feels most effective and adjust the plan over time.

Online therapy with Marissa is offered via video calls, phone sessions, live chat, or text-based messaging, providing flexibility for different schedules and communication styles. These options make it easier to access consistent care from licensed professionals and to maintain progress even when life is busy or travel is required.