Marissa Yoshikawa-Machado, LMHC

Finding help can feel daunting, and acknowledging that need is an important first step. Marissa Yoshikawa-Machado is a licensed mental health counselor with 4 years of clinical experience who supports people navigating stress, anxiety, depression, grief, trauma, relationship and family difficulties, and life transitions. As an LMHC - a licensed mental health counselor who is trained to assess and treat emotional and behavioral concerns - she draws on Cognitive Behavioral Therapy and Mindfulness Therapy to help clients identify patterns, build coping skills, and cultivate present-moment awareness.

Marissa has worked in a variety of settings and with diverse clients, bringing attention to communication challenges, self-esteem struggles, workplace issues, and feelings of isolation or shame. Her approach centers on creating a compassionate, nonjudgmental environment where thoughts and emotions can be explored openly. She collaborates with each person to clarify goals, address current challenges, and process past difficulties that affect daily life.

Marissa aims to guide clients toward practical strategies and personal insight so they can move toward the future they want. She welcomes the opportunity to meet and work with individuals and families ready to take the next step in their healing and growth.

Therapeutic Approaches for Online Care

Marissa uses Client-Centered Therapy to create a supportive environment where the person’s own goals and values guide the process. This approach emphasizes empathetic listening and collaboration, and can be helpful for relationship concerns, grief, self-esteem, and general life changes.

She also incorporates Cognitive Behavioral Therapy (CBT), which focuses on identifying unhelpful thinking patterns and developing practical skills to manage anxiety, depression, trauma-related symptoms, and workplace stress. CBT offers structured techniques for changing behaviors and improving mood.

Mindfulness Therapy is used alongside these approaches to help clients build awareness of the present moment, reduce reactivity to distressing thoughts, and strengthen emotional regulation. This can support coping with anxiety, rumination, and overwhelming emotions.

Choosing the right approach is a collaborative process. Marissa works with each person to assess needs, preferences, and goals, and adapts techniques so the plan fits the individual. Online sessions via video, phone, live chat, or text-based messaging provide flexibility for scheduling and access from home or other locations. These options make it easier to integrate therapy into daily life while maintaining continuity of care with a licensed professional.