As listed on the therapist's profile. You can check a license with the state licensing board and an NPI in the national registry.
Mindfulness based care
Cognitive focus
Practical coping skills
About Marissa
Marissa Yoshikawa-Machado is a licensed mental health counselor who helps people facing stress, anxiety, relationship strain, grief, trauma and abuse, low self-esteem, and depression. She supports those coping with life changes and common everyday struggles like workplace issues, loneliness, guilt, and communication problems.
She uses a mix of practical skills and short exercises to help people feel steadier day to day. Sessions emphasize present-moment awareness and learning new ways of noticing thoughts and feelings. Cognitive Behavioral approaches are used to spot thinking patterns that make problems worse and to try small, manageable changes.
Her style is warm and down-to-earth. She aims to build trust and make the therapy room a place where people can speak honestly without judgment. Marissa invites clients to set clear goals and to move at a pace that fits them.
Marissa holds a Licensed Mental Health Counselor credential, LMHC, and has four years of experience in counseling settings. She has worked with people who experience anxiety and depression, communication difficulties, and major life transitions.
Sessions focus on practical steps, brief skill practice, and exploring past and present issues that affect daily life. She encourages self-compassion and gradual changes that help clients meet their goals and feel more capable over time.
How mindfulness and CBT can work online
Many people find Mindfulness Therapy helpful for learning simple ways to notice stress and calm the body and mind. Mindfulness techniques ask clients to practice short attention exercises and breathing or body checks that reduce reactivity and increase present awareness. Cognitive Behavioral Therapy helps identify unhelpful thinking patterns and try small behavior changes to test new ways of coping; it is useful for anxiety, depression, and problem solving.
Client-Centered Therapy focuses on a respectful, nonjudgmental relationship where the therapist listens and reflects so the client can find their own solutions. Together with the client, the therapist will discuss goals and try different approaches until they find what fits. This is a collaborative process and adjustments are made based on each person's needs and preferences.
Confirm current session options before booking, as the biography does not list specific formats. Online therapy can make it easier to fit sessions into a busy life, reduce travel time, and allow for more consistent check-ins. It also allows for shorter or longer contacts when that suits a schedule, and makes it simpler to practice skills between meetings. A licensed professional will work with each client to choose the best mix of techniques and timing to meet their goals.
These summaries are based on the profile information listed on BetterHelp. Listing mindfulness as an approach does not mean a therapist holds a formal mindfulness training or certificate.
Frequently asked questions
What concerns does she help with?
She works with stress, anxiety, relationship and family worries, trauma and abuse, grief, low self-esteem, depression, and coping with life changes. Additional focuses include communication problems, forgiveness, guilt and shame, isolation, self-love, and workplace issues.
What is her therapy style like?
Her approach is warm and down-to-earth, aiming to build trust and encourage honest conversation. Sessions mix present-moment awareness with practical skill practice and goal setting.
What experience does she bring?
She has four years of experience working in counseling settings with people facing anxiety, depression, communication difficulties, and major life transitions.
What are her credentials and where is she located?
She holds the LMHC credential as a Licensed Mental Health Counselor and practices in Hawaii.
Which languages are available for sessions?
Sessions are offered in English.
Can international clients work with her?
International clients are not currently accepted.
How are sessions paid for?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I start working with her?
Select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.
Therapists on BetterHelp do not prescribe medication. A doctor can talk with you about medical options. If you are thinking about suicide, call or text 988; in an emergency, call 911.