This text has been translated by auto-translation. There may be a slight difference between the original text and the translation. (Original Language: 日本語)

Sunday Closed
Monday 9:00-19:00
Tuesday 9:00-19:00
Wednesday 9:00-19:00
Thursday 9:00-19:00
Friday 9:00-19:00
Saturday Closed
* Appointment required
Please feel free to call us in Japanese.
Closed:Saturday, Sunday ・ Holidays

Misao Takano, LMFT

Are you tired of your mind these days ? If you have been unable to solve your problems even after thinking about them on your own, or if you are worried and stressed and don't know where to start, why not talk to a clinical psychologist who specializes in psychological counseling ? A Japanese clinical psychologist certified by the State of CA offers face-to-face or Online counseling is available in both Japanese ・ and English. Start with a free 30-minute initial consultation.

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California Licensed Clinical Psychologist
Misao Takano

Are you tired of your mind lately because you can't solve your problems even though you think about them a lot ?

If you are still worried and stressed and don't know where to start, why not talk to a clinical psychologist ?

In our long lives, there are many times and events that happen that do not go our way. As your problems and sorrows continue, one day you find yourself in a difficult situation, not knowing what to do anymore.

It is common to think, "Why did I become like this ??" and "How can I get out of this suffering ??

There are many ways to solve problems and relax, but only you can release ・ the ruts, frustrations, and worries you have created in your mind.

If you feel that your mind is a little tired because you have not been able to find a solution, why not start counseling ? Counseling is a dialogue with a counselor. If you can release the fatigue in your mind through dialogue and overcome the wall of suffering, you will be able to return to your usual energetic self again. Each person has his or her own individual flavor. Our counselors will help you take care of your mind so that you can show your true individual excellence and enjoy your life more.

As in this picture of piled stones, life demands a balance of social faces and responsibilities, such as children, adults, parents, and professions. When the balance is disrupted by external stress, family illness, or any number of other reasons, people are at a loss for what to do. At such times, counseling and mental health care can help people regain balance in their lives.
Do you have any of these problems ?
  • Depression
  • Worry, anxiety
  • Trying to do my best everyday and having a hard time mentally
  • I am so stressed out that I don't know where to start
  • I have many problems and fights with my family and partner
  • Love
  • I am homesick because I am not used to living abroad
  • I have not made any close friends even though I have been here
  • Life abroad is not what I expected and I don't feel like studying
  • Environmental changes ( Job change, transfer, pregnancy and birth, ) regarding
  • your child is struggling with English and local school
  • you think you or your child has an adjustment disorder ・ learning disability
  • Your child is truant, rebellious, withdrawn, or bullied
  • You are afraid to drive or talk to people
  • I want to be confident in myself
  • I want to change my personality
  • I am tired of Japanese society here and my relationship with mothers
  • I am tired of working in a local company
  • I want to go back to Japan, but I also want to stay in America
  • I am tired of my past
  • Death of a close family member, friend or pet
FAQ ( FAQ )
What is counseling ?
Counseling is a dialogue. It is when a person ( suffering from a problem or distress ) has an honest and sincere dialogue with a counselor to help him or her overcome inner conflicts and painful events, to grow as a person, to learn new skills, and to resolve problems.
The difference between counseling in Japan and the United States is ?

In Japanese society, there is still a high level of prejudice and hurdles to seeking counseling for emotional problems, and counseling has not yet penetrated society to the point where it can truly be used casually.

However, in the U.S., not only is there a low threshold for access to counseling, but also everyone from children to adults and the elderly can easily access counseling services for mental health care. Since the government and society understand the importance of mental health care (, which is called Behavioral Health ), coverage is guaranteed within the medical insurance system so that many people can easily receive counseling for self-health management. This is the biggest difference from Japan.

What are the qualifications of a California licensed clinical psychologist

To become a California licensed clinical psychologist, after completing an accredited graduate degree and 3000 hours of practice and experience in counseling children, individuals, couples and families ( this It takes approximately 5-6 years ) to become licensed unless you pass the California state certification exam. Clinical psychologist certification in the U.S. is administered and established under strict standards as a state-recognized credential in each state.

This reflects the status of counselors as officially established in American society.

California and New York are also notorious for having the most difficult certification exams in the country.

What is involved in counseling? What is the process of

Please feel free to contact us by phone or email. We will discuss what you would like to discuss and your insurance coverage. During the initial session, the counselor will begin by asking the client for personal and background information, and will also ask the client what goals and aspirations they would like to achieve through the counseling process.

After the first session, counseling is directed toward realistic goals. There is absolute confidentiality between counselor and client as required by state law, so what is said will not be divulged. Clients can therefore feel confident in talking about their concerns and feelings.

Sessions average about 60 minutes each. Depending on the severity of the problem and goals, sessions may be completed in one or a few sessions, or they may be repeated over a longer period of time. The final session concludes with the client and counselor reviewing the steps and progress made in the sessions to date and discussing specific measures for the future.

I have had counseling and listened to you ?
Counseling can help you face your feelings honestly, understand your emotions better, and live your life as yourself. Although the human nature that individuals are born with does not change, each of us is influenced by the environment in which we were born and raised, and we all grow and develop through our personal experiences. In the process, various habits and customs are formed, such as the way you think about things, behavior patterns, values, and lifestyle habits. Depending on how you deal with your human nature, life may become easier, your feelings may stabilize, and your worries and anxieties may ease. In fact, this "awareness" is what we call "change. Becoming aware of one's feelings means valuing one's emotions and changing to be able to affirm oneself. Counseling enables this process.
How many counseling sessions is normal ?
The number of sessions depends on your individual goals. Some people come regularly for many years to manage their own mental health, others may be in the middle of a major problem and only come for a short period of time until the problem is resolved, and others may come two or three times and then leave after the problem is resolved.
Do you use medication ?
if necessary? If necessary, we may use medication. If so, we will prescribe them through your medical insurance or instruct our affiliated psychiatrist to write a prescription for you.
What are the fees ?

Rates depend on how much your insurance will cover, so please contact your insurance company first. Our counseling ・ Practice is covered by long-term traveler's insurance from Japan and various types of U.S. medical insurance. If you prefer to pay privately without insurance, or if you are in an emergency and in a hurry, you may see us directly for counseling without insurance. The counseling fee* is $ 200/60 minutes or $ 230/80 minutes. Discounts for international students and sliding scales ( and general discounts ) are also available.

I want to start counseling but I am busy with childcare, school and work. I don't have time to attend.
Our practice offers online counseling as well as face-to-face counseling in our regular office. Online counseling sessions are usually conducted by phone, FaceTime, or Zoom. A study published in 2017 by the American Psychological Association found that online counseling is as effective as face-to-face sessions in a regular office setting. The results show that online counseling is as effective as in-person sessions in a regular office setting.
Can I quit counseling whenever I want ?
Of course. If you do, please let us know that you want to quit. We won't force you to stay, and we won't tell you to try it at least X number of times. And if you need to come back in the future and want to return, just let us know and we can resume at any time.
About Counselors
Misao Takano
( Misao Takano )
San Jose-based counselor with 30 years in the US

Over 40 years as community medicine physician Grew up watching her father's dedication to the medical and emotional care of his patients and their families. After graduating from high school in Japan, he went to college in California to study psychology and art. During her first year of college, she was confused by her new surroundings, so she sought counseling as a client for the first time at the counseling center on her college campus. At that time, she experienced the importance of mental health care and support, and became interested in counseling.

After graduating from college, she returned to Japan and worked for a foreign securities firm in Tokyo for four years before coming back to the U.S. She completed her master's degree in clinical psychology at a graduate school in 1997. After numerous internships, she received her certification as a Certified Clinical Psychologist ( LMFT-Licensed Marriage and Family Therapist ) in the state of CA in 2004.

Past clinical experience includes Domestic Violence Shelters, Social Service Agencies, Elementary and High Schools, and C A State University Counseling Center. She currently has a private counseling office in San Jose where she works with clients of all ages, from children to the elderly, in both Japanese and English. She specializes in depression, worry, and anxiety. Support for study abroad, expatriation, employment, and marriage enrichment and transition in different cultures in the United States. School related bullying, friend problems, and general stress in children and students. She is also experienced in helping couples experiencing infertility and women experiencing miscarriage, stillbirth, and postpartum depression. As a longtime artist and painter, she is one of the few Bay Area counselors able to incorporate the healing power of art into her psychotherapy practice.

Qualifications :
  • Pepperdine University Master of Arts (in Marriage and Family Therapy)
  • California Licensed Marriage and Family Therapist: License No. 40778
  • The National Honor Society in Psychology, Psi Chi member
  • California Association of Marriage and Family Therapist member
California Licensed Clinical Psychologist
Misao Takano

We also offer a free 30-minute initial online consultation and convenient online counseling.

Office Hours
Monday ~ Friday: 9am to 7pm
( * Appointment required
4010 Moorpark Ave, Suite 118
San Jose, CA 95117
( Direction )
-- Feel free to call us in Japanese --

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