Hatsuko Otsuka

Welcome, and 初めまして。 I offer telehealth therapy for residents of Hawaii and New York and accepting new patients.

If you’re here, you’re probably hoping to feel better—fast. That’s human.

I was born in Japan, grew up in the U.S., and have lived in both Hawaii and New York. I’m a licensed clinical social worker in both states, with a background in leading nationally recognized mental health programs and training over 200 therapists. I also bring a business perspective, which helps me focus on practical, real-world solutions.

From both professional and personal experience, I understand how even strong, capable people can feel overwhelmed when life throws a curveball.

Sometimes change takes time, but we can begin right away by making sense of what’s going on and finding realistic ways to move forward.

I take a practical, steady approach, backed by over 25 years of experience in mental health.

I’m not here to change who you are—I’m here to work with you to help life feel more workable, lighter, and clearer.

I draw from CBT, mindfulness, and practical insight, but there’s no one-size-fits-all approach. We find what works for you.

My goal is to create a space where growth feels possible, steady, and grounded.

In our first session, we’ll slow things down and talk through what’s been going on—both inside and around you. From there, we’ll begin to map out a practical path forward—at a pace that works for you.