Tokyo Psychotherapy


my approach

scott smith lcsw

TEL:    +81-080-6715-1570

PLEASE NOTE:  Due to the ongoing COVID-19 pandemic, I am not offering face-to-face psychotherapy at this time.
All sessions are either online or via telephone until further notice.

Psychotherapy is Collaborative. I can't just solve your problems with a few words of advice, but you and I can work together to figure out what's going on and what can be done about it. I put my knowledge and experience at your disposal, offer support, give feedback, even assign homework - but psychotherapy is more like a workout at the gym than a visit to the doctor. It requires an active effort on your part, both during your sessions with me and at other times throughout the week. 

Psychotherapy isn’t always pleasant. Sometimes it entails becoming more (rather than less!) aware of your own unhappy thoughts, feelings and behavior. On the other hand, it can lead to more satisfying relationships, greater personal awareness, improved ability to manage stress – even to better performance at work or school.

Each Relationship is Unique. I use a range of theories and techniques (including Emotionally-focused Couples Therapy, Accelerated Experiential Dynamic Psychotherapy, Family Systems theory, and Cognitive Behavioral Therapy) to fit each client’s needs.To help you make an informed decision, I'll let you know what I think will work best for you (and I'll check in with you regularly to see how we each feel therapy is progressing).

It Pays to Shop Around. Again and again, research has shown that the single most important predictor of success in psychotherapy is your relationship with your therapist - so it makes sense to choose a therapist with whom you feel safe, comfortable, and understood.

I encourage all prospective clients to shop around. You can locate therapists in Tokyo by asking a friend, a relative, a co-worker, your child's school counselor, your physician, your HR Manager... Qualified, licensed therapists can be found at 
International Mental Health Professionals Japan and TELL Counseling Service.

Once you've identified some likely prospects, I suggest that you contact them and see if they're willing to speak with you on the phone for 5-10 minutes. Ask them about their training and experience. Find out about their fees and scheduling policies. See what it feels like to talk to them before you make an appointment.