Okinawa Counseling & Psychotherapy

Thank you for visiting.

Reaching out for therapy can be a difficult thing to do. It’s common to think about reaching out in a stressful moment, but not. Then the stress passes and things go back to being ok, but not to the potential level we know we have.

Procrastination, hesitation, and doubt about finding the right counselor is normal.

When you’re ready or if you have questions, I’m happy to support.

Brian O’Sullivan, Licensed Marriage and Family Therapist

Okinawa counseling Brian O'Sullivan, LMFT

Areas of Practice



Okinawa – Online

Japan – Online

Fresno – Online

My office is located in Okinawa, Japan, however due to COVID, I’m currently holding all sessions online via videoconferencing until further notice.

Common Concerns

“How confidential are our conversations?”

There are only a few situations where I will break confidentiality. And even then, I will only share details relevant to keeping people safe:

  • Someone’s life is in immediate danger
  • Child abuse if it’s currently happening or the person is still under 18 y.o.
  • Elder abuse
  • Possession or disclosure of viewing child pornography

If you have more concerns, please read more here or contact me.

“I’m not sure I want to tell my story. It’s very embarrassing”

Whether explicitly talked about or not, most people that come see me are nervous about being judge as “that one client who…”

I’ve heard many people’s stories and I’ve learned, at the core of our stories, we deal with very similar struggles. Just to different degrees are these struggles.

It’s also important to remember that I follow strict confidentiality standards. Only in rare situations, which we go over during the first session, will I break this.

“I don’t have enough time”

This is understandable. Life is very busy. At the the same time, when we say, “I don’t have time,” what we’re really saying is “It’s not a big enough priority.”

And maybe it’s not a priority for you yet or at all, and that’s fine.

If you’re on the fence, it may be helpful to think about how big does the challenge need to become before it becomes a priority? Are you willing to let it become that big? Would it be better to start earlier, while the challenge is still manageable?

“I’m just nervous and not sure why”

It’s very normal to be nervous. I’m a complete stranger and you’re sharing very personal information.

The good thing is, you never have to talk about anything you’re not comfortable with.

I urge clients, especially if it’s your first time, to take things at your own pace. If you feel comfortable sharing very personal things in our first session, you’re welcome to. If you’d prefer to get to know my style first, that makes a lot of sense too.

People typically contact me for one of three reasons:

  • There are no major challenges. The person is looking for a sounding board on a particular area of their life.
  • Day-to-day things are ok, however, the person is experiencing significant uncomfortable emotions.
  • Functioning day-to-day is a challenge and solving the issue doesn’t seem possible.

About Minato Counseling

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U.S. standards and ethics
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Records are encrypted and stored offline
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Native English speaking
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Contact Brian

Free Consultation