Psychoanalytic psychotherapy in English for non-Japanese speakers

We offer individual psychotherapy, couples therapy, or intensive psychoanalytic treatment in English for non-Japanese speakers. The services are provided by a US-trained psychoanalyst. In-person therapies are recommended, but online services are available for people not living in Hiroshima or Kobe.

Psychoanalysis or psychoanalytic psychotherapy may help with a range of problems-in-living that affect the way you think, feel, behave, and live in this world. These include symptoms of anxiety, depression, confusion, loneliness, indecisiveness, guilt and shame; and low self-esteem; effects of abuse; and distress in work and relationships. Our focus is not on the kind of pathology someone claim you have suffered from, nor on the “psychological deficits” you believe you have. It does not mean, of course, that we ignore the problems and sufferings you have, but it means that we approach on the subjective meaning of your suffering and pain in a personal, social, cultural and historical context. In this sense our framework allows us to treat any type of human suffering, developmental and relational issues, emotional and mood disturbances, and traumatic experiences. We appreciate the uniqueness of each person’s life experience and cultural background. Our patients come from a range of ethnic, economic and work backgrounds.

Our perspective focuses mostly on looking for, and making sense of the ways that patient and therapist, first, experience the empathetic dialogue and relationship that unfolds between them. Second, it considers the way that therapist and patient, if all goes well, manage to co-create a safe and secure environment. It is in this milieu that the patient finds another human being who is willing to share the same impermanence and human limitations. In this process, from our perspective, the most significant emphasis is on how and what unfolds between patient and therapist while they make sense together of the fundamental psychological meaning of their having met in this world.


Dr. Koichi Togashi is a licensed psychologist and a certified clinical psychologist in Japan and a licensed psychoanalyst in the State of New York, who has been in private practice for over 25 years. He is a faculty and training & supervising analyst at the Training and Research in Intersubjective Self Psychology Foundation in New York, a professor and clinical supervisor at Konan University, Kobe, Japan, and a co-founder and a faculty and training & supervising analyst at the Training Institute of Japanese Forum of Psychoanalytic Self Psychology. He is a member of the Council of the International Association of Psychoanalytic Self Psychology in the US, an international editor of Psychoanalysis, Self and Context, and an editor of Psychoanalytic Inquiry. He is also a member of the Executive Board of the Japan Psycho-Analytical Association, and an editor of The Japanese Journal of Psycho-Analysis. He has published numerous books and articles in the US, Japan, and Taiwan. His latest book, “The Psychoanalytic Zero: Decolonizing Study of Therapeutic Dialogues,” won the 2020 Gradiva Award for Best Book.

Trained in contemporary self psychology, intersubjectivity theories, and relational psychoanalysis in the US, he develops connections with his patients which become the foundation for exploring the roots and meanings of individual, relational, and social struggles and for building new possibilities of self-experience and relatedness. He provide psychoanalysis, psychoanalytic psychotherapy for individuals and couples in English for non-Japanese speakers living in Japan.

To schedule a therapy appointment

If you would like to schedule an initial intake to discuss your need for treatment, please complete the form below. The fee for the intake is 10,000 yen, flat rate, tax included. Consultations are by appointment only.