Depth Psychotherapy in Tokyo & Online
At a glance
Depth therapy looks beneath the surface.
Instead of only managing symptoms, we slow down to meet the patterns that quietly steer your life—how you protect yourself, what you long for, and how earlier bonds still echo today. The work is depth psychoanalytic, grounded in attachment and neuroscience, and always translated into simple steps you can live.
• Clear, humane structure
• Gentle pace you can trust
• Insight paired with small weekly experiments
• Change that holds in real life
What depth therapy is
Think of life as a tapestry: certain threads repeat—an argument you keep having with different people, a familiar knot in the chest, a habit of saying yes when you mean no. Depth therapy helps you notice these threads, understand why they formed, and reweave them with care.
It is talk-based, reflective, and relational. We pay close attention to what happens in your day-to-day life and to what unfolds between us in the room. Rather than forcing yourself to behave differently, we help your nervous system and your understanding update together—so new choices feel natural, not fragile.
How it works
1) A slower beginning
We start by clarifying what hurts, what still hopes, and what your next reach is. We map themes, triggers, and relationship patterns and agree on a pace that feels kind and sustainable.
2) Here-and-now attention
What shows up between us—hesitation, caretaking, irritation, relief—becomes a living mirror. It is not judged; it is information. When patterns can be named safely, they begin to loosen.
3) Making meaning
We explore the stories you tell about yourself, the images that return, the moments you avoid, the emotions that arrive late or too loudly. Together we ask: what is this protecting, and what would it take to update the protection?
4) Gentle experiments
Insight is paired with small, concrete steps between sessions: a different boundary in one conversation, a slower reply, a new ritual for rest, a brief journal prompt. These experiments are designed to be doable now.
5) Integration and review
Every 4–6 sessions, we step back and look at what has shifted—sleep, mood, ease in connection, choice where there was none—and refine the plan. The arc stays humane, precise, and oriented to your actual life.
When trauma is active
If the nervous system is spiking, we may weave in light, exposure-based steps drawn from Prolonged Exposure principles to calm physiology and reduce avoidance. Then we return to the deeper work so gains take root.
What a session feels like
Calm, unhurried, and useful. You can expect thoughtful questions, long silences when needed, and practical takeaways. Some weeks bring new insight; others bring the quiet repetition that makes change real. There is room for both.
Who it helps
• People in repeating relationship cycles (pursue/withdraw, fear of closeness, chronic people-pleasing)
• High-functioning adults who feel over-managed by anxiety or driven by old rules that no longer fit
• Those in life transitions—relocation, parenthood, separation/divorce, career pivots
• Complex trauma histories where tools helped but the undertow remains
• Creative professionals noticing blocks, self-criticism, or loss of voice
• Anyone thinking, I’ve done the techniques—now I want change that lasts
Why many find it superior for lasting change
Because it changes the roots, not just the leaves.
• From coping to choosing: we don’t only add skills; we update the reasons the pattern exists.
• From white-knuckle to grounded: when protection is understood and revised, effort softens.
• From insight to traction: every understanding is paired with a small step, so clarity becomes movement.
• From temporary relief to durable ease: the work is paced for your life, reviewed regularly, and aimed at change that holds.
Changes you may notice over time
• Calmer baseline; fewer spikes and spirals
• Less avoidance; more room to choose
• Clearer boundaries and warmer connection
• Reduced shame and self-attack; steadier self-respect
• A clearer sense of direction, with work and love aligned
Frequently asked
Is this just talking about the past?
We may touch the past, but only to free the present. The focus is how old patterns move through today—and how to revise them.
Will it feel too intense?
The pace is gentle and collaborative. We stabilize first, move in small steps, and keep arousal within a tolerable range.
How long does it take?
Many people feel relief and clarity within 4–6 sessions as stabilization and insight build. Deeper shifts take longer. We review aims regularly so you always know where we are and why.
Is online work effective?
Yes. Reflection, planning, and weekly experiments translate well to encrypted video. Many clients do part or all of their depth work online.
PSYCHOTHERAPY JAPAN. LLC
Counseling & Consulting