Individual & Couples Counseling in Tokyo

Finding professional individual and couples' counseling in Tokyo

There may be times in a person’s life when they need someone to talk to, and for many residents or expats seeking counseling in Tokyo, that moment can feel especially daunting. While friends, family and advice columns are all options, sometimes you need to hear an unbiased, professional opinion on a matter. Sometimes, the situation or emotions you’re experiencing are far too personal, too uncomfortable or perhaps even borderline illegal for anyone within your personal life to truly help with. It happens.

Talking to a professional is important. More people should do it, in fact. Individual counseling can help with a lot of different issues, be they stress, bereavement or seasonal issues. However, when you live in another country, language and cultural barriers can make it feel nearly impossible. And if you’re looking for couples counseling when you and your partner come from different cultural backgrounds and may not fully understand each other’s languages, that’s an even bigger hurdle.

Fortunately, in the Tokyo area, numerous professionals offer their services in English and other languages as well. If you search for clinics in Tokyo, you’ll find several that come up repeatedly—but whether or not these specialists are any good is the next question. You can’t always trust online reviews, nor should you, especially when it comes to your own mental health or the health of a relationship.

It can also be hard to ask others about counseling or therapists. There’s still a lot of stigma attached to mental health in both Japan and overseas, which can make it difficult even to approach the subject. With that said, if you are in need, you should reach out and get it for your own sake. You deserve to be your best self, regardless of what a partner, family or society says.

English Language Clinics

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While this is not a comprehensive list, these are the most widely approved and recommended counseling services in the Tokyo area as endorsed by individuals and mixed-ethnicity couples, Japanese couples and foreign couples living in Japan (about 80 people and 100 couples over 15 years).

Details of their services, fees and availability are found on their websites.

Tokyo Mental Health

• Location(s): Tokyo, Okinawa
• Online: Available
• Languages: English
• Couples counseling: Currently suspended

Bonds Tokyo Counseling Service

• Location(s): Setagaya Ward
• Online: Available
• Languages: English & Japanese
• Couples counseling: Available

Sky Counseling & Consultation Tokyo

• Location(s): Meguro Ward
• Online: Available
• Languages: English & Japanese
• Couples counseling: Available

Aoyama Bright Life Counseling Clinic

• Location(s): Minami Aoyama
• Online: Available
• Languages: English, Japanese, & Polish
• Couples counseling: Available

TELL Counseling

• Location(s): Tokyo and Okinawa
• Online: Available
• Languages: English, Japanese, Mandarin Chinese, Cantonese, Spanish; flyers available in Bahasa Indonesian & Spanish
• Couples counseling: Varies

Individual Specialists

If you would prefer to find your own specialist, there are two services available:

• International Mental Health Professionals Japan
• Japan Healthcare Info

English Only, Online Only Services

There are also many counseling options available online. Three of the most recommended services for couples counseling are Better Help, Talk Space and ReGain.  Details of their services, fees and availability can be found on their websites.

As these are overseas-based services, you may need to book appointments at late night or early morning Japan time to get the most out of them.

Japanese Language Only Clinics

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There are scores of Japanese language-only clinics to choose from, as well, for both individual and couples counseling. However, they do expect you to be able to communicate at a native or near-native level of Japanese. You may be required to prove proficiency in Japanese or bring a translator with you, otherwise. For individual counseling in Japanese, it is recommended that you consult with your primary healthcare professional for recommendations, as you may need a referral to schedule an appointment.

Some ward offices also offer individual and couples counseling services. Ask at your local ward office if they have any of these services or if there are any counseling services available in your ward as well—these may be covered by Japanese National Insurance.

In terms of couples counseling specifically, some Japanese clinics also offer services for international couples. That being said, you are expected to be a near native-level Japanese speaker in order to participate. If you are not but would be more comfortable with a Japanese counseling clinic, you may be required to hire your own translator first. You’ll need to discuss this with the clinics beforehand, as each has its own rules and requirements regarding translation services as well as any associated fees.

Mejiro Sola Clinic

• Location(s): Mejiro Station
• Online: Based on needs/circumstances
• Languages: Japanese, consult regarding translation services
• Couples counseling: Available

Hiroo Stress Clinic Psychiatry

• Location(s): Minato Ward
• Online: Available
• Languages: Japanese, consult regarding translation services
• Couples counseling: Available

Fufu Mondai Sodanshitsu Forte (Fufu Forte)

• Location(s): Shinjuku Ward
• Online: Available
• Languages: Japanese, consult regarding translation services
• Couples counseling: Only service provided

Domestic Violence & Other Helplines

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Sometimes the kind of help people need requires professional, perhaps police, assistance. If you are the victim of domestic violence or aren’t sure and want to talk to someone to get a better understanding of your situation, there are also ways to get help.

The Domestic Violence Hotline Plus is a phone, email and live chat service that began in response to the shocking increase in reported domestic violence incidents during the pandemic lockdowns. The helplines are available 24 hours a day. Telephone and email consultations are Japanese only, but chats are available in English, Chinese, Korean, Indonesian, Spanish, Portuguese, Tagalog, Thai and Vietnamese. Select the language that you require at the top of their homepage and follow the instructions provided.

Victims of sexual violence should consult the Sexual Violence Relief Center Tokyo (SARC) as soon as possible, as they can help you with the police and any medical needs on a 24-hour basis. 

The Yorisoi Hotline is a service dedicated to Japan’s foreign community, offering assistance with a range of issues, including visa concerns, domestic violence and international trafficking. This service is available in Japanese, English, Tagalog, Korean, Chinese, Spanish, Portuguese, Thai, Vietnamese, Nepali, Indonesian and other languages, although availability varies.

And, of course, if you need someone to talk to, TELL Lifeline is also available.

Finding the right kind of help can be challenging when you live abroad, but hopefully, with this counseling in Tokyo guide, you have a better idea of where to start.