Shiho Murakami, LICSW, MD, LCSW-C

Attachment and skills work available online

Shiho often combines Attachment-Based Therapy with Acceptance and Commitment Therapy (ACT) to help people understand relationship patterns and clarify what matters to them. Attachment-based ideas look at how early relationships shape trust and closeness, which can be useful when someone wants to repair connection or understand strong emotional reactions. ACT helps people notice difficult thoughts and feelings while committing to actions that reflect their values, which can support parenting decisions, self-esteem work, or recovery from trauma.

She also uses Client-Centered Therapy to create a calm, empathic space where someone feels heard and respected. That approach emphasizes the therapist's listening and acceptance so clients can find their own pace for change. Choosing the right mix of approaches is a collaborative process - the therapist will work with each person to match methods to their goals, needs, and preferences rather than imposing a single style.

Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to fit different routines. Video is useful for full conversations and visual cues, phone calls work well with lower bandwidth, live chat is handy for short check-ins, and messaging supports ongoing reflection between sessions. These options make therapy more flexible and easier to schedule around work, childcare, or other commitments.