English-Speaking Mental Health Services in Tokyo

April 3, 2026

English-Speaking Mental Health Services in Tokyo

A comprehensive guide to get the right help for you in Japan

Finding English-speaking mental health services in Tokyo can be challenging, but support is available. If you’re seeking therapy, counseling or psychiatric care, several clinics in Tokyo cater to the international community. This guide highlights accessible, professional mental health services to help you navigate your options and find support while living in Japan.

Zendo Health Consultation (ZHC)

Zendo Health Consultation, directed by Ryuko Ishikawa MD, offers bilingual (English and Japanese) emotional care for individuals, couples and families. The clinic specializes in tele-psychiatry and offers psychotherapy through secure online video sessions. Clients can access care from home.

Dr. Ishikawa’s approach emphasizes Family Systems Psychotherapy, helping clients work through relationship conflicts, parent-child difficulties and cross-cultural challenges. The team prescribes medication only when necessary, following a thorough evaluation.

Dr. Ishikawa is one of the few psychiatrists licensed in both Japan and the United States. She brings clinical experience from Tokyo, San Francisco and beyond. Her work includes leadership roles such as Chief Psychiatrist at Tokyo Metropolitan Umegaoka Hospital. There, she established Japan’s first children’s psychiatric department. She has also worked with the San Mateo County Department of Mental Health.

Her training includes Yale, UCSF, Stanford and Georgetown University’s Family Center under Professor Murray Bowen. This background reflects a strong focus on family psychiatry and cross-cultural mental health care.

Family Systems Theory is about understanding how our families shape who we are. Therapy looks at the patterns and relationships within your family and how they affect you today. By exploring and gently shifting those dynamics, you can grow into a more confident and independent version of yourself.

When this happens, people often feel more grounded, resilient, and free to make choices that truly reflect who you are. With a stronger sense of self, life begins to feel more open, full of new opportunities and possibilities.

Through decades of practice in both countries, Dr. Ishikawa has supported clients with a wide range of needs, including individual therapy, group therapy, family therapy, and medication management.

📍 Online (telepsychiatry, based in San Francisco)
🌐 Website: cliniczhc.info/index_e.html
📧 Email: internationalbridge.drishikawa@cliniczhc.info
⏰ Hours: By appointment (Please note Dr. Ishikawa may not always be available to take on new clients)

Adjustment Guidance—Compassion-Focused Therapy and Counseling

Adjustment Guidance provides client-centered, compassion-focused therapy to help individuals overcome life’s challenges, one conversation at a time. The practice specializes in anxiety, depression, work-related stress and major life transitions. Each session is tailored to the client’s needs and goals.

The focus is on creating a confidential, judgment-free space. Here, you can explore your thoughts, emotions and behaviors while developing practical tools for lasting change.

During your first session, you’ll identify the specific challenges you’re facing. These may be personal, professional or both. You’ll also define what you hope to achieve. From there, the therapist develops a personalized therapy plan based on your priorities and life circumstances. This plan may include building a mental health toolkit. It focuses on skills like emotional regulation, stress management and self-compassion. These tools help you respond more effectively to real-life situations.

The therapy process begins by identifying and unpacking the barriers preventing you from moving toward the life you want. Adjustment Guidance breaks challenges into manageable steps, making them easier to understand. Over time, clients often feel more confident in their decisions. They also gain clarity about their goals and a stronger sense of balance in daily life.

The therapist conducts all sessions online via Zoom, which allows for flexibility no matter where you are. This format fits busy schedules while maintaining the same level of effectiveness as in-person therapy. You only need a quiet space, a stable internet connection and the willingness to take the first step.

Adjustment Guidance’s philosophy is simple: it’s okay to need help, and seeking support is a sign of strength. You don’t have to navigate life’s challenges alone—guidance, compassion, and practical strategies are just one conversation away.

📍Online (Zoom)
📞 TEL: 080-1142-6310
🌐 Website: adjustmentguidance.com
📧 Email: adjustmentguidance@yahoo.com
⏰ Hours: By appointment

Tokyo Psychiatry Clinic at American Clinic Tokyo

American Clinic Tokyo is a well-established private medical institution that has been providing a variety of healthcare services to international residents in English over the last 70 years. They run a psychiatry clinic led by Dr Andrew Kissane every Monday, Thursday and Friday throughout the year. The clinic provides assessment and treatment for a wide range of conditions, including anxiety and mood disorders such as depression, trauma and stressor-related disorders, neurodevelopmental disorders and psychosis. Appointments can be made either by phone or email. Please note that psychiatric assessments and treatments can only be conducted in person, not via telehealth.

📍 3F, No.1 Niikura Bldg, 1-7-4 Akasaka, Minato-ku
📞 TEL: 03-6441-0969
🌐 Website: americanclinictokyo.com
📧 Email: info@americanclinictokyo.com
🌏 Languages: English, Japanese, Mandarin
⏰ Hours: Mon, Thur & Fri (Tokyo Psychiatry Clinic); Mon – Fri: 9am – 12pm, 3pm – 6pm (all other appointments at American Clinic)
Closed: Weekends & National Holiday

Tokyo Mental Health Shintomi Therapy Office

Tokyo Mental Health Shintomi Therapy Office provides in-person counseling, psychotherapy, and psychological services with English-speaking counselors, therapists, and psychologists. With a vision of delivering easily accessible, age-inclusive and high-quality mental health support to the international community in Tokyo, the clinic offers a trusted space to address a range of well-being concerns such as depression, anxiety, emotional instability, stress and trauma. The clinic also provides psychological assessments for a number of developmental disorders such as Autism Spectrum Disorder (ASD), Attention Deficit Hyperactivity Disorder (ADHD) and learning disabilities, as well as cognitive difficulties such as attention, memory, executive functioning, and language. These services are offered in English for children, adolescents and adults. Bookings for appointments are required and can be made either through the clinic’s online contact form or email address.

📍6F, Urbane Mitsui Building, 2-4-6 Shintomi, Chuo-ku
📞 TEL: 03-6280-4750
🌐 Website: tokyomentalhealth.com
📧 Email: enquiries@tokyomentalhealth.com
⏰ Hours: Mon – Fri: 9am – 8pm ; Weekends: 9am – 7pm

TELL Japan

TELL is a not-for-profit organization that is dedicated to providing confidential, world-class support and counseling services to Japan’s international community. They offer remote channels of support through their Lifeline and online chat service for those who may be experiencing anything from general worry to suicidal thoughts For professional counseling and children (only) psychological assessments, in-person appointments are available at their Tokyo office. Online teletherapy sessions can be scheduled on weekdays from 10 AM to 3 PM, with appointments made through their online form.

📍Wesley Foundation 2F, 6-10-11 Minami-Aoyama, Minato-ku
📞 TEL: 03-4550-1146 (Appointments)
📞 TEL: 0800-300-8355 (Lifeline)
🌐 Website: telljp.com
📧 Email: clinical.assist@telljp.com
⏰ Hours: Mon – Sun: 9am – 9pm

Kayaba-cho Mental Health Care Clinic

Kayaba-cho Mental Health Care Clinic provides a variety of services in areas of internal medicine, psychiatry and psychosomatic medicine. In addition to providing support for residents and holders of national health insurance, they also offer care for short term visitors. Consultations in English are only available on Tuesdays , Wednesdays, and Saturdays. While appointments for first-time visitors can be made online, all other returning patients are required to make appointments via phone.

📍2F, Hekizan Building, 2-8-10 Nihonbashi-Kayabacho, Chuo-ku
📞 TEL: 03-5643-9855
🌐 Website: kk-c.com
⏰ Hours: Tue – Fri: 10:30am – 1:30pm, 3:30pm – 7:30pm; Sat: 10am – 2pm
Closed: Mon, Sat afternoon, Sun & National Holidays

Meguro Counseling Center, Douglas Berger, M.D., Ph.D

Meguro Counseling Center provides a range of counseling and psychotherapy services catered for the international community in English, as well as in Japanese for the local Japanese community. Therapists at the clinic have experience in delivering care across a wide range of services including individual and group counseling for children, adolescents and adults, and treatment for common mental health conditions such as anxiety and mood disorders, eating disorders and personality disorders. Appointments at the clinic can be made either by phone, or by filling in the email form on their website.

📍3-36-27 Kamimeguro, Meguro-ku
📞 TEL: 03-3716-6624
🌐 Website: megurocounseling.com
⏰ Hours: Mon – Sat & National Holidays: 7:30am to 12pm; Mon – Fri: 6:45pm to 11:15pm
Closed: Sun

Noma Mental Health Clinic

Located in Yokohama, Noma Mental Health Clinic provides comprehensive, face-to-face therapy for individuals, couples, families, and groups of all ages. Their services range from treating common mental health disorders to counseling for interpersonal relationships, personal growth, and emotional well-being. The clinic places a strong emphasis on children’s mental health, offering specialized support for developmental disorders, bullying, and school absences. To make an appointment or request changes to an existing appointment, patients should directly call the office.

📍601, Hara Bldg, 32 Yamashita-cho, Naka-ku, Yokohama
📞 TEL: 045-651-3711
🌐 Website: noma-mhc.com
⏰ Hours: Mon – Wed: 9:30am – 6pm ; Fri: 9am – 7pm; Sat: 9:30am – 5pm
Closed: Thur, Sun & National Holidays

The Bluff Medical and Dental Clinic

This Yokohama-based medical and dental clinic offers psychotherapy services with Dr. Robert Leonhardt once a week in English, German and Japanese. Through the use of a psychoanalytic therapeutic approach, he focuses on uncovering the basic conflicts that create the basis for neurotic disorders and offers therapeutic services for cases of anxiety, depression, couples counseling, and cultural adaptation problems. The clinic employs an anonymous booking system through which only patients’ phone numbers are exclusively shared with Dr Leonhardt via the online form. Afterward, the patient can expect to receive a return call directly from the doctor to confirm a counseling appointment.

📍82, Yamate-cho, Naka-ku, Yokohama, Kanagawa
📞 TEL: 045-641-6961
📧 Email: doctor@bluffclinic.com
🌐 Website: bluffclinic.com
⏰ Hours: Mon, Tue, Thur – Sat: 9am – 12:30pm, 1:30pm – 5pm ; Wed: 9am – 1pm (medical services only, no dental)
Closed: Wednesday afternoon, Sunday, and national holidays

English-Speaking Lifeline and Crisis Hotlines

If you are in crisis and would like to seek immediate support, please do not hesitate to contact the following services below:

📞TELL Japan: 0800-300-8355 (toll-free) or 03-5774-0992

Hours: Saturday 9am – Mon 11pm; Tue – Thur: 9am – 11pm; Friday 9am – 2am
Please kindly check the TELL hours as the hotline and chat service may be subject to change.

📞 Childline Japan: 0120-99-7777