About Me

About Me

Meet your Japanese Counselor / Therapist in Seattle & Kitsap

Keiko Sano, MA, LHMC, NCC

verified by Psychology TodayClinical Mental Health Counselor (WA)
National Certified Counselor 

Industrial Counselor (Japan)

American Counseling Association

Association for Counselor Education and Supervision

Welcome. I was born and raised in Kobe, Japan. I obtained a BA in Psychology in Japan, and a MA in Clinical Mental Health Counseling at Antioch University Seattle, which is a CACREP accredited program. Currently, I am pursuing a Ph.D. in Counselor Education and Supervision at Antioch University Seattle.

Previously, I worked in Osaka, Tokyo, Australia, Hong Kong, and United States in assisting clients with diverse background in their life transitions, such as moving to a new environment, solving communication conflicts (bilinguals, interracial couples/families),  grieving loved ones, healing from childhood traumas, preparing for marriage/divorce, and unifying/reunifying families.

I work to understand the present which allows us to view the past and plan for the future. I will assist you to increase insights and perspectives to find meanings, solutions, and answers to move forward. I will respect your values and culture fully, and I will work to develop a trusting relationship with you by offering gentle approach, transparency, and honesty.

⇒Please contact me for questions 


My approaches are very culturally sensitive, which are influenced by existential philosophy and mindfulness. These are major theories and approaches I use with you based on your unique needs and the outcome you desire. Informed Consent is very important, so please ask me if you have questions about my approach, theoretical orientation, or techniques I use with you.

  • Culturally Sensitive Approach
  • Client-Centered
  • Existential Theory
  • Strength-Focused
  • Narrative Therapy
  • Attachment Theory
  • Family System
  • Cognitive Behavioral Therapy (CBT)
  • MBTI and other assessments

“The most common form of despair is not being who you are.”(Soren Kierkegaard)