TOSHINARI-MIAO, Marie

I am a Licensed Clinical Social Worker, trauma therapist, and somatic therapist specializing in the space where the body holds what words can't always reach.

I work with women who are exhausted in ways that don't show up on lab results — women who have done everything "right" and still find themselves lying awake at 2am, bracing, scanning, waiting for something to go wrong. Whether they're navigating life in a new country, adjusting to an environment that doesn't quite feel like home yet, or simply living inside a body that has been carrying too much for too long, they come to me when they've realized that thinking their way through it isn't working anymore.

My work is rooted in an integrative mind-body approach that honors your innate wisdom, the intelligence already living inside you, waiting to be listened to. I offer virtual services to English-speaking women in Japan and beyond, and I bring not only clinical training but lived experience to every session.

You don't have to push through anymore.

My clients are high-achieving, highly-sensitive, soul-seeking women who look completely fine on the outside, and feel like they're quietly unraveling on the inside. They're the ones who can't stop bracing. Who lie awake running through the list. Who notice they're snapping at the people they love, or zoning out mid-conversation, or holding their breath without realizing it. Their shoulders live near their ears. Their nervous systems haven't had a moment of real rest in longer than they can remember. Some are expats or English speakers navigating life in Japan feeling the particular disorientation of being somewhere that doesn't yet hold them, where the language, the customs, the rhythms of daily life are all just slightly out of reach. That kind of invisible effort is exhausting in ways most people don't name. Some are navigating invisible illness or disability — carrying a reality that others can't see and rarely ask about. Some are beginning to sense that what they inherited from their families goes deeper than personality, that some of the tension, the hypervigilance, the people-pleasing, was passed down long before they had words for it. They're not looking for someone to fix them. They're looking for someone who gets it, and who can help them feel like themselves again.