Online Anxiety Therapy for Expats in Japan

Compassionate English-Speaking Support for Anxiety & OCD

Clients say things like...

"I've learned what to do with anxiety and I feel more like myself again."

"Once I learned how the brain works, it gave me the courage to put myself out there socially."

"The questions Brian asked me gave me new insights and helped me to see intrusive thoughts from a new perspective."

"The mix of practical skills and compassionate understanding helped me relate to panic in a way I didn't think was possible"

For privacy, these are examples, not direct quotes, of feedback I receive; I do not solicit testimonials.

Anxiety Therapy

Evidence-based therapies like CBT & ERP can assist in reducing the negative impacts of anxiety and get back to the life you value the most.

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Anxiety Self-help

Explore free, practical tools to navigate anxiety and enhance your well-being with well-established therapeutic approaches.

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Brian O'Sullivan, LMFT

Brian is based in Japan and specializes in anxiety, panic, OCD, chronic worry, & more. Online sessions at convenient times available.

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Serving Clients From All Walks of Life in Japan

JET Program & English Teachers

Active Duty Military & Family Members

Third Culture Adults

DoD Civilians & Contractors

Digital Nomads & Expat Entrepreneurs

Corporate Expats

Thoughts on Anxiety

Jun. 03, 2025

Facing the Storm

The more we resist anxiety, the more it tends to persist. When we try to avoid it, it finds new ways to return. Although very scary, turning towards the storm is often the best way through it. And often the only route to clearer skies.

May. 27, 2025

Acceptance is Not Complacency

There’s a lot of uncertainty in the world right now. It feels like this time is different. In some ways, it is, but that feeling? That’s not so new. Anxiety’s alarm bells can freeze us and make us doubt we’re equipped to handle this time. It pulls our energy toward what we can’t control. To do anything else feels dangerous,

Aug. 20, 2024

I am Thinking…

When we are caught in circular worry, it’s usually a sign that we are over-identifying with the thoughts. One way to create more separation between ourselves and automatic thoughts is by rephrasing the self-talk to “I am thinking. . .” “Bad weather is going to force us to cancel our vacation.” —> “I’m thinking bad weather will force us to

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Jun. 03, 2025

Facing the Storm

The more we resist anxiety, the more it tends to persist. When we try to avoid it, it finds new ways to return. Although very scary, turning towards the storm is often the best way through it. And often the only route to clearer skies.

May. 27, 2025

Acceptance is Not Complacency

There’s a lot of uncertainty in the world right now. It feels like this time is different. In some ways, it is, but that feeling? That’s not so new. Anxiety’s alarm bells can freeze us and make us doubt we’re equipped to handle this time. It pulls our energy toward what we can’t control. To do anything else feels dangerous,

Aug. 20, 2024

I am Thinking…

When we are caught in circular worry, it’s usually a sign that we are over-identifying with the thoughts. One way to create more separation between ourselves and automatic thoughts is by rephrasing the self-talk to “I am thinking. . .” “Bad weather is going to force us to cancel our vacation.” —> “I’m thinking bad weather will force us to