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"

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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.

More About Brian

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

Jul. 08, 2025

Stepping Back from Thoughts

Some anxious thoughts respond well to being gently challenged. For example, you might have the thought: “I’ll get nervous, people will see, and they’ll think something’s wrong with me.” After examining the thought, you respond: “Actually, most people understand nervousness. They’re more likely to have empathy, not judgments.” You feel like it’s mostly settled, and you’re able to move forward.

Jul. 01, 2025

Currents

In a riptide, it’s instinctive to fight the current and head straight for shore. But that only leads to exhaustion and being pulled further out. A practiced swimmer takes a different path. They pause and breathe, calming the urge to fight the current. They move with it, trusting they’ll reach a place where they can turn safely toward shore. It’s

Jun. 24, 2025

Doubt’s Never Ending Meeting

Imagine being asked to lead a meeting that can’t end until all 50 attendees fully agree with your idea. Every single person needs to be 100% on board and excited. If you’re lucky, 40 agree. But a few want more data. Some say, “Yeah, but..” Others say, “What if..?” The meeting drags on. More ideas. Less consensus. No action. Most

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Jul. 08, 2025

Stepping Back from Thoughts

Some anxious thoughts respond well to being gently challenged. For example, you might have the thought: “I’ll get nervous, people will see, and they’ll think something’s wrong with me.” After examining the thought, you respond: “Actually, most people understand nervousness. They’re more likely to have empathy, not judgments.” You feel like it’s mostly settled, and you’re able to move forward.

Jul. 01, 2025

Currents

In a riptide, it’s instinctive to fight the current and head straight for shore. But that only leads to exhaustion and being pulled further out. A practiced swimmer takes a different path. They pause and breathe, calming the urge to fight the current. They move with it, trusting they’ll reach a place where they can turn safely toward shore. It’s

Jun. 24, 2025

Doubt’s Never Ending Meeting

Imagine being asked to lead a meeting that can’t end until all 50 attendees fully agree with your idea. Every single person needs to be 100% on board and excited. If you’re lucky, 40 agree. But a few want more data. Some say, “Yeah, but..” Others say, “What if..?” The meeting drags on. More ideas. Less consensus. No action. Most

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