Anxiety Therapy in Okinawa

Compassionate | Confidential | California Licensed

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Anxiety Self-help

Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP) are often the first line treatments for anxiety. Both teach crucial skills that you can begin to learn and implement on your own.
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TRICARE Approved Provider

Brian is an approved TRICARE Overseas Provider. Depending on the type of coverage you have, he can either bill TRICARE directly, on your behalf, or provide you with the necessary documents to be reimbursed later.
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Brian O'Sullivan, LMFT

Brian is a California Licensed Marriage & Family Therapist specializing in anxiety and OCD. Brian first came to Okinawa in 2010 and opened his practice in 2021. He works with adults throughout Japan.

More About Brian

Thoughts on Anxiety

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
Jul. 30, 2024

Eliminating Thoughts

When we have unhelpful, annoying, and intrusive thoughts, it’s natural to respond adversarially and attempt to eliminate them. However, this usually isn’t effective. Imagine walking in the park and seeing a bully ahead walking toward you. You might want to run away, but this could get his attention and provoke him. You might consider arguing and trying to get him

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    By submitting this form, you are consenting to receive marketing emails from: . You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact
    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
    Jul. 30, 2024

    Eliminating Thoughts

    When we have unhelpful, annoying, and intrusive thoughts, it’s natural to respond adversarially and attempt to eliminate them. However, this usually isn’t effective. Imagine walking in the park and seeing a bully ahead walking toward you. You might want to run away, but this could get his attention and provoke him. You might consider arguing and trying to get him