Whether you're on a crowded train, alone at home, or sitting in a meeting, the sudden rush of fear and sense of losing control is terrifying.

Living in Japan can magnify panic, with cultural barriers, crowded spaces, and being away from your familiar support network.

You don't have to go through this alone.

I specialize in working with English-speaking expats in Japan who are struggling with panic episodes.

• Sudden racing heart or chest tightness
• Feeling like you can't breathe or might faint
• A sense of impending doom or fear of "going crazy"
• Persistent worry about the next panic episode happening
• Avoiding places or situations "just in case"

Panic episodes are scary, but they're treatable. You don't have to keep living in fear of when the next one might happen.

In therapy, we'll work collaboratively to:

• Understand your unique panic cycle and what keeps it going
• Experiment with new, more supportive ways to respond
• Gently face avoided situations, at a pace that feels manageable
• Build confidence in your ability to navigate future panic episodes
• Focus on reducing the "fear of the fear" — panic's fuel

I use a blend of evidence-based approaches, particularly Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP) — often considered the gold-standard treatments for panic.

Even more important than the method, is the pacing and our collaboration together. You're not alone in this.