Treatment Approach

Individual Counseling for Adults and Aging Adults


My treatment approach is usually soft but can be firm when it is necessary.  You will be consistently told what I find about your strengths (People of Color/POC and/or immigrants with rich cultural background, LGBTQ+ people expressing thoughtfulness to others, caregivers/healthcare or social service workers with their compassion and commitment to help vulnerable people, or aging adults/people with medical conditions who share empathy toward other's pain), which is my favorite part.  This does not mean your issues are ignored.  We will explore how to use your strengths to manage your issues.  Sometimes strengths are so-called double-edged swords such as being a great helper but creating a poor boundary.  We can discuss how to balance.  Exploring your life themes and values are also integral parts of my approach.   In addition, I will provide coping skills, questions to make you think from different angles, and my insight.  Decisions you have made are always considered to be the best for you at that time.  However, I challenge you to think what you can change about yourself, not others, to be who you want to be.  This enhances your sense of responsibility and freedom to choose your path.

Education can be part of counseling/therapy too.  Such as various minority status, intersectionality (dealing with multiple minority status), compassion fatigue, anticipatory grief, stages of grief, coming out process, and becoming an ally.  

Do I use a social justice lense?  You bet.

You and I will not only share struggles but also laughters - as a matter of fact making you laugh will be one of my goals!  When appropriate, of course.  I am not a formal person but consider myself polite.

The first few sessions are usually for intake, establishing treatment goals, information gathering, trust building, and education about your diagnosis.  In the meanwhile, you can assess if we are a good fit.  I will be honest with you if I do not think we are, typically due to lack of my expertise in your concerns (e.g. Dissociative Identity Disorder, Eating Disorder).  If this happens, I will try to find a referral for a better fit.

Here are my treatment modalities - Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Motivational Interviewing, Solution-Focused Therapy…I use multiple counseling techniques to customize your treatment.

I also utilize Family Systems Theory to analize your family dynamics, since many issues are stemming from family of origin.

I usually do not work with couples, families, people who are 17 and younger, those who are court-ordered, active Eating Disorders, Dissociative Identity Disorders, Intermittent Explosive Disorder/severe anger issues, solely Personality Disorders, and active Substance Abuse Disorders without on-going substance use treatment.


Ayako Aizawa, MS, LMHC, GMHS

2711 North 21st Street, Tacoma, Washington 98406, United States

(253) 242-2795



09:30 am – 03:00 pm


09:30 am – 03:00 pm


09:30 am – 03:00 pm


09:30 am – 03:00 pm