She has specialised in Mindfulness-integrated cognitive Behaviour Therapy (MiCBT) since she started her MiCBT training in 2010. Having experienced firsthand how MiCBT can change lives, she undertook further training with Dr Bruno Cayoun, the principal developer of MiCBT, and completed the Graduate Diploma of MiCBT in August 2013. For over two years, under the guidance of Dr Cayoun, Mikako undertook the formal Japanese translation of the original mindfulness practice audio instructions used in MiCBT and much of the written material. She has been teaching MiCBT to psychologists and other mental health professionals in Japan since 2014. Mikako is the co-founder of the Japanese MiCBT Study Group and aspires to expand MiCBT in Japan.