She specializes in working with children, adolescents, and families. She provides individual, couples, and family counseling and consultation in English and Japanese. Her therapeutic approach is based on scientific research and informed by cognitive behavioral therapy (CBT) and family systems principles. She pays close attention to a client’s history and family, social, and cultural influences when evaluating their difficulties and providing counseling. Dr. Maruyama believes in collaborating with the people she serves and values the unique strengths they bring to their lives, as these strengths could be useful in dealing with challenges. When appropriate, Dr. Maruyama works closely with the third parties, such as medical professionals and school officials, in coordinating evaluation and treatment. Dr. Maruyama’s practice serves a wide range of needs, including: