Makoto Ikegami (he/him)
Founder · DSW, LCSW
Trauma · substance use · systems navigation · identity & culture
Learn More →ASL-centered online therapy for Deaf, DeafBlind, Hard of Hearing, DeafDisabled, and Late-Deafened communities.
We serve clients in Georgia, Pennsylvania, Florida, New York, Maine, Maryland, Texas, and Utah.
As a Deaf-led practice, we center the lived experiences of our community. No explaining. No educating. No communication barriers.
Care that starts from shared ground. We bring lived Deaf experience, ASL fluency, and trauma-informed practice into every session.
Direct conversation in ASL. No interpreter in the middle.
Lived experience built in — no need to teach your therapist who you are.
Safe pacing. Your consent, your boundaries.
Daytime, evening, weekend slots — sessions fit your life.
Our therapists bring lived experience, cultural understanding, and specialized training to support Deaf, Hard of Hearing, DeafBlind, and multicultural communities.
Founder · DSW, LCSW
Trauma · substance use · systems navigation · identity & culture
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Therapist · MSW, LMSW, CSW
ADHD · anxiety · couples · language deprivation
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Therapist · MA
Trauma · DeafBlind · LGBTQ+ · women's experiences
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Therapist · MSW, LMSW
PTSD · crisis · LGBTQ+ · somatic
Learn More →All sessions are provided in ASL with accessible communication options available.
One-on-one support for stress, trauma, grief, and life challenges.
Improve communication and connection.
Support for healthier family communication and connection.
Therapist-led group support for shared experiences and connection.
If you live in one of these states, you can start today. Licensure varies by state and plan.
We'll verify your coverage before your first session.
We accept many major insurance plans, including Medicaid, Medicare, and commercial insurance plans.
Coverage varies by state and plan. Contact us to verify your benefits — free.
No. We work with hearing family members, partners, and allies using clear and accessible communication.
Yes. We accept many insurance plans. Contact us to confirm your coverage.
Yes. Contact us to talk about your accessibility needs so we can find the best approach for you.
Yes — we are one of the few Deaf-led group practices in the U.S., and we take that responsibility seriously.
Usually within 1–2 weeks of your first message, depending on therapist match and insurance verification.
Reach out by form, email, or videophone. We respond within 1–2 business days.
Connect over secure video. Discuss fit, communication needs, and goals — no pressure.
Weekly, biweekly, or whatever fits your life. You set the rhythm. We support the work.