児童思春期精神科・精神科・心療内科
児童思春期精神科・精神科・心療内科
ENGLISH
ENGLISH
Appointment Update
If you would like to make an initial appointment with the psychiatrist and/or Psychological Assessment by a psychologist, please fill out the " Psychiatrist Initial Consultation Appointment Form and Psychological Assessment Request Form".
Initial Consultation by a child psychiatrist is available April.
Counseling and psychological assessment by a psychologist→1st STEP Counseling Center
- At 1st Step Kokoro no Clinic, we provide mental health services for both Japanese and international families living in Japan. Our English-speaking psychiatrist and clinical psychologists offer bilingual support to ensure that clients feel comfortable and understood.
- We offer a range of services based on each individual’s needs, including psychiatric consultation, medication management, counseling, psychological assessment, early intervention, and parent support. We work as a multidisciplinary team and collaborate with schools and community professionals when needed, so that each client receives comprehensive and coordinated care.
- Our child psychiatrists provide medical and psychiatric care for children and adolescents. We support young people experiencing concerns such as:
- Depression and other Mood Disorders;
- Autism Spectrum Disorder (ASD);
- Attention Deficit Hyperactive Disorder (ADHD);
- Anxiety Disorders, Obsessive Compulsive Disorders (OCD);
- Psychosis, and Addiction Disorders
Treatment may include medication, psychoeducation, and family support. For children or adolescents who require more intensive care, Dr. Suzuki is also able to arrange hospitalization at Hodogaya Hospital, where he practices as a child psychiatrist.
- Psychiatric consultations are available:
| Wednesday | 9:30–17:00 (Dr. Suzuki) |
| Thursday | 9:30–17:00 (Dr. Suzuki) |
| Friday | 14:30–17:00 (Dr. Sugawara) |
Initial consultations are scheduled from 14:30 on all clinic days.
- At 1st Step Kokoro no Clinic, we provide mental health services for both Japanese and international families living in Japan. Our English-speaking psychiatrist and clinical psychologists offer bilingual support to ensure that clients feel comfortable and understood.
- We offer a range of services based on each individual’s needs, including psychiatric consultation, medication management, counseling, psychological assessment, early intervention, and parent support. We work as a multidisciplinary team and collaborate with schools and community professionals when needed, so that each client receives comprehensive and coordinated care.
- Our child psychiatrists provide medical and psychiatric care for children and adolescents. We support young people experiencing concerns such as:
- Depression and other Mood Disorders;
- Autism Spectrum Disorder (ASD);
- Attention Deficit Hyperactive Disorder (ADHD);
- Anxiety Disorders, Obsessive Compulsive Disorders (OCD);
- Psychosis, and Addiction Disorders
Treatment may include medication, psychoeducation, and family support. For children or adolescents who require more intensive care, Dr. Suzuki is also able to arrange hospitalization at Hodogaya Hospital, where he practices as a child psychiatrist.
- Psychiatric consultations are available:
| Wednesday | 9:30–17:00 (Dr. Suzuki) |
| Thursday | 9:30–17:00 (Dr. Suzuki) |
| Friday | 14:30–17:00 (Dr. Sugawara) |
Initial consultations are scheduled from 14:30 on all clinic days.
Who We Serve & Appointments: We offer a range of services tailored to each individual’s needs, including psychiatric consultation, medication management, counseling, psychological assessments, early intervention, and parent support.
We work as a multidisciplinary team and, when appropriate, collaborate with schools and other community professionals to ensure that each client receives comprehensive and coordinated care.
Appointment
●New Patients
Please fill out the "Book an Appointment" form. You will receive an email from us with further instructions to complete your registration.
●Returning Patients
Please book via the "melmo" app. We recommend using the app or web portal as it allows you to easily reschedule or cancel your appointments.
Check-in
Please arrive approximately 30 minutes before your scheduled appointment time to complete the necessary paperwork and medical registration.
Please present the following at the reception:
・Health Insurance Card (and any medical subsidy certificates
・Referral Letter (if you are transferring from another clinic)
・Medication Notebook (Okusuri Techo)
・Past Psychological Test Results (if applicable)
Consultation
Our doctors will conduct a thorough examination.
First Visit: Approx. 60 minutes (including an introduction to our psychological services).
Follow-up Visits: Approx. 10–15 minutes.
Psychological Services (At the time of first visit only)
Our psychologist will provide information regarding our counseling and therapy services.
If this is not possible on the day of your visit, we will follow up via email.
Payment
We accept cash only for initial consultations. Credit cards are accepted from the second visit onwards via the melmo app.
Prescriptions
If medication is prescribed, you will receive a paper prescription at reception.
Please note: We use external pharmacies. Kindly take your prescription to a local pharmacy within four days of the issue date.
Who We Serve & Appointments: We offer a range of services tailored to each individual’s needs, including psychiatric consultation, medication management, counseling, psychological assessments, early intervention, and parent support.
We work as a multidisciplinary team and, when appropriate, collaborate with schools and other community professionals to ensure that each client receives comprehensive and coordinated care.
Appointment
●New Patients
Please fill out the "Book an Appointment" form. You will receive an email from us with further instructions to complete your registration.
●Returning Patients
Please book via the "melmo" app. We recommend using the app or web portal as it allows you to easily reschedule or cancel your appointments.
Check-in
Please arrive approximately 30 minutes before your scheduled appointment time to complete the necessary paperwork and medical registration.
Please present the following at the reception:
・Health Insurance Card (and any medical subsidy certificates
・Referral Letter (if you are transferring from another clinic)
・Medication Notebook (Okusuri Techo)
・Past Psychological Test Results (if applicable)
Consultation
Our doctors will conduct a thorough examination.
First Visit: Approx. 60 minutes (including an introduction to our psychological services).
Follow-up Visits: Approx. 10–15 minutes.
Psychological Services (At the time of first visit only)
Our psychologist will provide information regarding our counseling and therapy services.
If this is not possible on the day of your visit, we will follow up via email. Our psychologist will provide information regarding our counseling and therapy services.
If this is not possible on the day of your visit, we will follow up via email.
Payment
We accept cash only for initial consultations. Credit cards are accepted from the second visit onwards via the melmo app.
Prescriptions
If medication is prescribed, you will receive a paper prescription at reception.
Please note: We use external pharmacies. Kindly take your prescription to a local pharmacy within four days of the issue date.
Important Information for Your First Visit
◆Initial Appointment Fee
To secure sufficient time (approx. 45–60 min.) for your first visit, we ask for a first-time appointment fee.
| Intial Reservation Fee (Age 15 and under) | ¥24,000(tax included) |
| Intial Reservation Fee(Age 16 and over) | ¥30,000(tax included) |
| Family Consultation Fee | ¥45,500(tax included)／60 min |
◆Initial Appointment Fee
To secure sufficient time (approx. 45–60 min.) for your first visit, we ask for a first-time appointment fee.
| Intial Reservation Fee (Age 15 and under) | ¥24,000 (tax included) |
| Intial Reservation Fee (Age 16 and over) | ¥30,000 (tax included) |
| Family Consultation Fee | ¥45,500 (tax included)／60 min |
◆Change of Attendee
If the registered patient is unable to attend, the appointment will be handled as a Family Consultation. Please note that Family Consultations are not covered by Japanese insurance (individual out of pocket payment only). The fee difference will be charged on the day of the initial appointment.
◆Cancellation Policy
Cancellations: We do not accept cancellations for initial appointments.
Refunds: The first-visit booking fee is non-refundable once the reservation is confirmed.
◆Change of Attendee
If the registered patient is unable to attend, the appointment will be handled as a Family Consultation. Please note that Family Consultations are not covered by Japanese insurance (individual out of pocket payment only). The fee difference will be charged on the day of the initial appointment.
◆Cancellation Policy
Cancellations: We do not accept cancellations for initial appointments.
Refunds: The first-visit booking fee is non-refundable once the reservation is confirmed.
◆Rescheduling Your Appointment
One-time Change: You may reschedule your first visit only once, provided you notify us at least one week prior (by 12:00 PM).
Example: For an April 8th appointment, you must reschedule by 12:00 PM on April 1st.
Late Changes: If you exceed the one-week deadline or attempt to reschedule more than once, the booking fee will be forfeited as a cancellation fee.
◆Rescheduling Your Appointment
One-time Change: You may reschedule your first visit only once, provided you notify us at least one week prior (by 12:00 PM).
Example: For an April 8th appointment, you must reschedule by 12:00 PM on April 1st.
Late Changes: If you exceed the one-week deadline or attempt to reschedule more than once, the booking fee will be forfeited as a cancellation fee.
Important Information for Follow-up Visits
◆Fees & Scheduling
Booking Fee: A standard follow-up appointment will be 10~15 minutes. A booking fee starting from ¥5,500 (tax included) will apply.
Please feel free to approach the staff for further information.
Support Limitations: While we are dedicated to supporting every patient, please understand that we may decline further consultation at the discretion of the clinical director if we determine that our clinic's resources are unable to meet your specific needs.
As we operate with a small team, we appreciate your cooperation and understanding.
◆Cancellation Policy
To ensure all patients can receive timely care, please manage your cancellations as follows:
Appointments made via Website/App: Please process the cancellation yourself through the platform. Failure to cancel the appointment will incur a cancellation fee.
【Our Commitment to All Patients】
・We kindly ask for cancellations to be made by 4:00 PM, two days prior to your visit.
・Please be aware that two consecutive same-day cancellations will result in future appointments being accepted only on a private-pay (non-insurance) basis.
◆Additional Information
・We are committed to providing the best possible support to our patients. However, we may decline consultation if we determine that we are unable to provide appropriate care at our clinic. Thank you for your understanding.
・If your Medical Care Certificate for Services and Supports for Persons with Disabilities (Jiritsu Shien) has expired, you will be responsible for 30% of the medical expenses. We kindly ask that you complete any reimbursement procedures yourself.
As our clinic is operated by a small team, we sincerely appreciate your understanding and cooperation.
◆Fees & Scheduling
Booking Fee: A standard follow-up appointment will be 10~15 minutes. A booking fee starting from ¥5,500 (tax included) will apply. Please feel free to approach the staff for further information.
Support Limitations: While we are dedicated to supporting every patient, please understand that we may decline further consultation at the discretion of the clinical director if we determine that our clinic's resources are unable to meet your specific needs.
As we operate with a small team, we appreciate your cooperation and understanding.
◆Cancellation Policy
To ensure all patients can receive timely care, please manage your cancellations as follows:
Appointments made via Website/App: Please process the cancellation yourself through the platform. Failure to cancel the appointment will incur a cancellation fee.
【Our Commitment to All Patients】
・We kindly ask for cancellations to be made by 4:00 PM, two days prior to your visit.
・Please be aware that two consecutive same-day cancellations will result in future appointments being accepted only on a private-pay (non-insurance) basis.
◆Additional Information
・We are committed to providing the best possible support to our patients. However, we may decline consultation if we determine that we are unable to provide appropriate care at our clinic. Thank you for your understanding.
・If your Medical Care Certificate for Services and Supports for Persons with Disabilities (Jiritsu Shien) has expired, you will be responsible for 30% of the medical expenses. We kindly ask that you complete any reimbursement procedures yourself.
As our clinic is operated by a small team, we sincerely appreciate your understanding and cooperation.
Psychological testing, counseling, and developmental consultations are provided at the 1st STEP Counseling Center, located within 1st STEP Child Clinic and 1st STEP Kokoro no Clinic.
Our team consists of licensed and highly trained psychologists with extensive clinical experience. Through close collaboration between psychologists and psychiatrists, we provide a multidisciplinary approach to care. All treatment recommendations are carefully reviewed and grounded in current scientific evidence to ensure high-quality, individualized support.
Psychological testing, counseling, and developmental consultations are provided at the 1st STEP Counseling Center, located within 1st STEP Child Clinic and 1st STEP Kokoro no Clinic.
Our team consists of licensed and highly trained psychologists with extensive clinical experience. Through close collaboration between psychologists and psychiatrists, we provide a multidisciplinary approach to care. All treatment recommendations are carefully reviewed and grounded in current scientific evidence to ensure high-quality, individualized support.
Getting Started
-All new clients begin with a diagnostic evaluation with a physician at 1st STEP Clinic (covered by Japanese National Health Insurance). Please schedule your appointment through the “Book an Appointment” page.
-During this initial visit, we encourage you to discuss your specific concerns and goals with the psychiatrist.
-Following the consultation, we will match you with the psychologist best suited to your needs. You will then work directly with your assigned psychologist to coordinate your assessment or counseling schedule.
-Procedures may vary depending on individual clinical needs.
-Please note that counseling services are private-pay and are not covered by Japanese National Health Insurance.
Getting Started
-All new clients begin with a diagnostic evaluation with a physician at 1st STEP Clinic (covered by Japanese National Health Insurance). Please schedule your appointment through the “Book an Appointment” page.
-During this initial visit, we encourage you to discuss your specific concerns and goals with the psychiatrist.
-Following the consultation, we will match you with the psychologist best suited to your needs. You will then work directly with your assigned psychologist to coordinate your assessment or counseling schedule.
-Procedures may vary depending on individual clinical needs.
-Please note that counseling services are private-pay and are not covered by Japanese National Health Insurance.
The intake consultation is a 50-minute session designed to establish a strong foundation for your child’s care.
During this initial meeting, the assigned psychologist will conduct a comprehensive review of your child’s developmental history, current concerns, and your family’s goals. This process allows us to recommend the most appropriate assessment pathway and develop a tailored plan moving forward.
Important Note for Parents
To ensure that school-based observations remain as natural and objective as possible, we kindly request that the intake consultation be attended by parents or guardians only. This allows the observation to be conducted without prior introduction to the psychologist and provides space for an open and thorough discussion of clinical history and planning.
The intake consultation is a 50-minute session designed to establish a strong foundation for your child’s care.
During this initial meeting, the assigned psychologist will conduct a comprehensive review of your child’s developmental history, current concerns, and your family’s goals. This process allows us to recommend the most appropriate assessment pathway and develop a tailored plan moving forward.
Important Note for Parents
To ensure that school-based observations remain as natural and objective as possible, we kindly request that the intake consultation be attended by parents or guardians only. This allows the observation to be conducted without prior introduction to the psychologist and provides space for an open and thorough discussion of clinical history and planning.
A psychological assessment is more than a series of tests—it is a structured process designed to better understand your child’s unique profile. It helps answer important questions many parents ask:
How does my child perceive the world? In what kinds of settings do they thrive most? What situations may contribute to challenges?
At 1st STEP Counseling Center, we move beyond surface-level impressions. Using a multidimensional approach, we develop a comprehensive understanding of your child’s cognitive abilities, learning patterns, social functioning, and everyday adaptive skills.
We Explore Key Areas Including:
Cognitive Profile
How your child processes information, manages attention, and approaches problem-solving.
Academic Skills
Identification of specific strengths and challenges in reading, writing, mathematics, and other areas of learning.
Behavioral & Social Dynamics
Understanding emotional regulation, behavioral patterns, and interpersonal functioning.
Real-World Context
Gathering objective insights from both school and home environments.
What we discover together:
By integrating these perspectives, we provide clarity on:
✔ The “Why”
Understanding the underlying factors contributing to specific challenges.
✔ The “How”
Identifying evidence-based strategies and supports that are most effective.
✔ The “Strengths”
Highlighting the unique abilities that can be leveraged to promote growth and success.
Our Philosophy:
We view psychological assessment as a powerful tool—a compass that helps families navigate challenges with clarity and confidence, and find the right fit for support at both school and home.
A psychological assessment is more than a series of tests—it is a structured process designed to better understand your child’s unique profile. It helps answer important questions many parents ask:
How does my child perceive the world? In what kinds of settings do they thrive most? What situations may contribute to challenges?
At 1st STEP Counseling Center, we move beyond surface-level impressions. Using a multidimensional approach, we develop a comprehensive understanding of your child’s cognitive abilities, learning patterns, social functioning, and everyday adaptive skills.
We Explore Key Areas Including: Cognitive Profile
How your child processes information, manages attention, and approaches problem-solving. Academic Skills
Identification of specific strengths and challenges in reading, writing, mathematics, and other areas of learning. Behavioral & Social Dynamics
Understanding emotional regulation, behavioral patterns, and interpersonal functioning. Real-World Context
Gathering objective insights from both school and home environments.
What we discover together:
By integrating these perspectives, we provide clarity on:
✔ The “Why”
Understanding the underlying factors contributing to specific challenges.
✔ The “How”
Identifying evidence-based strategies and supports that are most effective.
✔ The “Strengths”
Highlighting the unique abilities that can be leveraged to promote growth and success.
Our Philosophy:
We view psychological assessment as a powerful tool—a compass that helps families navigate challenges with clarity and confidence, and find the right fit for support at both school and home.
Four Types of Assessment
We offer four specialized assessment pathways to help you better understand your child’s unique profile.
Your psychologist will guide you in selecting the most appropriate test battery based on your child’s needs.
Four Types of Assessment
We offer four specialized assessment pathways to help you better understand your child’s unique profile. Your psychologist will guide you in selecting the most appropriate test battery based on your child’s needs.
1Cognitive & Functional Profile
Recommended for: Families seeking a clear understanding of their child’s cognitive strengths and learning style.
This foundational assessment provides a baseline of your child’s intellectual abilities, processing speed, and overall cognitive profile. It offers valuable insight into how your child thinks, learns, and approaches problem-solving.
2Academic & Learning Support
Recommended for: Families navigating specific academic challenges or school-related difficulties.
If your child is experiencing challenges in reading, writing, or mathematics, this pathway provides an in-depth evaluation of their academic skills. We identify specific learning differences and offer guidance to help bridge the gap between potential and classroom performance.
3Comprehensive Diagnostic Support
Recommended for: Families seeking clarity regarding possible neurodevelopmental conditions, such as Autism Spectrum Disorder (ASD) or Attention-Deficit/Hyperactivity Disorder (ADHD).
This specialized evaluation integrates clinical interviews, standardized assessments, and behavioral observations to provide diagnostic clarity. Our goal is to develop an accurate understanding and a clear roadmap for appropriate support.
4Risk & Early Intervention Screening
Recommended for: Families who have noticed early behavioral or developmental concerns.
If you have observed signs that raise questions or concerns, this pathway focuses on identifying potential risk factors and developmental vulnerabilities. Early identification allows for timely and proactive intervention, ensuring your child receives the right support at the right time.
Cognitive & Functional Profile
Recommended for: Families seeking a clear understanding of their child’s cognitive strengths and learning style.
This foundational assessment provides a baseline of your child’s intellectual abilities, processing speed, and overall cognitive profile.
It offers valuable insight into how your child thinks, learns, and approaches problem-solving.Academic & Learning Support
Recommended for: Families navigating specific academic challenges or school-related difficulties.
If your child is experiencing challenges in reading, writing, or mathematics, this pathway provides an in-depth evaluation of their academic skills.
We identify specific learning differences and offer guidance to help bridge the gap between potential and classroom performance.
Comprehensive Diagnostic Support
Recommended for: Families seeking clarity regarding possible neurodevelopmental conditions, such as Autism Spectrum Disorder (ASD) or Attention-Deficit/Hyperactivity Disorder (ADHD).
This specialized evaluation integrates clinical interviews, standardized assessments, and behavioral observations to provide diagnostic clarity.
Our goal is to develop an accurate understanding and a clear roadmap for appropriate support.
Risk & Early Intervention Screening
Recommended for: Families who have noticed early behavioral or developmental concerns.
If you have observed signs that raise questions or concerns, this pathway focuses on identifying potential risk factors and developmental vulnerabilities. Early identification allows for timely and proactive intervention, ensuring your child receives the right support at the right time.
We offer four specialized support programs, developed by 1st STEP Counseling Center based on extensive clinical experience in child and adolescent psychiatry.
While these programs address some of the most commonly consulted concerns, each one is tailored to meet the unique needs of the individual. If your situation does not fall within one of these four programs, we will recommend the most appropriate services for you.
Individual counseling and parenting consultations are also available.
We offer four specialized support programs, developed by 1st STEP Counseling Center based on extensive clinical experience in child and adolescent psychiatry.
While these programs address some of the most commonly consulted concerns, each one is tailored to meet the unique needs of the individual. If your situation does not fall within one of these four programs, we will recommend the most appropriate services for you.
Individual counseling and parenting consultations are also available.
◆Counselling
Our psychologists provide evidence-based support to help individuals better understand their concerns, build coping strategies, and move toward meaningful change.
Format: Sessions are available both in person and online. Please consult with your assigned psychologist to determine the most suitable format for your needs.
Session Types: We offer individual sessions, joint sessions with relevant family members, and family counseling.
◆Parenting Consultation
We provide consultation services for parents seeking guidance on child-rearing, behavioral concerns, and academic challenges.
◆Other Services
Additional services include individual or group-based developmental support, Social Skills Training (SST), and parent support groups.
◆School Consultation
Professional consultation services are available for schools, teachers, and educational staff as needed.
◆Counselling
Our psychologists provide evidence-based support to help individuals better understand their concerns, build coping strategies, and move toward meaningful change.
Format: Sessions are available both in person and online. Please consult with your assigned psychologist to determine the most suitable format for your needs.
Session Types: We offer individual sessions, joint sessions with relevant family members, and family counseling.
◆Parenting Consultation
We provide consultation services for parents seeking guidance on child-rearing, behavioral concerns, and academic challenges.
◆Other Services
Additional services include individual or group-based developmental support, Social Skills Training (SST), and parent support groups.
◆School Consultation
Professional consultation services are available for schools, teachers, and educational staff as needed.
| Service | Fee |
|---|---|
| English Counseling | ¥17,500 (tax included) / hour |
| Psychological Testing | ¥12,650 (tax included) / hour |
Note ：Calculated based on actual duration
| Service | Fee |
| English Counseling | 17,500 JPY (tax included) / hour |
| Psychological Testing | 12,650 JPY (tax included) / hour |
Note ：Calculated based on actual duration
Insurance & Reimbursement
Japanese National Health Insurance Please note that assessment services are currently not covered by Japanese National Health Insurance.
International & Private Insurance We provide official documentation in English or Japanese for all fees paid. You may use these documents to claim reimbursements from your private insurance company or employer’s scheme.
Coverage Verification As benefits for mental health services and testing vary by plan, we recommend checking with your insurance provider in advance regarding your specific coverage.
Payment Policy
Payments are due at the time of service. Patients are responsible for submitting their own claims to their insurance providers for reimbursement.
Download information sheet
Please refer to 'Information Sheet' for more details on Psychological Services, Psychological Assessment and Counseling and Consultation services in English, or click below to download the PDF.
Insurance & Reimbursement
Japanese National Health Insurance Please note that assessment services are currently not covered by Japanese National Health Insurance.
International & Private Insurance We provide official documentation in English or Japanese for all fees paid. You may use these documents to claim reimbursements from your private insurance company or employer’s scheme.
Coverage Verification As benefits for mental health services and testing vary by plan, we recommend checking with your insurance provider in advance regarding your specific coverage.
Payment Policy
Payments are due at the time of service. Patients are responsible for submitting their own claims to their insurance providers for reimbursement.
Download information sheet
Please refer to 'Information Sheet' for more details on Psychological Services, Psychological Assessment and Counseling and Consultation services in English, or click below to download the PDF.
- ホーム
- ENGLISH
児童思春期精神科・精神科・心療内科
1st STEP こころのクリニック
〒150-0001
東京都渋谷区神宮前3丁目42-11ローザビアンカ205号室
Room 205, Rosa Bianca 3-42-11, Jingumae, Shibuya-ku, Tokyo, 150-0001
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