Makoto Ikegami (he/him)
Founder · DSW, LCSW
Trauma · substance use · systems navigation · identity & culture
Book with Makoto →Online therapy in ASL for Deaf, DeafBlind, Hard of Hearing, DeafDisabled, and Late-Deafened clients. No interpreters. No barriers. Just real care from therapists who share your language and lived experience.
A Deaf-led practice grounded in shared experience. No explaining your identity. No teaching your therapist about Deaf culture. Therapy that starts where you already are.
You shouldn't have to teach your therapist what it means to be Deaf, then also try to heal. We start from shared ground.
Direct conversation in ASL. No interpreter in the middle, no waiting for relay.
Lived experience built in — language deprivation, audism, dual-world fatigue, all of it.
Safe pacing, your consent, your boundaries. We move only as fast as you do.
Daytime, evening, weekend slots. Sessions fit your life — caregivers, parents, shift workers welcome.
Use the form below, videophone, or send a quick message. We respond in 1–2 business days.
Meet a therapist over secure video. Ask anything. Talk fit, access needs, fees. No commitment.
Weekly, biweekly, or whatever fits. You set the rhythm. We support the work.
10 Deaf clinicians. Different specialties, different identities, all licensed and lived-experience-grounded.
Founder · DSW, LCSW
Trauma · substance use · systems navigation · identity & culture
Book with Makoto →Therapist · MSW, LMSW, CSW
ADHD · anxiety · couples · language deprivation
Book with Amber →Therapist · MA
Trauma · DeafBlind · LGBTQ+ · women's experiences
Book with Durkhanai →Therapist · MSW, LMSW
PTSD · crisis · LGBTQ+ · somatic
Book with Samantha →Therapist · MSW, CSW
Women's MH · neurodiversity · ASL faith-based
Book with Sarah →Therapist · MA, MS, ACMHC
Substance use · crisis safety planning · family
Book with Thomas →Therapist · MSW
Court/legal involvement · advocacy · families
Book with Tamara →Therapist · MSW
Crisis recovery · ADHD/autism · DeafBlind · LGBTQ+
Book with Nicholas →Therapist photos shown are AI-generated placeholders for demo purposes only. Production site uses real team headshots from DMC.
All sessions in ASL. Accessible communication on request. Pick the format that fits — or ask, and we'll guide you.
One-to-one work on stress, trauma, grief, identity, life transitions. Your space, your pace.
Communication, connection, repair. Deaf-Deaf, Deaf-hearing, mixed-language couples all welcome.
Bridge generations and languages. Help hearing parents, Deaf kids, CODAs, siblings, partners meet each other better.
Therapist-led groups around shared experiences. You're not alone — and you don't have to start from scratch.
If you live in one of these states, you can start today. We're adding more — message us if your state isn't listed yet.
Licensure varies by state and plan. We'll check coverage before your first session.
Medicaid, Medicare, and major commercial insurance accepted. Coverage varies by state and plan — message us and we'll verify your benefits for free.
No. We work with hearing family members, partners, and allies too — through clear, accessible communication.
Yes. Most major plans, plus Medicaid and Medicare. Coverage varies by state. Send a message and we'll verify your benefits for free.
Yes. Tell us what works best for you — large text, screen reader, ProTactile interpretation, or another approach — and we'll set it up.
Yes. We're one of the few Deaf-led group practices in the U.S., and our therapists share lived Deaf experience.
If you're in immediate distress, call or text 988 (24/7), or use videophone/VRS to reach the 988 Suicide & Crisis Lifeline. DMC offers ongoing therapy, not emergency response.
Usually within 1–2 weeks of your first message, depending on therapist match and insurance verification.
Whether this is your first time in therapy or you're coming back after a break — we're here when you're ready.
Need support right now? Call or text 988, or use videophone (VP) or VRS for the 988 Suicide & Crisis Lifeline.