Photo of Karasu Joshua Tokioka, Counselor, MA, LAC
Karasu Joshua Tokioka
Counselor, MA, LAC
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Karasu Joshua Tokioka

Counselor, MA, LAC (he, him)

Verified by Psychology Today Verified by Psychology Today
2 Endorsed
Call Me
Let's Connect (928) 877-2237
Photo of Karasu Joshua Tokioka, Counselor, MA, LAC
Available both in-person and online
16 East Route 66 Flagstaff, AZ 86001
You’re dealing with patterns that don’t fully make sense—but keep repeating. Maybe it shows up as anxiety, relationship struggles, emotional overwhelm, or feeling disconnected from yourself. You might understand something needs to change, but not why it keeps happening or how to actually stop it. Trauma doesn’t just stay in the past—it affects how you think, react, and relate day to day. I help you work at multiple levels: understanding where these patterns come from, and learning what to do differently in your daily life.
Using schema therapy and an integrative approach, we identify repeating patterns, connect to your emotional experience, and build practical tools you can use in real time so changes carry into your daily life beyond sessions and remain consistent over time for you.
We focus on core needs often disrupted by trauma: safety, belonging, autonomy, self esteem, self expression, and healthy boundaries. You learn to recognize and balance these in ways that support your life and relationships instead of repeating old patterns. Reach out for a consultation to see if this work fits what you need.
Call or Karasu Joshua Tokioka now for a free 15 minute consultation - (928) 877-2237

My Practice at a Glance

Available both in-person and online

16 East Route 66

Flagstaff, AZ 86001 map

(928) 877-2237
My website
I offer therapy in person- in downtown Flagstaff, or online via telehealth. I'm available most weekday evenings, Fridays, and Saturdays.
I specialize in Trauma and PTSD, Relationship Issues and Sexual Addiction 
I accept insurance 
I see individuals and couples  
Please watch my video to learn more about me and my practice.
Karasu Joshua Tokioka
Let's Connect (928) 877-2237
Photo of Karasu Joshua Tokioka, Counselor, MA, LAC

My Practice at a Glance

Available both in-person and online

16 East Route 66

Flagstaff, AZ 86001 map

(928) 877-2237
My website
I offer therapy in person- in downtown Flagstaff, or online via telehealth. I'm available most weekday evenings, Fridays, and Saturdays.
I specialize in Trauma and PTSD, Relationship Issues and Sexual Addiction 
I accept insurance 
I see individuals and couples  
Please watch my video to learn more about me and my practice.
Karasu Joshua Tokioka

Finances

Payment Methods

American Express, Cash, Check, Discover, Health Savings Account, Mastercard, Paypal, Venmo, Visa, Zelle

Insurance

  • Aetna
  • BlueCross and BlueShield
  • TRICARE
  • United Medical Resources (UMR)
  • UnitedHealthcare UHC | UBH
Photo of Karasu Joshua Tokioka, Counselor, MA, LAC
Karasu Joshua Tokioka
Counselor, MA, LAC
Check fees and, if listed, ask to verify your insurance coverage. or (928) 877-2237
Photo of Karasu Joshua Tokioka, Counselor, MA, LAC
Karasu Joshua Tokioka
Counselor, MA, LAC
Check fees and, if listed, ask to verify your insurance coverage. or (928) 877-2237

Qualifications

  • Verified by Psychology Today Licensed by State of Arizona / LAC-23029 Karasu Joshua Tokioka
  • Education and Years In Practice

  • In Practice for 2 years
  • Attended Northern Arizona University, Masters Clinical Mental Health Counseling, Graduated 2024
  • Additional Credentials

  • Certificate from Evergreen Certifications: Certified Trauma Professional 124806 / 2025
  • Certificate from Gottman Institute Couples Therapy level 1 2021
"
I have worked in several different treatment settings since 2016 and have a wide variety of clinical training. I have sought out specific training for trauma treatment, attachment, and couples counseling given the complexity and challenge of these common hurdles.
Photo of Karasu Joshua Tokioka, Counselor, MA, LAC
Karasu Joshua Tokioka
Counselor, MA, LAC
Call or for a free 15 minute consultation now - (928) 877-2237
"
I have worked in several different treatment settings since 2016 and have a wide variety of clinical training. I have sought out specific training for trauma treatment, attachment, and couples counseling given the complexity and challenge of these common hurdles.
Photo of Karasu Joshua Tokioka, Counselor, MA, LAC
Karasu Joshua Tokioka
Counselor, MA, LAC
Call or for a free 15 minute consultation now - (928) 877-2237

Specialties and Expertise

Top Specialties

  • Trauma and PTSD
  • Relationship Issues
  • Sexual Addiction

Expertise

  • Addiction
  • Anxiety
  • Bisexual
  • Codependency
  • Coping Skills
  • Depression
  • Emotional Disturbance
  • Grief
  • Infidelity
  • LGBTQ+
  • Life Transitions
  • Men's Issues
  • Personality Disorders
  • Self Esteem
  • Sexual Abuse
  • Spirituality
"
I help with trauma, anxiety, and relationship patterns that feel repetitive or overwhelming. Treatment focuses on understanding underlying causes, building awareness, and using practical tools to change responses in real time. You can expect improved emotional regulation, clearer decisions, and more stable, intentional relationships. For couples counseling, I use Gottman's Couples Counseling.
Photo of Karasu Joshua Tokioka, Counselor, MA, LAC
Karasu Joshua Tokioka
Counselor, MA, LAC
Call or for a free 15 minute consultation now - (928) 877-2237
"
I help with trauma, anxiety, and relationship patterns that feel repetitive or overwhelming. Treatment focuses on understanding underlying causes, building awareness, and using practical tools to change responses in real time. You can expect improved emotional regulation, clearer decisions, and more stable, intentional relationships. For couples counseling, I use Gottman's Couples Counseling.
Photo of Karasu Joshua Tokioka, Counselor, MA, LAC
Karasu Joshua Tokioka
Counselor, MA, LAC
Call or for a free 15 minute consultation now - (928) 877-2237

2 Endorsements

Harry L Fisher
Harry L Fisher
CounselorLPCCSAT
Karasu brings a compassionate, present-centered connection to the clients he works with. People consistently leave sessions feeling truly heard, understood, and supported.
Chad Fields
Chad Fields
CounselorLACMEd
Karasu is a man of passion, insight, integrity, and commitment. He leads with curiosity, kindness, and wisdom and develops professional and meaningful relationships with clients as they collaboratively explore each individual's journey ahead.

Client Focus

Age

Adults

Participants

Individuals
Couples

Communities

Bisexual Allied
Gay Allied
Queer Allied

Ethnicity

Asian
Pacific Islander

I also speak

German

Religion

Other Spiritual or Religious Affiliations

Age

Adults

Participants

Individuals
Couples

Communities

Bisexual Allied
Gay Allied
Queer Allied

Ethnicity

Asian
Pacific Islander

I also speak

German

Religion

Other Spiritual or Religious Affiliations

Treatment Approach

Types of Therapy

  • Acceptance and Commitment (ACT)
  • Attachment-based
  • Cognitive Behavioral (CBT)
  • Dialectical Behavior (DBT)
  • Gottman Method
  • Integrative
  • Internal Family Systems (IFS)
  • Mindfulness-Based (MBCT)
  • Schema Therapy
  • Somatic
  • Trauma Focused
"
My approach is grounded in schema therapy and trauma-informed work, with an emphasis on identifying long-standing patterns and changing how they show up in daily life. I integrate multiple approaches to match what actually works for your situation rather than applying a single model across all clients.
Photo of Karasu Joshua Tokioka, Counselor, MA, LAC
Karasu Joshua Tokioka
Counselor, MA, LAC
Call or for a free 15 minute consultation now - (928) 877-2237
"
My approach is grounded in schema therapy and trauma-informed work, with an emphasis on identifying long-standing patterns and changing how they show up in daily life. I integrate multiple approaches to match what actually works for your situation rather than applying a single model across all clients.
Photo of Karasu Joshua Tokioka, Counselor, MA, LAC
Karasu Joshua Tokioka
Counselor, MA, LAC
Call or for a free 15 minute consultation now - (928) 877-2237

Location

Primary Location

16 East Route 66

Flagstaff, AZ 86001

(928) 877-2237

Nearby Areas

Counties

Zips

"
I offer therapy in person- in downtown Flagstaff, or online via telehealth. I'm available most weekday evenings, Fridays, and Saturdays.
Photo of Karasu Joshua Tokioka, Counselor, MA, LAC
Karasu Joshua Tokioka
Counselor, MA, LAC
Call for a free consultation now - (928) 877-2237
"
I offer therapy in person- in downtown Flagstaff, or online via telehealth. I'm available most weekday evenings, Fridays, and Saturdays.
Photo of Karasu Joshua Tokioka, Counselor, MA, LAC
Karasu Joshua Tokioka
Counselor, MA, LAC
Call for a free consultation now - (928) 877-2237