A conservative estimate of 1 in 5 people in Japan will experience one form or more of depression in their lifetime. Even greater numbers will experience psychological and emotional distress that impact their health, relationships, careers, and societal productivity. Cultural stigma of mental illness imposes silent suffering resulting in somatized medical complaints which lead to an overburdened healthcare system, ineffective yet costly treatments, and, in extreme cases, hospitalization and suicide. The mental health crisis is further exacerbated by the number and severity of natural disasters that have afflicted Japan. Studies of large-scale disasters, such as the 2011 Great East Japan and 2016 Kumamoto earthquakes, show that the impact on the mental health of survivors is sometimes enormous, with 50% or more of those affected suffering from clinically significant distress or psychopathology. Many of those people will develop psychological disorders such as major depression, generalized anxiety, and posttraumatic stress disorder. It is no exaggeration to say that Japan is in desperate need for greater accessibility to mental health treatment.