Japan’s healthcare system is world-class, but if you’re new here, navigating it can feel like a maze. You’re legally required to join the national insurance system—but is that enough? Or should you also get a private plan?

Mental healthcare in Japan is very different from what many expats expect—short visits, limited talk therapy, and a structured system. In this post, I break down the clinical differences between psychiatry in Japan and the U.S., plus what you need to know about medical leave, allowance, workplace reintegration. If you’re navigating mental health in Japan, this guide is for you.

Navigating medical care in Japan as a foreigner can be daunting—but it doesn’t have to be. I’ve complete a training as a medical guide for foreigners living in Japan, and in this post, I’ll share some of the most common pain points foreigners face when trying to get healthcare here, plus practical solutions to make the process smoother. To support you further, I’ve posted a free list of hospitals and clinics with English-speaking staff under the Freebie Shelf tab on my website.

In Japan, hospital rooms are typically shared with six, four, or two patients, unless you choose a private room (extra cost required).
If you get a bed by the window, you're lucky! But if you're in the middle or on the aisle side, you might not be able to see outside.