- Release Year: 2020
- Platforms: Windows
- Publisher: Sigyaad Team
- Developer: Sigyaad Team
- Genre: Adventure
- Perspective: 1st-person
- Game Mode: Single-player
- Gameplay: Visual novel
- Setting: Fantasy
- Average Score: 97/100
- Adult Content: Yes

Description
CBT With Yuuka Kazami is a visual novel set in a fantasy world where the protagonist, Yuuka Kazami from the Touhou Project, guides players through lessons on Cognitive Behavioral Therapy (CBT). The game aims to help manage symptoms of stress, anxiety, and depression using evidence-based strategies, all wrapped in a relaxing and engaging narrative.
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CBT With Yuuka Kazami: Review
Introduction
In the vast sea of Touhou Project fangames, CBT With Yuuka Kazami stands out as a bizarre yet endearing outlier—a visual novel that marries cognitive behavioral therapy (CBT) with the whimsical terror of Gensokyo’s most notorious flower youkai. Released in 2020 by the Sigyaad Team, this Ren’Py-powered oddball has garnered a cult following for its irreverent humor, minimalist charm, and unexpected sincerity in tackling mental health themes. This review argues that CBT With Yuuka Kazami is more than a meme: it’s a microcosm of indie creativity, blending therapeutic education with Touhou’s signature absurdity to create a uniquely comforting experience.
Development History & Context
Studio Vision & Constraints
Developed by Sigyaad Team—a small, enigmatic group known for niche Touhou fangames—CBT With Yuuka Kazami emerged during the COVID-19 pandemic, a period when mental health discourse surged globally. The team’s vision was audaciously simple: use Yuuka Kazami, a character synonymous with both serene flower fields and Touhou’s bullet-hell brutality, as an unlikely guide to CBT principles. Built on Ren’Py, the game leveraged the engine’s accessibility to prioritize narrative over technical complexity, resulting in a compact (~1 hour) experience.
The 2020 Landscape
The game arrived amid a boom in indie visual novels and therapeutic games like Kind Words. However, its fusion of Touhou fandom in-jokes (e.g., Yuuka’s dual role as mentor and潜在的threat) and legit CBT exercises positioned it as a niche hybrid. Priced at $0.99, it targeted budget-conscious players seeking levity and light self-help—a savvy move during a time of economic and emotional strain.
Narrative & Thematic Deep Dive
Plot & Dialogue: Sunflowers and Sanity
Players attend CBT sessions hosted by Yuuka at her sunflower-filled “clinic,” where her dialogue oscillates between genuine therapeutic advice (“Identify cognitive distortions”) and Touhou-esque menace (“Misbehave, and I’ll turn you into fertilizer”). The narrative’s charm lies in this duality: Yuuka is neither fully sinister nor wholly benevolent, mirroring CBT’s focus on balancing perception.
Themes: Mental Health as a Danmaku Puzzle
The game reframes CBT techniques as a Touhou-style puzzle. For example, “cognitive restructuring” becomes a minigame where players “dodge” negative thoughts like bullets. This metaphor cleverly aligns with Touhou’s core gameplay—staying calm under pressure—while demystifying CBT. However, the game’s disclaimer (it’s “not a substitute for professional help”) underscores its limitations as a therapeutic tool.
Gameplay Mechanics & Systems
Core Loop: Visual Novel Minimalism
As a linear visual novel, gameplay revolves around dialogue choices and light interactive segments. Players navigate Yuuka’s lessons via menu-driven CBT exercises (e.g., journaling irrational thoughts), with branching paths determined by engagement level. The lack of traditional “fail states” reinforces CBT’s non-punitive philosophy—a design choice praised in Steam reviews.
Innovations & Flaws
The game’s standout mechanic is its “CBT Card” system, collectible items that summarize therapy techniques (e.g., “Behavioral Activation”). These double as Steam Trading Cards, incentivizing replayability. However, the UI is barebones, with limited save slots and no voice acting—a missed opportunity to deepen immersion.
World-Building, Art & Sound
Aesthetic: Cozy Horror
The art style blends Touhou’s classic anime aesthetic with unsettling undertones. Yuuka’s sunflower field is rendered in warm, inviting colors, but lingering close-ups of her sly grin inject subtle dread. Backgrounds use muted palettes to evoke tranquility, contrasting with the game’s meme-driven Steam tags (“Psychological Horror,” “Souls-like”).
Sound Design: Hypnotic Repetition
The soundtrack loops a hauntingly cheerful melody reminiscent of Touhou’s iconic ZUNpets, lulling players into a false sense of security. Sound effects are sparse but deliberate—a sunflower rustle here, a clipboard scribble there—to emphasize the game’s therapeutic cadence.
Reception & Legacy
Launch & Cultural Impact
At release, CBT With Yuuka Kazami baffled critics but charmed players, earning an “Overwhelmingly Positive” Steam rating (97% of 1,111 reviews). Fans praised its “unironically helpful” CBT tips and Yuuka’s darkly comedic persona, while detractors dismissed it as a shallow meme. The game’s legacy lies in its viral Steam tags, which parody both therapy culture and Touhou’s bullet-hell toughness.
Industry Influence
Though not a commercial blockbuster, the game inspired a wave of Touhou fangames exploring mental health themes (Touhou Blooming Chaos 2 later incorporated CBT elements). It also demonstrated how niche fandoms could tackle serious topics without sacrificing humor—a template followed by games like Doki Doki Literature Club.
Conclusion
CBT With Yuuka Kazami is a paradoxical gem: a sincere guide to mental wellness wrapped in Touhou’s trademark absurdity. While its gameplay is rudimentary and its scope modest, its bold premise and endearing execution cement its status as a cult classic. For $0.49 on sale, it’s a worthwhile curiosity—a sunflower in the garden of video game history, equally likely to soothe or unsettle.