Bipolar disorder therapists & psychiatrists in Honolulu, HI

Welcome — I'm so glad you're here. I'm David Guo, a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) serving clients throughout Honolulu and across all of Hawaii via secure telehealth. Whether you're in Downtown Honolulu or on Maui, Molokai, Kauai, or the Big Island, I'm here to support you. I believe real healing starts with real connection. That means taking time to truly know you — your story, your life, your goals — so you never feel like just a chart. You won't feel rushed here. I'm available weekdays (evenings too) and weekends.

Hi, I’m Alexandra, a licensed mental health counselor. I’m so glad you’re here. Reaching out for support takes courage, and it’s a privilege to walk alongside people who are ready to heal, grow, and create meaningful change in their lives.

I support children, teens, adults, and families across Hawaiʻi with integrative psychiatry that honors the whole person. I work with people navigating anxiety, mood changes, attention and neurodevelopmental differences, and life transitions, and I welcome those seeking care that feels thoughtful, collaborative, and grounded. My approach combines traditional psychiatric care with evidence-based holistic support, with attention to symptoms, root causes, and overall well-being. I’m dedicated to serving individuals across Oʻahu, Lānaʻi, Kauaʻi, Maui, Molokaʻi, and the Island of Hawaiʻi. I want visits to feel warm, clear, and empowering.

I currently accept individual adult clients only through Headway. I do not provide couples or family therapy through this platform at this time.

I am a licensed Marriage and Family Therapist who works with individuals, couples, and LGBTQ+ clients seeking deeper self-understanding, emotional healing, and more connected relationships. My approach is warm, relational, trauma-informed, and grounded in the belief that healing happens through safety, honesty, and meaningful connection.

I specialize in relationship therapy, anxiety, depression, identity exploration, attachment wounds, complex trauma, and psychedelic assisted psychotherapy. I also support clients navigating life transitions, grief, shame, self-worth, communication challenges, and patterns that keep them feeling stuck or disconnected from themselves and others.

My work draws from Emotionally Focused Therapy, the Gottman Method, Internal Family Systems, somatic awareness, humanistic and existential therapy, and trauma-informed care. I help clients slow down, listen inward, understand their patterns, and develop more compassionate and empowered ways of relating.

As a queer-affirming therapist, I am especially passionate about supporting LGBTQ+ clients and relationships. I strive to create a space where clients can bring their full selves—without judgment—and explore healing in a way that honors their identities, histories, relationships, spirituality, and lived experience.

I find my most fulfilling times are assisting others in seeing how they are growing and impacting others around them. I am known for being a calm and grounding presence in sessions.

My career began in 1997 as an AmeriCorps member working in harm reduction during the peak of new HIV infections. Since then, I've held many roles as a proud social worker. I have been a therapist for 18 years, with extensive training & experience in harm reduction therapy, Motivational Interviewing, Cognitive Behavioral Therapy, and Cognitive Processing Therapy for PTSD. I have lived experience with mental health challenges and treatment

I have worked and lived in:

• Charlotte, NC
• San Francisco
• Michigan
• Oahu, Hawaii

I am a board-certified Psychiatric Mental Health Nurse Practitioner and a graduate of Frontier Nursing University, with over 11 years of nursing experience and one year of advanced clinical training across outpatient psychiatry, crisis stabilization, inpatient detoxification, skilled nursing facilities, and telehealth. I provide evidence-based psychiatric evaluation, medication management, and psychotherapy for children, adolescents, and adults with ADHD, anxiety, depression, bipolar and mood disorders, trauma-related conditions, substance use disorders, and psychotic disorders, including complex and co-occurring presentations. My clinical background includes crisis intervention, suicide risk assessment, stabilization, and long-term outpatient care focused on functional improvement and sustained recovery.

Starting therapy can feel vulnerable, and finding the right therapist matters. My goal is to create a safe and supportive space where you feel heard, respected, and understood.