Book a therapist or psychiatrist in Hawaii covered by Cigna

Welcome! As a Licensed Mental Health Counselor, I have worked with adults in a multitude of settings including residential, community, outpatient, and emergency departments. I have extensive experience working with individuals experiencing challenges around anxiety, depression, substance use, relationship issues, self-esteem, and life transitions. I have special interest in women's mental health. I bring transparency, authenticity, and creative problem solving to the therapeutic relationship.

I have lived in Hawaii for 12 years now and am originally from New York State. My dad lived on Kauai my whole life so my connections and roots are here. In my personal time, I love to take care of animals, eat healthy, and enjoy the island. I believe that mental health is a whole body and system approach. I have worked with children and adolescents my entire career. My presence has been strong in the school system so I know how to navigate that culture and those rules as well.

As a board certified psychotherapist, I believe prioritizing mental health is key to happiness and stability in life. Seeking help can be one of the hardest parts, so congratulations on taking that step! I’ve been practicing for 10 years, I work with a plethora of inter-generational clients aged 21-90 who are struggling with anxiety and depression and trauma.

As a chaplain, I take a psycho-spiritual approach and work with clients assisting with intercultural issues, blended family dynamics, religiosity challenges and grief & loss.

Welcome. Thank you for taking the first step toward wholeness. I am a licensed marriage and family therapist who focuses on systemic and relational healing. This includes journeying with my clients through ancestral, childhood, and adulthood life challenges to help them access and address pain.

Born and raised in Hawai`i I carry a lens that acknowledges the challenges we face, often specific to holding and honoring our place here in Hawai`i. As a kanaka, wahine, and makua I embrace the various roles we all play in our lives. Many of us carry the weight of our `ohana and are seeking support from someone "who gets it." With 17 years counseling experience here in Hawai`i and on the continent, I have worked across our communities in non-profit, government/judicial, and education (both DOE and university level). I have supported a variety of age groups including teens, adults, and our kupuna. I carry deep gratitude and aloha for our community people who make up our patchwork quilt here in Hawai`i.

Looking for one-stop shopping? Meds and therapy together - I do both. Evening and weekend hours available. A provider you can reach directly, by text. Personal responses to all messages within 24 - 48 hours, always.

Thanks for reading this. I am a board-certified psychiatric nurse practitioner who works with clients ages 6 to 86 struggling with depression, anxiety, ADHD, borderline personality disorder, substance abuse and other issues. For some clients, I provide both therapy and medication management; for other clients, I work closely with their therapists to optimize their medication experience. I help clients to find stability and reduce suffering. LGBTQ-allied, polyamory-informed. All lifestyles welcome.

Depression and anxiety can be logical responses to difficult life events. Many adults who experienced losses and traumas in childhood have never processed these events and continue to suffer their impacts.

Therapy should help you identify the ways you hold yourself back from greater peace and success. We all pick up dysfunctional patterns along the way and need help to identify and change them. I would like to help you in this process.

Life's challenges—whether anxiety, trauma, relationship struggles, or questions of meaning and identity—can feel overwhelming, but you don't have to navigate them alone.

Whether you're facing a specific challenge or seeking deeper personal understanding, I'm here to walk alongside you with warmth, respect, compassion honesty and hope.

You deserve support that honors your whole self—your story, your values, and your potential. Ready to take the first step? I invite you to reach out and begin your journey toward greater well-being and authenticity.

As a licensed counselor with a PhD in Counseling and Counselor Supervision, I bring both over 25 years’ experience, expertise and genuine compassion to my work with adults, couples, families, and older adults.

I have published and presented locally, regionally, nationally and internationally on various counseling areas and since I also teach I am current on research in the field of mental health counseling.

I specialize in supporting individuals through anxiety, depression, trauma, adjustment disorders, relationship concerns, existential questions, and the unique experiences of LGBTQ+ individuals and those exploring alternative lifestyles of any Kind.

Dr. Joe McSpillman