Addiction therapists & psychiatrists in Hawaii

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.

I offer counseling that empowers you to navigate life's challenges with resilience and strength. You can access professional support wherever you are, without the need to travel or disrupt your busy schedule.

Are you feeling anxious, stressed, or just need someone to talk to? You've come to the right place. Throughout our lifetime, we are faced with many challenges, barriers, and successes that can all have their own level of overwhelmingness and joy. Whatever you are going through, let's work through it together.

Looking for one-stop shopping? Meds and therapy together - I do both. Guaranteed intake appointment within 2 days! 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.

As someone who has gone through years of therapy myself, I am very passionate about working with you for your highest good. With a background in meditation, conflict mediation, somatic work, spirituality and psychology, I have a solid toolkit that is at your service. My undergrad degree from Berkeley is in Media Studies, so we will also explore how media shapes us and the current culture we live in.

I work with all different ages, ethnic/racial backgrounds, social groups, nationalities and orientations!

I am open, approachable, and committed to listening carefully to your experiences without judgment. I believe that each person carries a unique story, and my goal is to provide a supportive space where you feel heard, understood, and encouraged as you navigate life’s challenges and opportunities for growth. Together, we can explore what is most important to you and work toward creating a life that feels meaningful, authentic, and aligned with your values.

My background includes earning a Ph.D. from the University of California, Berkeley, along with a lifelong appreciation for personal growth, nature, and the healing power of connection. Growing up learning to surf fostered a deep respect for the ocean and the lessons it offers about resilience, balance, and adapting to life's changing conditions. These experiences have shaped my belief in the importance of honoring each individual’s journey and recognizing that growth often comes through both challenge and reflection.