ADHD therapists and psychiatrists in Hawaii

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.

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.

My communication style is nonjudgmental, authentic, and grounded in honesty, empathy, and respect. I believe that meaningful therapeutic work happens when clients feel safe enough to be themselves and know they will be met with understanding rather than criticism. My goal is to create a space where you can openly explore your thoughts, emotions, and experiences while feeling genuinely supported throughout the process.

I take a holistic approach to therapy and believe it is important to understand the whole person, not just the challenges that bring them to treatment. Together, we may explore areas such as work-life balance, childhood experiences, relationships, physical health and well-being, cultural influences, personal values, and future goals. By considering the many factors that shape your life, we can develop a deeper understanding of your experiences and create a path toward meaningful, lasting growth.

I strive to balance compassion with honesty, offering both support and thoughtful feedback when appropriate. My goal is to help you gain insight, strengthen self-awareness, and make choices that align with the life you want to create.

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.

Clinically trained while integrating spirit, intuition and the work of visionaries at the growing edge of wisdom. I offer lovingly honest support to individuals and couples motivated to create change in their lives. Clients that work with me often gain insights, feel more connected to themselves and others and increase their emotional well being.

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 have over 15 years of experience supporting children, teens, and families across school, residential, and community settings. I’m licensed in California and Hawaii, with training in trauma-informed care, DBT, and grief support.

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