Anxiety and depression therapists and psychiatrists in Hawaii

Client-focused, not one-size fits all. It's all about relationships. I'm here to listen and perhaps gently guide. I use psychodynamic, cognitive behavioral and Gottman technique with couples.

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 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.

As a Marriage and Family Therapist, I work with the whole system -- the relationships -- both INTRApersonal and INTERpersonal relationships. I support individuals with their own internal landscape as well as their way of connecting and relating with others. I was trained as a Deaf Educator and can support people with various learning styles and needs. I also work with mindfulness, yoga, breathwork, and Reiki to bring in a holistic approach to mental health.

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.

Aloha and welcome! Do you feel like you’re constantly carrying the weight of your past, or perhaps you’re struggling to navigate a difficult life transition? It can be exhausting to feel "stuck" in cycles of anxiety or trauma. I believe that you deserve a space where you feel truly seen and heard. Together, we will work to peel back the layers of these challenges, helping you find clarity and relief. My goal is to help you reconnect with your inner strength so you can move forward with a sense of peace and purpose. You don't have to carry this alone anymore.

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.