Couples therapists 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.

I am a licensed psychologist, educator, and researcher dedicated to helping individuals navigate life's challenges while building a stronger connection to themselves and their values. My professional background includes working in healthcare, higher education, community mental health, and veteran settings, giving me experience supporting clients from diverse cultural, racial, gender, and sexual identity backgrounds.

I specialize in working with anxiety, depression, trauma, life transitions, relationship concerns, identity exploration, and issues affecting LGBTQIA+ individuals. My research and clinical work have focused on understanding how culture, identity, and lived experiences shape mental health and well-being.

I believe therapy should be a space where you feel seen, respected, and empowered. Whether you're navigating a difficult transition, healing from past experiences, exploring your identity, or seeking greater fulfillment in your relationships and daily life, I strive to provide a supportive environment where meaningful growth can occur.

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 have over 30 years of clinical, counseling and administrative experience working with individuals and couples, addressing the unique issues related to their unique life experiences. I have extensive professional and personal experience with military families and veterans. I understand first-hand the struggles of grief and medical conditions that impact all aspects of life. I have supported chronically and terminally ill patients, individuals living with cancer or chronic medical diagnoses, as well as parents experiencing infertility, peripartum, and postpartum depression. Whether dealing with life transitions, parenting, depression, anxiety, or divorce, or simply seeking to express yourself and feel more confident, I am here to walk with you, provide insights, and support you toward lasting change.

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.

Many people move through life feeling disconnected, overwhelmed, or unsure how to care for

themselves while caring for everyone else. You might be wondering why life doesn’t feel better

or why you keep putting your own needs last. These experiences are more common than most

people realize, and they can take a real toll on your mind and body.

As someone with lived experience, I understand how challenging it can be to navigate

relationships, identity, stress, and the expectations placed on us. My approach to therapy is

integrative and person‐centered, grounded in your needs, preferences, and cultural worldview. I

believe therapy should feel like a space where you can breathe, reflect, and reconnect with

yourself.

Whether online or in person, I work to create a supportive environment where you can explore

concerns related to relationships, gender, trauma, grief, identity, and life transitions. My goal is to

help you cultivate greater clarity, resilience, and overall wellness because living a better life

shouldn’t feel out of reach.

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.

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've been a psychologist for over 10 years. I have practiced in different places across, the U.S., including Seattle, Hawai'i, and now Wilmington the past few years. I truly enjoy what I do. I believe working on your mental health makes life more satisfying, myself included. I work with adults from a variety of backgrounds, Common reasons people see me include: anxiety, depression, relationship issues, trauma, men's issues, and substance use.

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.

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.

I am passionate about serving people helping to rebuild trust, restore relationships, and move beyond struggles with trauma, addiction, intimacy, depression and brokenness.