Grief counselors and therapists 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 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.

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.

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.

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.

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.

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 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.

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.

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 board-certified Psychiatric Mental Health Nurse Practitioner and a graduate of Frontier Nursing University, with over 11 years of nursing experience and one year of advanced clinical training across outpatient psychiatry, crisis stabilization, inpatient detoxification, skilled nursing facilities, and telehealth. I provide evidence-based psychiatric evaluation, medication management, and psychotherapy for children, adolescents, and adults with ADHD, anxiety, depression, bipolar and mood disorders, trauma-related conditions, substance use disorders, and psychotic disorders, including complex and co-occurring presentations. My clinical background includes crisis intervention, suicide risk assessment, stabilization, and long-term outpatient care focused on functional improvement and sustained recovery.

My career began in 1997 as an AmeriCorps member working in harm reduction during the peak of new HIV infections. Since then, I've held many roles as a proud social worker. I have been a therapist for 18 years, with extensive training & experience in harm reduction therapy, Motivational Interviewing, Cognitive Behavioral Therapy, and Cognitive Processing Therapy for PTSD. I have lived experience with mental health challenges and treatment

I have worked and lived in:

• Charlotte, NC
• San Francisco
• Michigan
• Oahu, Hawaii