Book LGBT-friendly therapy, covered by insurance
LGBT therapists in Hawaii


Top LGBT-friendly therapists and psychiatrists in Hawaii
Discover empowering mental health support across Hawaii with solution-oriented providers experienced in affirming care. Through Headway, you can find the right therapeutic fit with flexible scheduling and transparent costs that work with your insurance.
My approach to psychotherapy is always client centered with an emphasis on the clients focus and areas they wish to address. I have worked in counseling and psychotherapy for 38 years in hospitals, clinics, emergency rooms and private practice and have created, developed and been clinical director for many Intensive Outpatient Programs for Mental Health & Dual Diagnosis.
Getting people past anxiety disorders is a passion of mine andI specialize in anxiety and sports performance anxiety and all forms of addictions. I work with teenagers and young adults dealing with academic, sports and achievement areas.
I work with parents and adults on healthy launching and individuation of their children. With the ever emerging world of technology and media I work with individuals on Video Gaming Addiction, Internet Addiction and Pornography Addiction and poor regulation of screen time which leads to depressed mood, anxiety and poor productivity especially in younger people.
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.
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.
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
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 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.
Justin Salandanan has been in the field of psychiatry for over a decade and has been treating adult clients of various ethnic backgrounds for several years. Justin specializes in the medication management of depression, anxiety, and sleep disturbances.
Hi. I am a Licensed Clinical Social Worker. These are challenging times and I would love to be of support in helping you cope with anxiety, stress management, and life transitions. Building a trusting and supportive relationship is a primary component of my therapeutic practice and can be done using Tele Health video sessions from home. When making life decisions regarding how to best move forward, it can be extremely helpful to get an impartial, outside perspective. I have over four decades of experience in working with individuals, couples, and families and am accepting new clients at this time.
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.
Aloha, my name is Akoni Kanaele. I provide compassionate, culturally responsive support that is trauma informed. I strive to create a safe and nonjudgmental environment. I work with individuals navigating stress, relationships, life transitions, emotional challenges, and personal growth. My approach focuses on building on each client’s strengths, developing practical coping skills, and creating meaningful, positive change.
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.
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.
About our LGBTQIA+ affirming therapists in Hawaii



- 100%LGBTQIA+
- 96%Anxiety
- 92%Depression
- 88%Stress management
- 88%Trauma

- 99%Aetna
- 90%Cigna
- 85%Blue Cross and Blue Shield of Hawaii
- 84%Carelon Behavioral Health

- 97%English
- 8%Spanish
- 3%French
- 2%Japanese
- 2%Tagalog

- 99%Online only
- 1%In-person or online

- 67%Woman
- 29%Man
- 5%Non-binary

- 43%Licensed Clinical Social Worker
- 24%Licensed Mental Health Counselor
- 13%Licensed Marriage/Family Therapist
- 10%Advanced Practice Registered Nurse
- 9%Psychologist

- 99%Individual therapy
- 47%Family therapy
- 30%Couples therapy
- 19%Child or adolescent therapy
Frequently asked questions


Find the right LGBTQ-friendly therapy provider for you
Headway makes it easier to connect with affirming therapists who understand your identity — from finding the right therapist, to understanding costs, to scheduling with ease.
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