Obsessive-compulsive disorder therapists & psychiatrists in Hawaii

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.

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

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.

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.