Roxy Mico is a Licensed Clinical Social Worker (LCSW) in Hawaii with 32 years of practice. She helps people who are struggling with stress, anxiety, depression, self-esteem, relationship and intimacy issues, and trauma recovery. Her work also addresses addictions, sleep problems, workplace stress, and concerns related to career and life transitions.
Roxy takes a straightforward and collaborative approach. She listens first, then helps people set clear, manageable goals. Sessions focus on practical skills people can use between meetings, like tools for coping with panic, improving communication, and handling anger. She uses tried approaches that emphasize changing unhelpful thoughts and building emotional regulation skills.
Her background includes many years working with adults across a range of life stages. She has particular experience supporting survivors of sexual assault and abuse, people facing post-traumatic stress, and those dealing with isolation or relationship breakdown. She also has experience with aging and geriatric issues and workplace-related concerns.
Clients can expect a calm, steady style that balances support with concrete strategies. Roxy aims to help people build resilience and practical routines that reduce distress. The work is paced to the individual and focused on what they want to change.
To begin, people complete a short matching questionnaire and then schedule sessions based on the therapist's availability. Sessions use a subscription model that can be canceled at any time.
How CBT and DBT fit into online therapy
Dialectical Behavior Therapy, or DBT, teaches practical skills for managing strong emotions and improving relationships. It focuses on emotion regulation, distress tolerance, and interpersonal effectiveness to help with panic, intense anger, and relationship conflict.
Cognitive Behavioral Therapy, or CBT, looks at how thoughts, feelings, and actions connect. It helps people notice and change unhelpful thinking patterns and build step-by-step habits for anxiety, depression, and sleep problems.
Choosing the right approach is part of the work. The therapist will collaborate with each person to decide which methods match their goals and needs. That may mean using elements of both DBT and CBT and adjusting the plan as progress unfolds.
Confirm current session options before booking so you know how sessions are delivered. Online therapy can make it easier to fit meetings into a busy schedule, reduce travel time, and allow shorter check-ins when needed. Talk with the therapist about how to shape sessions so they work with your routine and goals.
Aging and geriatric issuesAntisocial personalityCommunication problemsControl issuesDivorce and separationDomestic violenceIsolation / lonelinessMen's issuesNarcissismPanic disorder and panic attacksPost-traumatic stressSexual assault and abuseSocial anxiety and phobiaWorkplace issues
She helps with stress, anxiety, depression, self-esteem, relationship and intimacy issues, trauma and abuse, addictions, sleep problems, career strain, and related concerns.
How would you describe the therapeutic style?
Her style is collaborative and straightforward. She listens, helps set goals, and focuses on practical skills people can use between sessions.
How much clinical experience does she have?
Roxy brings 32 years of clinical experience working with adults across a range of life stages and challenges.
What are her credentials and where is she based?
She holds a Licensed Clinical Social Worker credential, noted as HI LCSW, and practices in Hawaii.
In which language are sessions offered?
Sessions are offered in English.
Can international clients work with this therapist?
International clients are not currently accepted.
How does billing and cost work?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I get started with therapy?
Select the continue button on this profile, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.