Roxy Mico, LCSW - Therapist in Hawaii

About Roxy

Roxy Mico is a licensed clinical social worker who helps people handle stress, anxiety, depression, trauma, relationship and intimacy concerns, and life transitions. She practices in Hawaii and brings 32 years of direct clinical experience to each conversation. Her style is calm and practical, focused on clear steps rather than long lectures.

Roxy emphasizes straightforward problem-solving. She uses tools from Cognitive Behavioral Therapy and Dialectical Behavior Therapy to help people notice unhelpful patterns and try different responses.

Background and approach

Sessions often include skill practice, short exercises, and concrete coping strategies that can be used between meetings. Her background includes long experience working with workplace stress, communication problems, addictions, and mood conditions such as bipolar disorder. She also supports people dealing with trauma, sexual assault and abuse, panic, and post-traumatic stress.

That range means she can draw on many interventions when a problem does not respond to one approach. Roxy describes her work as collaborative. She listens for what matters most to each person and then suggests practical steps to move forward.

Many clients focus on improving sleep, managing anger, rebuilding self-esteem, or coping with major life changes. Therapy sessions may use phone, video, chat, or text formats so work and family schedules can fit care. She speaks English and maintains a professional practice under the Hawaii LCSW credential, number LCSW-3244.

Online approaches and how they fit your life

Roxy uses Cognitive Behavioral Therapy to help people identify thoughts and behaviors that keep problems going and to try practical experiments that can reduce symptoms. She also uses Dialectical Behavior Therapy skills to teach emotion regulation, distress tolerance, and better communication when feelings feel overwhelming.

Choosing the right approach is a collaborative process. The therapist will listen to your goals and preferences, explain options in plain language, and adjust methods as you go so the work matches what you need. Clients often try a few tools early on to see what helps most.

Online sessions are offered by video call, phone, live chat, or text-based messaging to provide flexibility for busy schedules. These formats make it easier to fit therapy around work, family, and life obligations while keeping the focus on skill practice and steady progress.

Cognitive Behavioral Therapy (CBT)

CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.

Dialectical Behavior Therapy (DBT)

Concrete skills for riding out strong emotion, tolerating distress, and handling relationships without things escalating. The skills are practised in daily life, so between-session support by message or phone fits naturally.

Frequently asked questions

What concerns does this therapist address?

Roxy helps with stress, anxiety, depression, trauma and abuse, relationship and intimacy issues, addictions, ADHD, and many life changes. She also works with workplace stress, sleep problems, self-esteem, and career-related concerns.

What is the therapy style like?

The approach is collaborative and practical, with a focus on clear steps and skill-building. Sessions often include short exercises and tools to practice between meetings.

How much clinical experience does the therapist have?

She has 32 years of clinical experience working with a wide range of emotional and behavioral issues. That background informs how she tailors strategies to each person's needs.

What credentials and location are listed?

Roxy holds a Licensed Clinical Social Worker credential, listed as HI LCSW LCSW-3244, and she practices in Hawaii.

Which languages are supported and can international clients join?

Sessions are offered in English. International clients are not currently accepted.

What session formats are available?

Therapy can be delivered by video calls, phone sessions, live chat, or text-based messaging to fit different schedules and preferences.

How are costs handled?

Cost varies with location and therapist availability and uses a subscription model that can be canceled at any time. Exact pricing is provided during sign-up and in the platform details.

How do I begin working with this therapist?

Begin by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling according to therapist availability.

Specialties and expertise

Top specialties

Stress, Anxiety
Relationship issues
Trauma and abuse

Also works with

Therapeutic approaches

Experience: 32 years
Licensed: Hawaii
Languages: English

Next step

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