Scott Kilousky, LMFT - Therapist in Hawaii

About Scott

Scott Kilousky is a licensed marriage and family therapist (LMFT) based in Hawaii. He offers a calm, non-directive space where people can talk about what brought them to therapy and make sense of changes in their lives. Scott focuses on listening first and helping clients find what feels most useful for them.

Scott uses client-centered and existential ideas to guide sessions. He encourages reflection on personal meaning and supports people in exploring tough emotions without judgment.

Background and approach

He also includes solution-focused strategies to identify small, practical steps clients can try between sessions. Common concerns he works with include stress, anxiety, depression, relationship and intimacy issues, grief, trauma and abuse, and problems with self-esteem. He also addresses addictions, ADHD, bipolar mood concerns, compassion fatigue, and issues related to identity and LGBT matters.

Communication problems, forgiveness, guilt and shame, isolation, and finding life purpose are additional areas of focus. Scott has four years of clinical experience and holds the Hawaii LMFT license (MFT-671). Sessions are offered in English and are provided through online formats.

He frames therapy as a collaborative effort and adapts his style to each person’s needs and goals. He believes that understanding and acceptance are key first steps. Scott aims to help people reflect on their experiences and take manageable actions toward change.

Approach and online options for personal change

Client-centered therapy centers on understanding and acceptance. The therapist listens closely and follows the person’s lead, helping them feel heard and clearer about their own goals. It can be helpful for people who want a supportive space to think through feelings and identity issues.

Existential therapy looks at meaning, choice, and how people respond to life changes. It invites reflection about values and purpose, and can help when someone feels stuck, isolated, or unsure about their next steps. Solution-focused therapy is practical and goal-oriented, concentrating on small, actionable steps that build momentum between sessions.

Scott treats the search for the right approach as a collaborative process. He will discuss each method with the client and tailor the mix based on needs, goals, and preferences. Together they decide which ideas to try and adapt over time.

Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging to fit different schedules and comfort levels. These options make it easier to meet regularly from home or work and to use shorter check-ins or longer sessions as needed. The flexible formats support consistent progress while fitting into busy family lives.

Client-Centered Therapy

The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.

Existential Therapy

Takes the larger questions seriously: meaning, choice, mortality, responsibility. Suited to periods when the difficulty is less a symptom than a sense that something has to change.

Solution-Focused Therapy

Rather than examining the problem at length, this looks at what is already working and builds on it. Sessions tend to be practical and forward-looking, with small achievable steps, which translates readily to shorter online conversations.

Frequently asked questions

What kinds of concerns does Scott address?

He works with a wide range of concerns including stress, anxiety, depression, relationship and intimacy issues, grief, trauma and abuse, addictions, bipolar concerns, ADHD, self-esteem, and related topics.

How would you describe his therapeutic style?

His style is collaborative and non-directive. He blends client-centered listening with existential reflection and solution-focused steps to help clients explore meaning and try practical changes.

What experience does he have?

He has four years of clinical experience working with the concerns listed in his profile.

What are his credentials and where is he based?

He is a licensed marriage and family therapist, Hawaii LMFT, license number MFT-671, and practices from Hawaii.

Which languages are supported for sessions?

Sessions are offered in English.

Can international clients work with him?

International clients are not currently accepted.

What session formats are available?

He offers video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences.

How do costs and scheduling work?

Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time. To begin, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Specialties and expertise

Top specialties

Addictions
LGBT
Relationship issues

Also works with

Therapeutic approaches

Experience: 4 years
Licensed: Hawaii
Languages: English

Next step

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