

ADHD affects concentration, time management, and emotional regulation differently for everyone. Headway's Honolulu providers use personalized approaches like habit tracking, organizational skills training, and mindfulness-based interventions to help you build practical tools for success. Start with a free intake call today.
I provide services throughout the state of Hawai’i, all islands are welcomed! I know finding a therapist can be a daunting task. I hope this profile will help you take the first step in prioritizing your emotional wellbeing to live a more meaningful life. The most important aspect of therapy is the relationship between you and I. My approach to therapy is focused on the unique needs of the individual and/or the family from a person-centered/ humanistic lens. My therapeutic foundation is centered on my cultural background, and built upon the platform of Lōkahi.
I have over 15 years of experience supporting children, teens, and families across school, residential, and community settings. I’m licensed in California and Hawaii, with training in trauma-informed care, DBT, and grief support.
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.
My communication style is nonjudgmental, authentic, and grounded in honesty, empathy, and respect. I believe that meaningful therapeutic work happens when clients feel safe enough to be themselves and know they will be met with understanding rather than criticism. My goal is to create a space where you can openly explore your thoughts, emotions, and experiences while feeling genuinely supported throughout the process.
I take a holistic approach to therapy and believe it is important to understand the whole person, not just the challenges that bring them to treatment. Together, we may explore areas such as work-life balance, childhood experiences, relationships, physical health and well-being, cultural influences, personal values, and future goals. By considering the many factors that shape your life, we can develop a deeper understanding of your experiences and create a path toward meaningful, lasting growth.
I strive to balance compassion with honesty, offering both support and thoughtful feedback when appropriate. My goal is to help you gain insight, strengthen self-awareness, and make choices that align with the life you want to create.
If you've been holding a lot for a long time, therapy can be a place where you finally exhale. I work with women and teens who are feeling overwhelmed, stuck, anxious, or simply not like themselves. Whether you're navigating stress, relationship struggles, life transitions, or that constant sense of emotional overload, our work together can help you feel more grounded, supported, and clear about what comes next. Clients often describe me as compassionate, calming, and easy to talk to.
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
My approach to mental health care centers entirely around you. True healing happens when trust, safety, and collaboration come together. Whether you are navigating severe depression, managing long-term anxiety, or recovering from trauma, my goal is to provide a premium, supportive environment where you feel heard and empowered to reclaim a stable, fulfilling life.
As a board-certified adult psychiatrist, I bring unique depth to my clinical practice. I earned both my MD and PhD from the Albert Einstein College of Medicine, grounding my approach to medication management in advanced scientific research and evidence-based medicine.
My leadership and clinical training within the University of Texas Health System—including roles as Chief Resident, Assistant Medical Director, and Assistant Professor—deeply shaped my view of mental health. Having cared for individuals across institutions like MD Anderson, Memorial Hermann, the Dunn Behavioral Sciences Center, and Maui Memorial Medical Center, I possess the outpatient and inpatient expertise required to manage complex clinical cases with complete confidence.
I provide convenient, high-quality telepsychiatry and virtual care for adults (ages 18 and older) actively located in Texas, California, Hawaii, and Alaska.
Primary Clinical Focus Areas:
Above all, I believe in partnering with you as a collaborative ally. My practice is a safe, sophisticated space where clinical excellence is a given, and we work together to help you rediscover hope and transformation.
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.
I find my most fulfilling times are assisting others in seeing how they are growing and impacting others around them. I am known for being a calm and grounding presence in sessions.
I am a board certified psychiatric-mental health nurse practitioner with 3 years of independent practice and over a decade in the healthcare field. I specialize in treating mood disorders, anxiety disorders, ADD/ADHD, PTSD, and sleep disorders.


Headway helps you stay on track with expert-guided support for ADHD — from finding the right therapist or psychiatrist, to understanding costs, to scheduling with ease.
Use left and right arrow keys to switch tabs. Press Shift+Tab to return to the tab list from links in the selected tab.