ADHD therapists and psychiatrists in Honolulu, HI

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 offer counseling that empowers you to navigate life's challenges with resilience and strength. You can access professional support wherever you are, without the need to travel or disrupt your busy schedule.

As someone who has gone through years of therapy myself, I am very passionate about working with you for your highest good. With a background in meditation, conflict mediation, somatic work, spirituality and psychology, I have a solid toolkit that is at your service. My undergrad degree from Berkeley is in Media Studies, so we will also explore how media shapes us and the current culture we live in.

I work with all different ages, ethnic/racial backgrounds, social groups, nationalities and orientations!

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.

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.

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

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.

I am a board-certified Psychiatric Mental Health Nurse Practitioner and a graduate of Frontier Nursing University, with over 11 years of nursing experience and one year of advanced clinical training across outpatient psychiatry, crisis stabilization, inpatient detoxification, skilled nursing facilities, and telehealth. I provide evidence-based psychiatric evaluation, medication management, and psychotherapy for children, adolescents, and adults with ADHD, anxiety, depression, bipolar and mood disorders, trauma-related conditions, substance use disorders, and psychotic disorders, including complex and co-occurring presentations. My clinical background includes crisis intervention, suicide risk assessment, stabilization, and long-term outpatient care focused on functional improvement and sustained recovery.

Clinically trained while integrating spirit, intuition and the work of visionaries at the growing edge of wisdom. I offer lovingly honest support to individuals and couples motivated to create change in their lives. Clients that work with me often gain insights, feel more connected to themselves and others and increase their emotional well being.

I have lived in Hawaii for 12 years now and am originally from New York State. My dad lived on Kauai my whole life so my connections and roots are here. In my personal time, I love to take care of animals, eat healthy, and enjoy the island. I believe that mental health is a whole body and system approach. I have worked with children and adolescents my entire career. My presence has been strong in the school system so I know how to navigate that culture and those rules as well.