

Honolulu's LGBTQIA+ community deserves affirming mental health support from providers who understand your unique experiences. Headway connects you with 104 licensed therapists experienced in gender identity, sexual orientation, and relationship concerns. Virtual and in-person sessions offer flexibility, with many clients paying as low as $0 per session through insurance.
As a Marriage and Family Therapist, I work with the whole system -- the relationships -- both INTRApersonal and INTERpersonal relationships. I support individuals with their own internal landscape as well as their way of connecting and relating with others. I was trained as a Deaf Educator and can support people with various learning styles and needs. I also work with mindfulness, yoga, breathwork, and Reiki to bring in a holistic approach to mental health.
Welcome, and 初めまして。 I offer telehealth therapy for residents of Hawaii and New York and accepting new patients.
If you’re here, you’re probably hoping to feel better—fast. That’s human.
I was born in Japan, grew up in the U.S., and have lived in both Hawaii and New York. I’m a licensed clinical social worker in both states, with a background in leading nationally recognized mental health programs and training over 200 therapists. I also bring a business perspective, which helps me focus on practical, real-world solutions.
From both professional and personal experience, I understand how even strong, capable people can feel overwhelmed when life throws a curveball.
Sometimes change takes time, but we can begin right away by making sense of what’s going on and finding realistic ways to move forward.
I take a practical, steady approach, backed by over 25 years of experience in mental health.
My name is Christine Keanu and I am a Licensed Clinical Social Worker (LCSW). I earned my Master of Social Work Degree from the University of Hawaii at Manoa. I have a professional background working with children, families, and individuals involved in a wide range of social service systems. My work has included supporting clients through complex life experiences, stressors, and transitions, often in settings where safety, trust and consistency are especially important.
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!
I currently accept individual adult clients only through Headway. I do not provide couples or family therapy through this platform at this time.
I am a licensed Marriage and Family Therapist who works with individuals, couples, and LGBTQ+ clients seeking deeper self-understanding, emotional healing, and more connected relationships. My approach is warm, relational, trauma-informed, and grounded in the belief that healing happens through safety, honesty, and meaningful connection.
I specialize in relationship therapy, anxiety, depression, identity exploration, attachment wounds, complex trauma, and psychedelic assisted psychotherapy. I also support clients navigating life transitions, grief, shame, self-worth, communication challenges, and patterns that keep them feeling stuck or disconnected from themselves and others.
My work draws from Emotionally Focused Therapy, the Gottman Method, Internal Family Systems, somatic awareness, humanistic and existential therapy, and trauma-informed care. I help clients slow down, listen inward, understand their patterns, and develop more compassionate and empowered ways of relating.
As a queer-affirming therapist, I am especially passionate about supporting LGBTQ+ clients and relationships. I strive to create a space where clients can bring their full selves—without judgment—and explore healing in a way that honors their identities, histories, relationships, spirituality, and lived experience.
Client-focused, not one-size fits all. It's all about relationships. I'm here to listen and perhaps gently guide. I use psychodynamic, cognitive behavioral and Gottman technique with couples.
Bruised Not Broken Therapy was born out of the lack of Afrocentric based psychotherapy that allowed people of color to embrace their journey of life through the context of color. HIV, substance abuse, mental health and the denial of the experience of being a person of color continues to plague communities of color, as we still have yet to talk about these experiences.
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.
Starting therapy can feel vulnerable, and finding the right therapist matters. My goal is to create a safe and supportive space where you feel heard, respected, and understood.
If you are feeling stuck in a cycle of trauma, managing a chronic health crisis, or navigating a major life transition, you do not have to carry it alone.
I am a doctoral-level psychologist with over 10 years of experience helping individuals, couples, and military families find clarity and resilience during their most overwhelming seasons. My practice is grounded in a calm, seasoned approach developed across diverse settings, from intensive inpatient units to delicate palliative care.
I bring deep expertise to supporting those facing the heavy overlap of physical health conditions and psychological trauma, as well as veterans and military families processing service-related experiences, deployment stress, and structural transitions. I also specialize in helping individuals navigate identity, systemic challenges, and family dynamics related to acculturation and immigrant stress across the lifespan, while providing a steady, expert space during major life transitions like grief, medical diagnoses, or existential shifts.
In our sessions, we will work collaboratively to untangle your experiences at a pace that feels safe for you. Together, we will build actionable strategies to move you out of survival mode and toward genuine healing. If you are ready to take the next step, please reach out to schedule an initial consultation
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


Headway makes it easier to connect with affirming therapists who understand your identity — from finding the right therapist, to understanding costs, to scheduling with ease.
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