Book a therapist or psychiatrist in Hawaii covered by Cigna

I am passionate about serving people helping to rebuild trust, restore relationships, and move beyond struggles with trauma, addiction, intimacy, depression and brokenness.

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.

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

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.

I am a Licensed Therapist (LMHC) in the state of Hawaii. I was born and raised on the island of O'ahu. As a culturally sensitive therapist, I specialize in helping individuals and families navigate a variety of mental health challenges. My approach is grounded in evidence-based practices, as I also incorporate traditional Hawaiian culture and values to provide holistic and culturally relevant care. I'm committed to empowering my clients to develop the skills and resilience they need to overcome challenges and lead fulfilling lives.

My focus

With a broad range of experience, I specialize in treating a variety of mental health concerns, including: Substance Abuse: Assisting individuals in overcoming addiction and developing healthy coping mechanisms. At-Risk Youth: Providing support and guidance to young people facing challenges such as academic difficulties, peer pressure, or family instability. Foster Care and Adoption: Addressing the unique emotional needs of children and families involved in the foster care and adoption process. Family Dynamics: Helping families navigate changes, improve communication, and resolve conflicts. Relationship Issues: Supporting individuals and couples in strengthening their relationships and addressing communication difficulties. Daily Stressors: Assisting clients in managing stress, anxiety, and other common mental health concerns.

My communication style

I strive to create a safe, non-judgmental, and supportive space for my clients. I believe that a calm and comfortable atmosphere is essential for fostering open communication and trust. I aim to establish a therapeutic relationship based on mutual respect, empathy, and understanding. When working with me, you can expect a warm and welcoming environment where you feel heard, understood, and valued. I will provide you with the support and guidance you need to explore your thoughts and feelings and work towards your goals.

Living in Hawai‘i offers so much beauty—but that doesn’t mean life always feels peaceful. Whether you’re navigating anxiety, depression, trauma, ADHD, or other mental health challenges, you don’t have to do it alone. I work with adults and teens to help them move toward healing, balance, and lasting change.

Born and raised in Hawai`i I carry a lens that acknowledges the challenges we face, often specific to holding and honoring our place here in Hawai`i. As a kanaka, wahine, and makua I embrace the various roles we all play in our lives. Many of us carry the weight of our `ohana and are seeking support from someone "who gets it." With 17 years counseling experience here in Hawai`i and on the continent, I have worked across our communities in non-profit, government/judicial, and education (both DOE and university level). I have supported a variety of age groups including teens, adults, and our kupuna. I carry deep gratitude and aloha for our community people who make up our patchwork quilt here in Hawai`i.