Book a therapist or psychiatrist in Hawaii covered by Cigna

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Thanks for reading this. I am a board-certified psychiatric nurse practitioner who works with clients ages 6 to 86 struggling with depression, anxiety, ADHD, borderline personality disorder, substance abuse and other issues. For some clients, I provide both therapy and medication management; for other clients, I work closely with their therapists to optimize their medication experience. I help clients to find stability and reduce suffering. LGBTQ-allied, polyamory-informed. All lifestyles welcome.

Depression and anxiety can be logical responses to difficult life events. Many adults who experienced losses and traumas in childhood have never processed these events and continue to suffer their impacts.

Therapy should help you identify the ways you hold yourself back from greater peace and success. We all pick up dysfunctional patterns along the way and need help to identify and change them. I would like to help you in this process.

Aloha! As a clinician with over 18 years of experience, my passion is working with children and families. Healthy families are the core unit of our society and can break negative patterns for ourselves and future generations, and I believe that early intervention can dramatically change the trajectory of a young person’s life. I feel privileged to help my clients achieve their goals and improve their lives by providing the professional guidance needed to navigate behavioral challenges, identity struggles, and family transitions.

I want my clients to feel safe and empowered during their time with me, knowing they have an experienced advocate committed to their success. My background as a UCLA graduate has allowed me to serve families across various life stages, from young children to adults navigating relationship hurdles. When I am not in the office, I find peace and restoration in the natural beauty of the islands, which keeps me grounded in my work.

Taking the first step toward therapy takes courage, and I'm glad you're here. I'm a Licensed Clinical Social Worker with over 10 years of experience helping adults and teens navigate anxiety, depression, trauma, chronic pain, life transitions, and chronic stress. I believe healing happens when we care for the whole person, not just the symptoms. My goal is to provide a supportive space where you feel heard, understood, and, most importantly, empowered to create meaningful change.

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 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.