Addiction therapists & psychiatrists in Hawaii

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.

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.

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.

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.

I am open, approachable, and committed to listening carefully to your experiences without judgment. I believe that each person carries a unique story, and my goal is to provide a supportive space where you feel heard, understood, and encouraged as you navigate life’s challenges and opportunities for growth. Together, we can explore what is most important to you and work toward creating a life that feels meaningful, authentic, and aligned with your values.

My background includes earning a Ph.D. from the University of California, Berkeley, along with a lifelong appreciation for personal growth, nature, and the healing power of connection. Growing up learning to surf fostered a deep respect for the ocean and the lessons it offers about resilience, balance, and adapting to life's changing conditions. These experiences have shaped my belief in the importance of honoring each individual’s journey and recognizing that growth often comes through both challenge and reflection.

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!

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:

• Mood Disorders: Advanced care for major depression, treatment-resistant depression, and bipolar disorder.
• Anxiety & Stress: Targeted strategies for generalized anxiety, panic disorder, and high-stress professional burnout.
• Trauma: Compassionate, evidence-based recovery and support for PTSD.

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.

Guaranteed intake appointment within 3 days! Weekend and evening hours available! A provider you can reach directly! Personal responses to all messages within 24 - 48 hours, always.

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, 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, BDSM- and polyamory-informed. All lifestyles welcome. I do therapy as well as medication management, but I am currently only accepting new clients for medication management. If you are looking for therapy, I am happy to refer you to skilled therapists I know who are accepting new clients.