Couples therapists in Hawaii

Hi, I’m Alexandra, a licensed mental health counselor. I’m so glad you’re here. Reaching out for support takes courage, and it’s a privilege to walk alongside people who are ready to heal, grow, and create meaningful change in their lives.

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.

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.

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.

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.

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 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.

Aloha and welcome! Do you feel like you’re constantly carrying the weight of your past, or perhaps you’re struggling to navigate a difficult life transition? It can be exhausting to feel "stuck" in cycles of anxiety or trauma. I believe that you deserve a space where you feel truly seen and heard. Together, we will work to peel back the layers of these challenges, helping you find clarity and relief. My goal is to help you reconnect with your inner strength so you can move forward with a sense of peace and purpose. You don't have to carry this alone anymore.

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.