Find a therapist in Hawaii — covered by insurance

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

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.

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 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.

My career began in 1997 as an AmeriCorps member working in harm reduction during the peak of new HIV infections. Since then, I've held many roles as a proud social worker. I have been a therapist for 18 years, with extensive training & experience in harm reduction therapy, Motivational Interviewing, Cognitive Behavioral Therapy, and Cognitive Processing Therapy for PTSD. I have lived experience with mental health challenges and treatment

I have worked and lived in:

• Charlotte, NC
• San Francisco
• Michigan
• Oahu, Hawaii

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.

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.

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 currently accepting new clients.

Aloha, I'm Josie. If you’ve been holding a lot for a long time, therapy can be a place where you finally exhale. I work with women and teens who are feeling overwhelmed, stuck, anxious, or simply not like themselves. Whether you’re dealing with stress, relationship struggles, life changes, or that constant sense of emotional overload, our work together can help you feel more grounded, supported, and clear about what comes next.