Roxy Mico , LCSW

Roxy Mico is a Licensed Clinical Social Worker (LCSW) based in Hawaii with 32 years of clinical experience supporting people through challenging emotional and life transitions. She focuses on treating depression, anxiety, trauma recovery, and the stresses that arise from relationships and work. Her practice addresses communication barriers, workplace strain, interpersonal difficulties, and other concerns that can undermine daily functioning and well-being.

Roxy takes a compassionate, collaborative approach that aims to empower individuals across diverse backgrounds and life stages. She has extensive experience working with older adults, men, and survivors of traumatic events, helping them rebuild resilience and find practical paths forward. Her methods emphasize evidence-based strategies that respect each person’s strengths and goals.

Committed to helping clients develop effective coping tools, Roxy guides people toward improved emotional balance and sustainable change. She partners with clients to explore underlying patterns, strengthen coping skills, and cultivate meaningful personal growth tailored to each person’s situation and priorities.

Evidence-Based Approaches for Online Therapy

Roxy Mico uses Cognitive Behavioral Therapy (CBT) to help clients identify and change unhelpful thought patterns and behaviors. CBT is practical and goal-oriented, often useful for symptoms of anxiety, depression, and difficulties with coping and problem solving.

She also draws on Dialectical Behavior Therapy (DBT) skills to teach emotional regulation, distress tolerance, and effective interpersonal strategies. DBT techniques can be particularly helpful for managing intense emotions, improving relationships, and reducing impulsive reactions.

Finding the right therapeutic approach is part of the work together. Roxy collaborates with each person to assess needs, goals, and preferences and tailors methods so that therapy feels useful and achievable. This collaborative process helps ensure the chosen strategies fit the client’s life and priorities.

Online sessions via video calls, phone appointments, live chat, or text-based messaging make it easier to fit therapy into a busy schedule and to access support from home or elsewhere in Hawaii. These options provide flexibility in timing and format, allowing licensed professionals to deliver consistent, ongoing care that adapts to each person’s routine and needs.