About Chian
Chian Hsu is a Licensed Clinical Social Worker (LCSW) who focuses on practical support for stress, anxiety, grief, self-esteem, and depression. She uses simple, step-by-step methods so people can feel steadier and more capable. Sessions are offered in English and Mandarin and draw on five years of clinical experience in Hawaii.
Chian blends several evidence-informed approaches to match each person's needs. She helps people notice unhelpful thoughts and try new behaviors using Cognitive Behavioral Therapy.
How Chian works
She uses Acceptance and Commitment Therapy to clarify values and help people make small, meaningful changes. Mindfulness and Dialectical Behavior Therapy skills are used to reduce reactivity and build clearer coping tools. Hypnotherapy is available as another option when a calmer, focused state can help with pain, stress, or habit change.
Chian describes her work as collaborative and paced to each person's comfort. Her background in social work and practical experience includes supporting people facing life transitions, caregiving strain, chronic illness, bereavement, and work-related stress. She pays attention to cultural context and to how daily life and responsibilities affect emotional health.
Sessions can address relationship strain, feelings of emptiness, control or dependency concerns, and questions about life purpose. Chian aims to help people use their existing strengths to solve problems, regain balance, and move toward more meaningful daily routines.
Chian lists 11 ways of working on the entry:
What Chian works with
The areas below are the ones Chian selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- Aging and geriatric issues
- Avoidant personality
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- Emptiness
- Family problems
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Immigration issues
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Prejudice and discrimination
- Relationship issues
- Self-love
- Social anxiety and phobia
- Workplace issues
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 5 |
| Languages | English, Mandarin |
| Session format | Online: video, phone, live chat or messaging |
| Country | Hawaii |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Therapeutic approaches you can access online
Acceptance and Commitment Therapy, or ACT, focuses on clarifying personal values and taking small actions that matter. It helps when life feels off track or when someone struggles with worry or avoidance. Cognitive Behavioral Therapy, or CBT, looks at patterns of thoughts and behaviors and teaches practical strategies to reduce anxiety and low mood. It is useful for stress, depression, and unhelpful thinking. Dialectical Behavior Therapy skills target emotional regulation and distress tolerance by teaching step-by-step tools for managing strong feelings.Choosing the right approach is part of the work. The therapist will talk with each person about goals and preferences and try methods that fit those needs. Decisions about which skills to focus on are made together and adjusted as progress is made.
Online therapy offers flexible ways to connect: video calls for face-to-face conversation, phone sessions when bandwidth is limited, live chat for shorter check-ins, and text-based messaging for ongoing support between sessions. These options make it easier to fit therapy into a busy schedule, to access services from different locations, and to pick the format that feels most comfortable for regular practice and skill-building.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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