About Roxy
Roxy Mico is a licensed clinical social worker based in Hawaii who helps people manage stress, anxiety, depression, relationship and intimacy concerns, and trauma. She brings 32 years of experience to sessions and focuses on practical tools people can use day to day. Roxy works with adults on issues like sleep problems, self-esteem, anger, addictions, bipolar disorder, ADHD, and career challenges.
Her style is straightforward and collaborative. Sessions tend to focus on clear goals and skills people can practice between meetings.
How Roxy works
She uses techniques from Cognitive Behavioral Therapy and Dialectical Behavior Therapy to help change unhelpful thoughts and build coping skills. Roxy has long experience helping people recover from sexual assault, domestic violence, and other traumatic events. She also supports people facing isolation, workplace stress, divorce and separation, and communication problems.
She pays attention to how life stage and aging can shape emotional needs. Clients can expect a mix of problem-solving and emotion regulation work. Some sessions focus on immediate coping strategies, while others look at longer term patterns in relationships and behavior.
The aim is to leave each session with one or two practical steps to try. Roxy conducts sessions in English and offers video calls, phone sessions, live chat, and text-based messaging. She holds a Hawaii LCSW credential and uses a subscription model for scheduling and payment that can be canceled at any time.
To begin, users complete a short matching questionnaire and schedule a first appointment based on therapist availability.
Roxy lists 2 ways of working on the entry:
What Roxy works with
The areas below are the ones Roxy selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
- Addictions
- ADHD
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Bipolar disorder
- Career difficulties
- Coaching
- Communication problems
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Domestic violence
- Family conflicts
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Men's issues
- Narcissism
- Panic disorder and panic attacks
- Post-traumatic stress
- Self esteem
- Sexual assault and abuse
- Sleeping disorders
- Social anxiety and phobia
- Workplace issues
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 32 |
| Languages | English |
| 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
Online approaches and practical online care
Roxy uses Cognitive Behavioral Therapy to help people notice and change unhelpful thought patterns and behaviors. CBT focuses on short-term, practical exercises that reduce anxiety, depression, panic, and workplace stress by changing how people think and act.She also uses Dialectical Behavior Therapy techniques that build emotion regulation, distress tolerance, and interpersonal skills. DBT tools are useful when strong emotions, impulsive behavior, or difficult relationships get in the way of daily life.
Finding the right approach is a collaborative process. The therapist will talk with each person about goals, preferences, and what has or hasn't helped in the past. Together they decide whether to focus on CBT skills, DBT strategies, or a mix of both based on needs and progress.
Online sessions are offered by video call, phone, live chat, or text-based messaging to make care flexible. Video visits allow face-to-face conversation and visual cues, phone sessions work well when bandwidth is limited, and chat or text can support brief check-ins or ongoing coaching between meetings. These options help fit therapy into workdays, caregiving schedules, or travel without needing to be in the same place as the therapist.
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Common questions
What concerns does Roxy help with?
What is her therapeutic style?
How much experience does she have?
Where is she licensed and based?
Which languages are offered?
What session formats are available?
How does payment work and what does it cost?
How do I start therapy with Roxy?
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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