Roxy Mico , LCSW

Roxy Mico is a licensed therapist based in Hawaii who brings more than three decades of clinical experience to her work with individuals facing emotional and life challenges. As a Licensed Clinical Social Worker (LCSW), she has developed a practice that emphasizes compassionate, collaborative care for people dealing with depression, anxiety, trauma recovery, and major life transitions. Her clinical focus includes helping clients navigate communication barriers, manage workplace stress, and resolve interpersonal difficulties.

Roxy has extensive experience supporting older adults, men, and survivors of traumatic experiences, and she approaches each client with respect for their unique background and strengths. Her methods are grounded in evidence-based practices and aim to build resilience, enhance coping skills, and support meaningful personal growth. She works with a wide range of concerns including relationship issues, addiction, ADHD, grief, and self-esteem challenges.

Committed to fostering practical, sustainable change, Roxy helps clients develop tools to improve emotional well-being and handle life s ups and downs. Her practice centers on partnership - working together with clients to set goals, try new strategies, and create lasting improvements that reflect each person s priorities and values.

Therapeutic Approaches and Online Care

Roxy Mico commonly uses Cognitive Behavioral Therapy (CBT) to help clients identify and change patterns of thinking and behavior that contribute to distress. CBT is practical and goal oriented, often helpful for anxiety, depression, stress, and sleep difficulties.

She also integrates Dialectical Behavior Therapy (DBT) techniques to teach skills in emotion regulation, distress tolerance, and interpersonal effectiveness. DBT strategies can be especially useful for managing intense emotions, improving relationships, and coping with crises.

Finding the right therapeutic approach is part of the process, and Roxy works collaboratively with each person to determine which methods best fit their needs, goals, and preferences. Together they explore options, adjust strategies as progress is made, and prioritize approaches that feel most helpful.

Online sessions offer practical flexibility for busy schedules and varied lifestyles. Clients can meet by video call or phone, or choose live chat and text-based messaging when that format is more convenient. These options make it easier to maintain continuity of care, access support from home, and engage in therapy in ways that match individual routines and comfort levels.