Chian Hsu, LCSW

Chian Hsu is a Licensed Clinical Social Worker (LCSW) who uses Cognitive Behavioral Therapy to help people facing anxiety, depression, grief, and major life changes. She combines practical tools with attention to everyday stresses so clients can feel steadier and more able to cope.

She draws on five years of clinical experience and a background that includes a Master of Social Work and a Master of Business Administration. That mix helps when emotional struggles intersect with work, career, or caregiving demands. Sessions focus on clear goals and small, doable steps.

Chian blends Cognitive Behavioral Therapy with Acceptance and Commitment Therapy and Dialectical Behavior Therapy skills. She also uses client-centered and mindfulness techniques to help people notice thoughts and choose actions that match their values. Hypnotherapy may be offered as an additional option when appropriate.

Her practice pays attention to aging and geriatric issues, chronic illness and pain, caregiver stress, cancer and hospice concerns, immigration challenges, and feelings of isolation or emptiness. She also addresses personality-related patterns such as avoidant or dependent traits, and themes like control, forgiveness, guilt, and family problems.

Chian speaks English and Mandarin and works with people in Hawaii and beyond, accepting international clients. Her sessions aim to build skills for emotion regulation, improve daily functioning, and support meaningful change at a pace that feels manageable.

Online approaches that focus on skills and values

Chian uses Cognitive Behavioral Therapy to help people notice thought patterns and try new behaviors that reduce anxiety and lift mood. CBT is practical and goal-focused, often involving short exercises to practice between sessions.

She also uses Acceptance and Commitment Therapy, which helps people clarify what matters to them and take action aligned with those values even when uncomfortable feelings remain. This approach is useful for life transitions, chronic health challenges, and persistent worries.

Therapy is a collaborative process. Chian will work with each person to decide which approaches fit their needs, goals, and preferences. That may mean combining CBT skills, ACT practices, DBT techniques for emotion regulation, and client-centered listening as the work unfolds.

Online sessions are available as video calls, phone sessions, live chat, or text-based messaging to make therapy easier to fit into a busy life. Video is helpful for face-to-face conversation and demonstrations of skills. Phone sessions can be simpler when bandwidth is limited. Live chat and messaging are useful for brief check-ins, practicing coping strategies, or when someone prefers written communication. These options aim to increase flexibility and make ongoing work more manageable.