Roxy Mico, LCSW

Roxy Mico is a licensed clinical social worker with 32 years of experience helping people manage stress, anxiety, depression, trauma, and relationship concerns. She practices in Hawaii and works with adults seeking clearer coping strategies and steadier emotional footing.

Roxy keeps sessions straightforward and practical. She uses tools from cognitive behavioral therapy and dialectical behavior therapy to help people change unhelpful thoughts, learn new coping skills, and handle intense emotions. Conversations focus on real-life problems and small steps that make daily life easier.

Her style is collaborative. She listens first, then helps clients set clear goals and build a plan to reach them. Roxy often breaks complex problems into manageable tasks so progress is visible and achievable.

She has long experience helping people process trauma, navigate workplace stress, manage mood shifts, and rebuild after relationship strain. That experience includes work with survivors of abuse and those facing major life changes such as divorce or retirement.

Sessions may include skills training for emotional regulation, practical strategies for sleep and concentration, and coaching around career or life transitions. Roxy aims to strengthen resilience so people feel more in charge of their choices.

Clients can expect a steady, calm presence and a focus on skills they can use between sessions. Roxy favors approaches that lead to everyday improvements and clearer routines for coping and recovery.

CBT and DBT approaches for online care

Roxy uses cognitive behavioral therapy to help people identify and change unhelpful thoughts and behaviors. CBT sessions typically involve setting clear goals, practicing new ways of thinking, and testing small changes in everyday life to reduce anxiety, depression, and stress.

She also draws on dialectical behavior therapy for emotion regulation and distress tolerance. DBT offers concrete skills for managing intense feelings, improving interpersonal communication, and reducing impulsive reactions, which can help with relationship strain, anger, and trauma-related responses.

Finding the right approach is part of the work together. Roxy collaborates with each person to choose methods that fit their needs, goals, and preferences, and she adjusts plans as progress unfolds.

Online therapy with Roxy is offered through video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face conversations and skills practice, phone sessions can be lower-bandwidth and simpler to join, live chat works for quick check-ins, and messaging supports ongoing feedback and short coaching between appointments. These options make it easier to fit therapy into a busy life and try formats that work best for each person.