Sophia Hoskins, LMFT

Sophia Hoskins is a licensed psychotherapist and a Marriage and Family Therapist (LMFT) practicing in Hawaii. She brings 13 years of experience to short-term and longer-term concerns like anxiety, depression, stress, and relationship struggles. Her manner is direct and practical, focusing on steps people can take to feel safer and more steady in day-to-day life.

Sophia uses Cognitive Behavioral Therapy (CBT) alongside emotionally-focused and existential approaches to help people understand patterns and make concrete changes. She also works with hypnotherapy and Imago relationship techniques when those methods fit a person's goals. Sessions emphasize clear skills, helpful reframes, and real-world practice between meetings.

Her background includes extensive work with service members on issues related to trauma, reintegration after deployment, anger, and relationship strain. That experience shaped her ability to address intense stress and to help people rebuild routines and trust after difficult events. She has also spent recent years supporting athletes to sharpen focus and performance under pressure.

Sophia aims to make therapy practical and goal-oriented. People can expect a collaborative plan with measurable steps and regular check-ins to track progress. She explains exercises plainly and suggests small, doable experiments to try between sessions.

Outside of therapy she enjoys surfing, mountain biking, snowboarding, and working with horses. Those interests inform her appreciation for peak performance and for helping people move toward tangible goals.

How therapeutic approaches translate to online care

CBT, or Cognitive Behavioral Therapy, focuses on spotting unhelpful thoughts and testing new behaviors to change how people feel and act. It is often used for anxiety, depression, sleep issues, and stress by giving straightforward tools to practice between sessions.

Emotionally-Focused Therapy (EFT) helps people name and track emotions that drive relationship patterns and personal reactions. It can be useful when emotions feel overwhelming or when history repeats itself in close relationships.

Existential Therapy looks at meaning, responsibility, and choices when someone faces big life questions or feels stuck. It supports people who want to make values-based decisions or find new direction after loss or change.

Choosing the right approach is a collaborative process. The therapist will talk about your goals, try different methods, and adjust the plan based on what helps most. Clients often combine techniques from more than one approach to match real needs.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is good for in-depth work and face-to-face connection, phone can fit short check-ins or when bandwidth is limited, live chat is useful for focused problem-solving, and text messaging supports ongoing reflection between sessions. These options offer flexibility to fit therapy into daily life and make regular progress without extra travel.