Roxy Mico, LCSW

Roxy Mico, LCSW, helps people who are dealing with stress, anxiety, depression, trauma, relationship strain, and life transitions. She also supports those coping with addictions, bipolar challenges, ADHD, sleep problems, and concerns tied to aging and geriatric issues. Roxy brings a steady presence and practical focus to sessions. She draws on 32 years of clinical experience in Hawaii to guide conversations and plan steps forward. Sessions focus on identifying patterns that keep problems going and testing small, doable changes. Roxy uses clear, task-focused tools so people leave with concrete things to try between meetings. Her style is collaborative and straightforward. She listens for what matters most and works with each person to set realistic goals. Expect a mix of skills training, thoughtful discussion, and homework that fits daily life. Roxy has long experience supporting older adults and people facing difficult life shifts. She also has a history of helping survivors of trauma, those navigating workplace stress, and people managing anger or relationship problems. Her background makes her comfortable addressing both short-term concerns and longer-term struggles. Clients can expect sessions that aim to build coping skills, strengthen communication, and reduce intense emotional reactions. Roxy emphasizes practical plans you can use right away, paired with steady support as you try new approaches.

How CBT and DBT Inform Online Care

CBT, or Cognitive Behavioral Therapy, focuses on the links between thoughts, feelings, and behaviors. It helps people spot unhelpful thinking, test new beliefs, and try different actions to reduce anxiety, depression, and problematic habits.

DBT, or Dialectical Behavior Therapy, emphasizes emotion regulation, distress tolerance, and better interpersonal skills. It offers step-by-step strategies to manage intense emotions, handle crises, and improve communication in relationships.

Figuring out which approach fits best is part of the work. Roxy will collaborate with each person to choose methods that match their goals, needs, and daily life. Together you can adjust the plan as progress is made.

The profile does not list specific session formats, so confirm available online options before booking. Online therapy can make scheduling easier and help fit sessions into busy days. It can also allow for shorter check-ins when time is limited, avoid travel, and let people practice skills in their usual environments. Licensed professionals can adapt CBT and DBT techniques to work well in remote sessions, focusing on practical steps and skills that people can use between meetings.