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RM Portrait of Roxy Mico

Roxy Mico

Experienced LCSW focusing on practical skills

LCSW Hawaii

Experience
32 years in practice
Focus areas
Stress, Anxiety, Relationship, Trauma and abuse
Approaches
Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT)
Languages
English
Continue with Roxy

About Roxy

Roxy Mico is a licensed clinical social worker (LCSW) based in Hawaii who brings 32 years of clinical experience to her practice.

Background and approach

She focuses on a wide range of concerns including stress, anxiety, depression, trauma and abuse, addictions, relationship and intimacy-related issues, self-esteem, sleep difficulties, career challenges, bipolar disorder, ADHD, and coping with life changes.

Her background also includes work with aging and geriatric issues, domestic violence, post-traumatic stress, panic disorder, social anxiety, workplace problems, and other interpersonal and behavioral concerns. Her style is collaborative and compassionate, guiding clients to identify practical coping skills and clearer patterns of thinking and behavior.

Roxy draws on Cognitive Behavioral Therapy to help clients reframe unhelpful thoughts and build concrete strategies for daily functioning, and she integrates Dialectical Behavior Therapy techniques when emotion regulation and interpersonal effectiveness are central to care. Sessions emphasize skill development, problem solving, and gradual progress toward clients' goals.

Roxy aims to create a respectful, strengths-based space where people can explore difficult experiences, practice new responses, and pursue meaningful change. She offers services via multiple online formats and works with adults across a variety of life stages to promote resilience and improved functioning.

Online therapy with CBT and DBT-informed care

Roxy uses Cognitive Behavioral Therapy to help clients identify and shift unhelpful thinking patterns while building practical behavioral strategies for managing symptoms such as anxiety, depression, and difficulties with sleep or workplace stress. Dialectical Behavior Therapy techniques are introduced when emotion regulation, distress tolerance, or interpersonal effectiveness skills are needed to reduce reactivity and improve relationships.

Choosing the right therapeutic approach is a collaborative process. The therapist will work together with each client to assess needs, goals, and preferences, and adapt CBT and DBT-informed strategies so they fit the person’s situation and pace. This shared planning helps tailor skill development and problem solving over time.

Online sessions offer flexibility through video calls, phone sessions, live chat, and text-based messaging, making it easier to access care from Hawaii or while managing a busy schedule. These formats support ongoing skill practice between meetings and allow clients to engage in therapy in ways that suit their daily routines and logistical needs.

Frequently asked questions

What concerns does this therapist address?
Roxy works with a broad set of issues including stress, anxiety, depression, trauma and abuse, addiction, relationship and intimacy-related difficulties, sleep problems, self-esteem, career concerns, bipolar disorder, ADHD, and coping with life changes.
How would you describe the therapeutic approach and style?
The approach is collaborative and skills-focused, blending Cognitive Behavioral Therapy with elements of Dialectical Behavior Therapy to target thinking patterns, emotion regulation, and practical coping strategies.
What is the clinician's background and experience?
She is a licensed clinical social worker with 32 years of clinical experience working across a wide range of mental health and interpersonal issues.
Where is this therapist licensed and practicing?
Roxy holds an LCSW license in Hawaii, recorded as HI LCSW LCSW-3244, and she practices from that state.
Which languages are available for sessions?
Sessions are offered in English only, and international clients are not currently accepted.
What session formats does she offer?
Clients may meet via video calls, phone sessions, live chat, or text-based messaging according to availability and preference.
How are sessions paid for and what does it cost?
Cost varies with location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.
What steps are needed to begin working together?
To start, select the Start Therapy button, complete a short matching questionnaire, and schedule a time based on the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesTrauma and abuseAnger managementDepression

Also works with

AddictionsLGBTFamily conflictsIntimacy-related issuesSleeping disordersSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingADHD

Additional focus areas

Aging and geriatric issuesAntisocial personalityCommunication problemsControl issuesDivorce and separationDomestic violenceIsolation / lonelinessMen's issuesNarcissismPanic disorder and panic attacksPost-traumatic stressSexual assault and abuseSocial anxiety and phobiaWorkplace issues

Therapeutic approaches

Cognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)

Experience

32+ years

Licensed

Hawaii

Languages

English