About Roxy
Roxy Mico is a licensed clinical social worker with 32 years of experience helping people manage anxiety, stress, depression, and trauma. She works with individuals facing relationship and intimacy concerns, addictions, sleep problems, and self-esteem struggles. Her practice is in Hawaii and she uses straightforward, practical approaches in sessions.
Roxy focuses on clear, usable skills people can apply between appointments. She helps clients break down overwhelming problems into smaller steps.
Background and approach
Conversations often include checking how daily habits and thinking patterns affect mood and stress. Sessions aim to be collaborative. Roxy listens first, then suggests strategies that fit each person’s life.
She draws on methods that target unhelpful thinking and build emotional regulation skills. Her background includes long experience with trauma, workplace stress, panic, and social anxiety. She has worked with people struggling after sexual assault, domestic violence, and other traumatic events.
That history shapes how she supports safety and paced recovery in therapy. Roxy also addresses practical life shifts like career change, divorce, aging concerns, and coping with bipolar symptoms. She includes coaching-style guidance when clients want concrete steps toward goals.
Overall, her style is steady, goal-focused, and respectful of each person’s pace.
How CBT and DBT Work Online
Cognitive Behavioral Therapy, or CBT, helps people notice unhelpful thoughts and change behaviors that keep problems going. It is often used for anxiety, panic, depression, and workplace stress by teaching practical skills and thought-checking exercises.Dialectical Behavior Therapy, or DBT, focuses on emotional regulation, distress tolerance, and improving relationships. It teaches concrete tools for responding to intense emotions and reducing impulsive behavior, which can help with anger, self-harm urges, and intense mood swings.
Choosing the right approach is a collaborative step. Roxy will talk with each person about goals, symptoms, and daily life, then recommend strategies that fit. Together they can try methods, adjust as needed, and blend approaches based on what works best for the client.
Online sessions offer practical flexibility. Video calls let a therapist and client use visual cues and worksheets together. Phone sessions can be a shorter check-in or a better fit when bandwidth is limited. Live chat and text-based messaging make it easier to get brief support between sessions or to fit therapy into a busy day. These options let people access consistent care without travel and fit work, family, and other demands into their schedule.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
- Addictions
- ADHD
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Bipolar disorder
- Career difficulties
- Coaching
- Communication problems
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Domestic violence
- Family conflicts
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Men's issues
- Narcissism
- Panic disorder and panic attacks
- Post-traumatic stress
- Self esteem
- Sexual assault and abuse
- Sleeping disorders
- Social anxiety and phobia
- Workplace issues
Therapeutic approaches
- Experience
- 32 years
- Licensed
- Hawaii
- Languages
- English
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