Roxy Mico, LCSW
Licensed in Hawaii · 32 years in practice
Roxy Mico is a licensed clinical social worker in Hawaii who helps people manage stress, anxiety, depression, trauma and relationship challenges.
License and registration
- LCSW, Hawaii
- LCSW-3244 · expires June 2028
- NPI
- 1811380975 · national provider identifier
- Years in practice
- 32
- Languages
- English
Details are as listed on the therapist's public professional profile. You can check any license with the state board and any NPI with the national registry.
About Roxy
Roxy Mico is a licensed clinical social worker in Hawaii who helps people manage stress, anxiety, depression, trauma and relationship challenges. She also supports concerns like anger, addictions, sleep problems, self-esteem, career strain, ADHD, and intimacy-related issues. Her tone is practical and steady, aimed at people who need clear help and straightforward tools.
Roxy uses approaches that focus on changing unhelpful thoughts and building coping skills. Sessions are collaborative and goal-directed, with time spent on small, doable strategies that fit daily life.
Background and approach
She listens for what matters most and helps clients break big problems into manageable steps. Her background spans more than 32 years in clinical work in Hawaii. That experience includes work with survivors of trauma, people facing workplace stress, and those navigating major life transitions.
She often helps clients rebuild routines, manage mood swings, and address patterns that keep them stuck. In the therapy room she blends practical skill-building with supportive talk. Behavioral tools may be paired with emotion-regulation strategies to reduce distress and improve relationships.
Progress is tracked in simple ways so clients can see what’s changing. Roxy aims to make therapy usable and realistic. She helps people practice new skills between sessions, adjust plans when needed, and set achievable goals.
Her style is calm, direct, and focused on helping clients move forward in everyday life.
Focus areas and approaches
Everything Roxy lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
- Anger management
- Depression
- Addictions
- LGBT
- Family conflicts
- Intimacy-related issues
- Sleeping disorders
- Self esteem
- Career difficulties
- Bipolar disorder
- Coping with life changes
- Coaching
- ADHD
- Aging and geriatric issues
- Antisocial personality
- Communication problems
- Control issues
- Divorce and separation
- Domestic violence
- Isolation / loneliness
- Men's issues
- Narcissism
- Panic disorder and panic attacks
- Post-traumatic stress
- Sexual assault and abuse
- Social anxiety and phobia
- Workplace issues
Approaches Roxy names
Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.
Online support
How CBT and DBT work in online therapy
Roxy uses Cognitive Behavioral Therapy to help people notice and change unhelpful thoughts and behaviors. CBT breaks problems into concrete parts so clients can try small experiments and track what helps, which is often useful for anxiety, depression, and workplace stress.She also draws on Dialectical Behavior Therapy techniques to teach emotion-regulation, distress tolerance, and interpersonal effectiveness. DBT tools give people step-by-step skills to manage intense feelings and improve communication during heated moments.
Finding the right approach is part of the process. The therapist works collaboratively with clients to choose or blend methods that fit their goals and preferences. Clients set priorities early and adjust the plan as they see what works.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to make therapy more flexible. Video allows face-to-face conversation, phone can be easier when bandwidth is limited, and chat or messaging works for quick check-ins or brief coaching between sessions. These options help people fit therapy into busy lives and keep continuity when schedules change.
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Questions people ask
What concerns does Roxy help with?
She supports a wide range of concerns including stress, anxiety, depression, trauma and abuse, relationship and intimacy issues, anger, addictions, sleep problems, self-esteem, career challenges, ADHD, and coping with life changes.
What is her general therapy style?
Her style is collaborative and practical, focusing on clear goals and doable skills. Sessions mix problem-solving with emotion regulation and behavior changes.
How much clinical experience does she have?
Roxy brings 32 years of clinical experience to her practice, working with trauma survivors, people facing workplace stress, and those navigating major life transitions.
Where is she licensed and based?
She is a Licensed Clinical Social Worker (LCSW) practicing in Hawaii.
Which languages are supported for sessions?
Sessions are offered in English.
What session formats are available?
She offers video calls, phone sessions, live chat, and text-based messaging to suit different needs and schedules.
How does payment and cost work?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to therapist availability.
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