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LCSW

Roxy Mico, LCSW

  • Experience32 years
  • LocationHawaii
  • Focus areasADHD, Stress and Anxiety, and Relationship
  • Therapy approachesCognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT)
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About Roxy

Roxy Mico brings more than 32 years of clinical social work experience to her practice in Hawaii. She focuses on helping people manage stress, anxiety, depression, trauma and abuse, relationship and intimacy-related concerns, anger, addictions, bipolar mood challenges, and ADHD.

Background and approach

Her work also addresses issues around self-esteem, sleep, career transitions, coping with life changes, and LGBT-related concerns, as well as a range of related struggles such as panic, social anxiety, workplace difficulties, and recovery from sexual assault and abuse. Her style blends practical skills training with compassionate collaboration.

Roxy uses evidence-informed methods rooted in Cognitive Behavioral Therapy and Dialectical Behavior Therapy to help clients identify unhelpful patterns, build effective coping strategies, and improve emotional regulation. She emphasizes clear communication and tailored interventions so each person can work toward specific goals while drawing on their own strengths.

Based in Hawaii, Roxy holds the LCSW credential and brings decades of experience supporting people through major life transitions, interpersonal conflict, and trauma recovery. She offers multiple remote session formats to accommodate varying schedules and preferences while helping clients develop sustainable changes in mood, behavior, and relationships.

Evidence-Informed Approaches and Online Care

Roxy uses Cognitive Behavioral Therapy to help clients recognize and shift unhelpful thinking patterns and behaviors; this approach is useful for anxiety, depression, stress management, and many day-to-day challenges. She also draws on Dialectical Behavior Therapy techniques to teach emotion regulation, distress tolerance, and interpersonal effectiveness for people struggling with intense emotions or relationship conflicts.

Finding the right approach is a collaborative process. The therapist works with each individual to explore goals, symptoms, and preferences, and together they decide which techniques to emphasize and how to adapt them for the client’s needs and pace.

Online sessions are offered via video calls, phone, live chat, or text-based messaging to increase flexibility and accessibility. These formats make it easier to fit therapy into busy schedules, maintain continuity during life transitions, and access regular skills coaching or check-ins when in-person visits are impractical. Licensed professionals can use these options to deliver structured CBT and DBT work while tailoring pacing and homework to each client’s routine.

Frequently asked questions

What kinds of concerns does Roxy address?
She works with a broad set of issues including stress, anxiety, depression, trauma and abuse, relationship and intimacy-related problems, anger, addictions, ADHD, bipolar concerns, and related areas such as sleep and self-esteem.
How would you describe her therapeutic approach?
Her approach is collaborative and skills-focused, integrating Cognitive Behavioral Therapy and Dialectical Behavior Therapy techniques to help clients change unhelpful thoughts and build emotion regulation and coping skills.
What is her clinical background and experience?
Roxy is a licensed clinical social worker with 32 years of professional experience practicing in Hawaii and supporting people through trauma recovery, life transitions, and interpersonal challenges.
Where is Roxy licensed and based?
She holds an LCSW license with designation HI LCSW LCSW-3244 and is based in Hawaii.
Does she work with non-English speakers or international clients?
Sessions are conducted in English and she is not currently accepting international clients.
What session formats are available?
Clients can work with her through video calls, phone sessions, live chat, or text-based messaging depending on preference and availability.
How are fees and subscriptions handled?
Cost varies with location and therapist availability, and sessions are arranged through 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 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

What Roxy can help with

Roxy Mico works with clients on stress and anxiety, relationship issues, trauma and abuse, anger management, and depression.

Roxy works with individuals navigating complex emotional landscapes.

Roxy works with depression, anxiety, and trauma recovery.

How Roxy approaches therapy

Roxy's clinical approaches include Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT).

Experience and training

Roxy is a Licensed Clinical Social Worker practicing in Hawaii, with 32 years of clinical experience.