How to find the right therapist in Hawaii County, HI

When choosing a therapist in Hawaii County, HI, it's best to reflect on what you’re looking for and ask yourself which of the following criteria are most important to you: Do they accept your insurance? Do you need a therapist who specializes in a specific mental health concern such as depression, anxiety, or trauma? Are you looking for someone to work with you individually? Or are you looking for someone to support you as a couple or family? Would you be more comfortable partnering with a therapist of a certain race, gender expression, sexual orientation, religious, or cultural background?

Can I use my insurance?

Yes! Therapists on the Rula platform are in-network with most major insurance plans. Rula patients typically pay $15 per session, although your individual cost may vary based on your insurance benefits and deductible. We’ll work with your insurance to confirm your estimated per-session cost before your first appointment. Ready to get started? Click here to browse available therapists who accept your insurance.

How do I know if therapy is right for me?

There’s no right or wrong reason to start therapy. Whether you’re seeking help navigating a life transition or managing symptoms of anxiety or depression, therapy is an effective treatment for many types of concerns – all you need is an open mind and a general sense of what you’d like to explore with a therapist. Still unsure? Head to our blog to learn more.

How soon can I meet with a therapist?

Therapists in Rula’s network are available to meet as soon as tomorrow. Click here to explore therapists and book your first session in minutes.

What should I consider when choosing a therapist?

It depends on your personal preferences and goals. Whether you’re seeking a therapist who specializes in certain mental health conditions, shares your ethnic background, or is available to meet at your preferred time – Rula makes it easy to search and filter by what matters most to you. If you don’t feel like your first choice was a match, don’t worry – we’ll help you switch to a different therapist in our network. Check out our blog post for more pointers on finding your best-fit therapist.

How do I know if I need therapy or psychiatry?

If you’re experiencing severe symptoms that interfere with your daily functioning, you may want to consider starting with a psychiatric provider who can assess your needs and prescribe medication if deemed necessary. If your symptoms are mild or moderate, therapy may be a better starting point. No matter where you begin your journey – your provider will work with you to develop a personalized treatment plan that’s based on your individual needs and concerns. Still unsure? Visit our blog to learn more about the differences.

Does Rula offer in-person appointments?

Currently, Rula offers in-person therapy in some states. For those living in other states, there are many benefits to online therapy!

Can Rula help me find a therapist?

Absolutely. Rula’s network of 10,000+ licensed providers represent more than 80 clinical specialties and a diverse range of backgrounds – making it easier to find the care you need. Once you provide us with some basic information, we’ll generate a curated list of in-network therapists who are licensed in your state and accepting new patients. From there, you can filter by what matters most to you and explore individual biographies until you find a match. Ready to get started?

What types of care can I access through Rula?

Providers in Rula’s network specialize in individual therapy, couples therapy, family therapy, and psychiatric care (i.e., medication management).

Who is eligible to access care through Rula?

Individuals aged 5 and older are eligible to receive care in any state where Rula is available.

How will I meet with my therapist?

Rula specializes in online therapy – giving you the flexibility to meet with your therapist from wherever you’re most comfortable. We’ll send you an appointment reminder containing a secure link to your scheduled Zoom session approximately 24 hours before your session.

Connect with Dialectical (DBT) therapy in Hawaii County, HI

Book a session as soon as April 20

Quality care comes first at Rula

We regularly review providers to ensure quality

30+ Dialectical (DBT) therapy providers

Quality care comes first at Rula

We regularly review providers to ensure quality

30+ Dialectical (DBT) therapy providers

Cassandra J Castillo

LCSW

•

3+ years

Licensed Clinical Social Workers (LCSWs), like Cassandra J Castillo, are social workers trained to diagnose and treat mental health issues and substance misuse with psychotherapy and counseling.

Cassandra J has a Master of Social Work (MSW) from University of Hawaii.

Kapolei, HI

Specialties

Anxiety

Life Transitions

Relationship Issues

Self Esteem

Stress

Style

Directive

Attuned

Motivational

I create a space where you can feel heard and validated. I use a person-centered approach that looks at you as a whole person. I believe healing starts first and foremost with yourself. Using collaboration within the therapeutic relationship, my approach helps guide you to becoming more aware of the best version you can be.

Next appointmentWednesday, Apr 22nd

Available virtually

Ashley Winslow

Many new patients continue care with this provider

LMHC

•

1+ years

Licensed Mental Health Counselors (LMHCs), like Ashley Winslow, are mental health professionals trained to diagnose and treat mental health issues and substance misuse with psychotherapy and counseling.

Ashley has a Master of Science (MS) from Chaminade University of Honolulu.

Haleiwa, HI

Specialties

Anxiety

Grief

Psychosis

Schizophrenia

Substance Use

Style

Responsive

Approachable

Supportive

I use a nonjudgmental approach to help you find what you are looking for in therapy.

Next appointmentTuesday, Apr 21st

Available virtually

Shyla Haven

LCSW

•

3+ years

Licensed Clinical Social Workers (LCSWs), like Shyla Haven, are social workers trained to diagnose and treat mental health issues and substance misuse with psychotherapy and counseling.

Shyla has a Master of Social Work (MSW) from University of Hawaii.

Ewa Beach, HI

Specialties

Codependency

Trauma and PTSD

Style

Insightful

Candid

Collaborative

I help clients have healthier relationships with themselves and others, recover from narcissistic and abusive partners, heal childhood trauma, reduce stress and anxiety, and improve self-esteem.

Next appointmentTomorrow

Available virtually

Dionne Malia Mahelona

Many new patients continue care with this provider

LCSW

•

3+ years

Licensed Clinical Social Workers (LCSWs), like Dionne Malia Mahelona, are social workers trained to diagnose and treat mental health issues and substance misuse with psychotherapy and counseling.

Dionne Malia has a Master of Social Work (MSW) in Children and Family from University of Hawaii.

Honolulu, HI

Specialties

Anxiety

Divorce

Family Conflict

Style

Practical

Approachable

Affirming

I specialize in helping individuals and families identify and achieve goals by coping with the issues causing them anxiety and distress. I provide a safe space focused on creating a better future. Although healing may need to occur from the past, my focus is helping you move forward with confidence and clarity.

“She listens to me and encourages me to focus on what is important.”

Next appointmentFriday, Apr 24th

Available virtually

Mary Kay Lowe

LMFT

•

15+ years

Licensed Marriage and Family Therapists (LMFTs), like Mary Kay Lowe, are mental health professionals trained in family systems who can diagnose and treat mental health issues and substance misuse with psychotherapy and counseling.

Mary Kay has a Master's in Counseling (MC) in Counseling and Psychological Services from Saint Mary's University of Minnesota- Minneapolis.

Hawaii

Specialties

Anxiety

Depression

Relationship Issues

Trauma and PTSD

Style

Outcome-oriented

Spiritual

Empowering

I am passionate about helping clients overcome, heal, and grow from the experiences and challenges they face.

Next appointmentTomorrow

Available virtually

Serena Nasworthy

LMHC

•

3+ years

Licensed Mental Health Counselors (LMHCs), like Serena Nasworthy, are mental health professionals trained to diagnose and treat mental health issues and substance misuse with psychotherapy and counseling.

Serena has a Master of Science (MS) in Clinical Mental Health from Hawaii Pacific University.

Honolulu, HI

Specialties

Anxiety

LGBTQIA+

Substance Use

Trauma and PTSD

Style

Responsive

Warm

Collaborative

Being born and raised in Hawaii, I've been able to work with clients of all ages/backgrounds. Diagnoses range from depression to anxiety, trauma, various psychotic disorders, and substance use. Whether you’re managing mental-health symptoms, navigating interpersonal challenges, or just focusing on personal growth, I am here to facilitate healing.

Next appointmentTuesday, Apr 21st

Available virtually

LaCortney Maddox

LCSW

•

6+ years

Licensed Clinical Social Workers (LCSWs), like LaCortney Maddox, are social workers trained to diagnose and treat mental health issues and substance misuse with psychotherapy and counseling.

LaCortney has a Master of Social Work (MSW) Advanced Professional Clinical Community Practice from East Carolina University.

Hawaii

Specialties

ADHD

Anxiety

Self Esteem

Stress

Style

Exploratory

Warm

Curious

I specialize in supporting adults navigating anxiety, depression, and stress, helping you build motivation and confidence to create meaningful change. Using a strengths-based approach, I'll guide you in understanding your triggers, reframing limiting beliefs, and developing practical coping skills.

Next appointmentTomorrow

Available virtually

Samantha Bailo

Many new patients continue care with this provider

LMHC

•

1+ years

Licensed Mental Health Counselors (LMHCs), like Samantha Bailo, are mental health professionals trained to diagnose and treat mental health issues and substance misuse with psychotherapy and counseling.

Samantha has a Master's in Counseling (MC) in Counseling Psychology from University of Hawaii, Hilo.

Hilo, HI

Specialties

Anxiety

Depression

Grief

Relationship Issues

Stress

Style

Exploratory

Approachable

Curious

I take an eclectic approach but use skills from Dialectical Behavior Therapy and Internal Family Systems in sessions with my clients.

Next appointmentTomorrow

Available virtually

Dominic Davis

LCSW

•

3+ years

Licensed Clinical Social Workers (LCSWs), like Dominic Davis, are social workers trained to diagnose and treat mental health issues and substance misuse with psychotherapy and counseling.

Dominic has a Master of Social Work (MSW) in Mental Health from University of Southern California.

Hawaii

Specialties

Anxiety

Depression

Stress

Substance Use

Trauma and PTSD

Style

Responsive

Approachable

Collaborative

I collaborate with adults, specializing in anxiety, stress, depression, substance use, and couple counseling. My goal is to help you develop a healthy self-image, strengthen relationships, and provide guidance and support to foster growth and resilience.

Next appointmentWednesday, Apr 22nd

Available virtually

Justin Larkin

Many new patients continue care with this provider

LMHC

•

1+ years

Licensed Mental Health Counselors (LMHCs), like Justin Larkin, are mental health professionals trained to diagnose and treat mental health issues and substance misuse with psychotherapy and counseling.

Justin has a Master of Arts (MA) in Clinical Counseling from Adams State College.

Kailua-Kona, HI

Specialties

Addiction

Anxiety

Depression

Life Transitions

Relationship Issues

Style

Exploratory

Candid

Empowering

I take a strengths-based, client-centered approach rooted in positive psychology. True well-being comes from cultivating the strengths, habits, and mindsets that lead to flourishing. My focus goes beyond symptom relief to help you build resilience, meaning, and fulfillment in life.

Next appointmentTomorrow

Available virtually

Feather Tapio

Many new patients continue care with this provider

LMHC

•

2+ years

Licensed Mental Health Counselors (LMHCs), like Feather Tapio, are mental health professionals trained to diagnose and treat mental health issues and substance misuse with psychotherapy and counseling.

Feather has a Master of Arts (MA) in Counseling and Student Personnel from University of Minnesota.

Honolulu, HI

Specialties

Anger Management

Anxiety

Depression

Grief

Oppositional Defiance

Style

Insightful

Candid

Affirming

I work with clients of all ages, but primarily adolescents in recent years. I use Cognitive Behavioral Therapy to help my clients start their healing process one session at a time.

Next appointmentTomorrow

Available virtually

Nancy Lautenbach

LMHC

Licensed Mental Health Counselors (LMHCs), like Nancy Lautenbach, are mental health professionals trained to diagnose and treat mental health issues and substance misuse with psychotherapy and counseling.

Nancy has a Masters of Arts (MA) in Clinical Mental Health Counseling/Expressive Therapies from Art Therapy - Lesley College.

Hawaii

Specialties

Anxiety

Depression

LGBTQIA+

Trauma and PTSD

Women's Issues

Style

Exploratory

Warm

Supportive

I offer a warm, collaborative space where you can be fully seen, heard, and understood without judgment. I work with adults experiencing anxiety, depression, body image concerns, trauma, grief, and life transitions. My work is especially focused on supporting women and helping them reconnect with their voice, values, and sense of self.

Next appointmentTomorrow

Available virtually

Kamaree Altaffer

LCSW

Licensed Clinical Social Workers (LCSWs), like Kamaree Altaffer, are social workers trained to diagnose and treat mental health issues and substance misuse with psychotherapy and counseling.

Kamaree has a Master of Social Work (MSW) from University of Alaska.

Hawaii

Specialties

Addiction

Alcohol Use

LGBTQIA+

Substance Use

Trauma and PTSD

Style

Outcome-oriented

Candid

Collaborative

My goal is to help you find your best life. Together, we can develop a collaborative space where relationships, employment, social, and interpersonal issues can be discussed, addressed, and improved. I customize treatment based on your individual needs. Life can be a challenge, and everyone can benefit from extra support.

Next appointmentWednesday, Apr 22nd

Available virtually

Christine Ochimas

LMFT

•

2+ years

Licensed Marriage and Family Therapists (LMFTs), like Christine Ochimas, are mental health professionals trained in family systems who can diagnose and treat mental health issues and substance misuse with psychotherapy and counseling.

Christine has a Master of Arts (MA) in Marriage and Family Therapy from Argosy University.

Kapolei, HI

Specialties

Anxiety

Depression

Family Conflict

Mood Disorders

Relationship Issues

Style

Directive

Gentle

Collaborative

You control your life and actions, so why not bring laughter and happiness while you figure it out? I want to help grow that seed inside you, bring out your inner child, and awaken the laughter and beauty waiting to come out. I can't wait to meet you.

Next appointmentTuesday, Apr 21st

Available virtually

Andrew Scott

Many new patients continue care with this provider

LCSW

Licensed Clinical Social Workers (LCSWs), like Andrew Scott, are social workers trained to diagnose and treat mental health issues and substance misuse with psychotherapy and counseling.

Andrew has a Master of Social Work (MSW) in Mental Health from University of Hawaii.

Wahiawa, HI

Specialties

Addiction

Alcohol Use

Anxiety

Substance Use

Style

Directive

Candid

Collaborative

I help individuals and families navigate life's most difficult challenges. My practice is rooted in providing meaningful, practical support to those seeking change, healing, and personal growth—especially those facing addiction, life transitions, and the desire to become a better version of themselves.

Next appointmentWednesday, Apr 22nd

Available virtually

Continue exploring providers

See more providers

Previous providers

A closer look at Rula’s mental health providers in Hawaii

Specialty

Our providers specialize in a wide range of mental health needs, so you get care that truly fits you.

75

clinical specialties represented

Gender

You deserve a provider who understands your identity. Rula providers offer care that’s inclusive and affirming.

7

gender identities represented

Race & Ethnicity

Our providers represent a variety of backgrounds and cultures. Find providers who share or respect your lived experiences.

10

ethnicities represented across Rula providers

Therapy

Whether it’s stress, relationships, or personal growth, our therapists help you navigate what matters.

241

offer therapy

Psychiatry

Medication can be a key part of care. Our psychiatric providers offer expert guidance on what’s right for you.

3

offer medication management

Hundreds of thousands of patients have found affordable, in-network mental health care with Rula

Insurance

After you select a provider, we’ll send you a personalized cost estimate before your first session—so you’ll know what to expect.

$15 / session

typical cost patients pay through Rula

Nationwide coverage:

After you select a provider, we’ll send you a personalized cost estimate before your first session—so you’ll know what to expect.

100+ insurance plans accepted

140M total lives covered

Millions of sessions completed

Network

We hold providers to high clinical standards so you can trust the care you receive.

15,000+

licensed providers

Match

The right provider makes all the difference. We help you find someone who truly fits your needs—the first time.

98%

of searches result in an exact match

Progress

Care should make a difference. Our approach helps you track progress you can feel.

93%

of patients report feeling better after treatment through Rula

Additional therapy specialties and modalities

EMDR DBT Psychiatry

Couples therapy Child therapy Grief counseling Psychodynamic therapy

Sex therapy Family counseling Borderline personality Cognitive behavioral (CBT)

Find a therapist near you

Honolulu East Honolulu Hilo Pearl City Kailua Waipahu Kaneohe Ewa Gentry Mililani Town Kahului Kapolei Kailua Kihei Mililani Mauka Makakilo Schofield Barracks Ocean Pointe Wahiawa Wailuku Ewa Beach

Understanding online dialectical behavior therapy

What is dialectical behavior therapy, and how does it work?

Dialectical behavior therapy (DBT) is a comprehensive and evidence-based therapy approach that aims to help people manage intense emotions and build better relationships. It combines standard cognitive therapy techniques with skills like mindfulness, which focuses on awareness of the present moment. DBT can be effective for issues like borderline personality disorder and eating disorders, concentrating on improving emotional regulation, distress tolerance, and interpersonal skills.

DBT may not be the best treatment for your needs. Understanding the process and discussing this treatment method with a mental health professional is important.

Common issues addressed by dialectical behavior therapy

DBT can be used in treating mental health conditions associated with emotional instability. It can support people who deal with borderline personality disorder and extreme emotional reactions. DBT offers strategies for handling these challenges, which can lead to a more stable and fulfilling life.

Potential benefits of online dialectical behavior therapy

Online DBT sessions offer the flexibility to connect with specialized therapists on the Rula platform throughout your state, even if they’re not in your local area. This can be beneficial for people who face challenges attending in-person sessions. Research has shown that online therapy can have the effectiveness of in-person DBT while providing an accessible and comfortable option for treatment.

What to expect during an online dialectical behavior therapy session

During an online DBT session, therapists generally guide people through skill-building exercises in areas like mindfulness, handling stress, regulating emotions, and improving relationships. These sessions often include discussions on applying these skills to daily life, focusing on improving emotional stability and personal connections.

Choosing the right dialectical behavior therapist

After you've booked your first session, Rula verifies your insurance coverage and follows up with a cost estimate, including any required copayments.

FAQs about online dialectical behavior therapy

How effective is online DBT compared to in-person sessions?

Online DBT can be effective for many people. Many therapists on the Rula platform have experience adapting DBT techniques for online formats. While some may prefer in-person interactions, others find online therapy more convenient and less intimidating, which can help make sessions more effective.

Is dialectical behavior therapy right for me?

DBT can be suitable for people dealing with issues around emotional regulation, relationship conflicts, or self-harming behaviors. It can benefit people seeking a more structured therapy approach focusing on building practical skills. A consultation with a DBT therapist can help you decide if this therapy aligns with your needs and goals.

How should I prepare for online DBT sessions?

Reflect on your thoughts and feelings leading up to the appointment. Think about what you hope to get from each session and your longer-term goals. Let your close friends or family know you're starting DBT, as you might need their understanding and support.

DBT often brings up intense feelings and challenges old behaviors that may be difficult. Remember, the process of change has ups and downs. Working with your therapist can guide you through this process, offering support and strategies to help you apply DBT skills effectively in your everyday life. Feel confident about sharing your thoughts and feelings openly in this safe space.

How long does DBT therapy typically last?

The length of DBT therapy depends on the individual's needs and the specific issues being addressed. Some people may experience significant improvement within a few sessions, while others might engage in DBT therapy over several months. Your therapist can tailor treatment to your unique healing journey.

Are there any requirements for participating in online DBT?

Online DBT requires a private space for therapy, a reliable internet connection, and a device capable of video conferencing. Active participation and a willingness to apply DBT skills outside of sessions are critical for the therapy's success.

Quality care comes first at Rula

Quality care comes first at Rula

Continue exploring providers

A closer look at Rula’s mental health providers in Hawaii

Specialty

75

Gender

7

Race & Ethnicity

10

Therapy

241

Psychiatry

3

Hundreds of thousands of patients have found affordable, in-network mental health care with Rula

Insurance

$15 / session

Network

15,000+

Match

98%

Progress

93%

Additional therapy specialties and modalities

Find a therapist near you

We’re here when you need us

We’re here when you need us

Here to help