Roxy Mico

Roxy Mico is a licensed clinical social worker with 32 years of experience based in Hawaii. She helps people dealing with stress, anxiety, depression, trauma and abuse, and relationship or intimacy-related concerns. She also supports those facing addiction, sleep problems, low self-esteem, ADHD, and career or life changes.

Her style is practical and collaborative. Sessions focus on clear skills people can use between meetings. Roxy listens for what is getting in the way, then works with clients to try different tools and routines until something fits.

Roxy uses approaches drawn from Cognitive Behavioral Therapy, which looks at thoughts and actions that keep problems going, and Dialectical Behavior Therapy, which teaches emotion regulation and coping skills. She combines these methods with straightforward coaching when clients want help making life changes or improving workplace communication.

Her background includes long experience working with survivors of trauma, people facing domestic violence and sexual assault, and older adults navigating aging concerns. She pays attention to communication problems, control issues, and recovery from relationship breakdowns.

Roxy aims to help clients build resilience and practical strategies for daily life. People who reach out can expect a steady, experienced clinician who prioritizes clear steps and real-world coping skills.

How CBT and DBT Guide Online Work

Roxy commonly uses Cognitive Behavioral Therapy and Dialectical Behavior Therapy in her practice. CBT focuses on identifying unhelpful thoughts and changing behaviors that keep problems going; it is often used for anxiety, depression, and stress. DBT emphasizes skills for managing intense emotions, distress tolerance, and improving communication, which can help with trauma reactions, anger, and relationship difficulties.

Finding the right approach is a shared process. The therapist will discuss goals, try methods, and adjust the plan together so the work matches needs and preferences. Clients are invited to give feedback and shape which skills or strategies they focus on.

The biography does not list specific online formats, so confirm available session options before booking. Many people find remote sessions helpful for fitting therapy into busy lives, allowing appointments without travel and making it easier to keep regular check-ins. Online work can also make short follow-ups or coaching-style conversations simpler to schedule. Ask about current session formats when you begin so you can pick what fits your routine.