About Roxy
Roxy Mico is a licensed clinical social worker with 32 years of experience helping people manage stress, anxiety, depression, ADHD, and relationship struggles. She practices in Hawaii and focuses on practical skills clients can use between sessions. Her style is direct but warm, aiming to make therapy feel understandable and manageable.
Clients work on everyday problems like sleep disruption, low self-esteem, anger, and coping with life changes. Roxy helps people sort through trauma responses, workplace stress, and issues around intimacy and communication.
Background and approach
She also supports those facing addictions, bipolar challenges, and concerns tied to sexual assault or domestic violence. Her approach uses clear, goal-focused techniques drawn from cognitive behavioral therapy and dialectical behavior therapy. That means sessions often include learning new ways to notice thoughts, try different behaviors, and practice strategies for emotion regulation.
Roxy emphasizes small, practical steps that add up over time. She brings particular attention to relationship patterns and communication problems. People leave sessions with concrete tools for setting boundaries, handling conflict, and improving daily routines.
Roxy aims to tailor plans to each person's needs and pace. Over her career she has worked with a wide range of concerns including workplace issues, panic attacks, social anxiety, and challenges around aging. Sessions are offered in English and use methods meant to fit real life, not just theory.
Her goal is to help people build steadier routines and greater confidence in managing challenges. To begin, a brief intake helps clarify priorities and next steps. From there she and the client map out short-term goals and practical exercises to try between meetings.
CBT and DBT approaches for online care
Roxy often uses cognitive behavioral therapy and dialectical behavior therapy techniques adapted for online sessions. Cognitive behavioral therapy focuses on identifying unhelpful thought patterns and testing new behaviors to reduce symptoms like anxiety, depression, and panic. Dialectical behavior therapy emphasizes skills for managing intense emotions, improving interpersonal effectiveness, and tolerating distress.Choosing the right approach is a collaborative process. The therapist and client discuss goals and preferences, then try techniques together to see what fits. Adjustments are made as progress and challenges become clearer, so the plan evolves with the client's needs.
Online therapy offers practical flexibility across several formats. Video calls allow face-to-face work and exercises that benefit from visual cues. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat or text-based messaging supports brief coaching, skill practice, and quick follow-ups between sessions. These options make it easier to fit therapy into work, family, and daily routines while still focusing on real behavior change and emotion regulation.
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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