- CBT methods
- DBT skills
- Emotion regulation
About Roxy
Roxy Mico is a Licensed Clinical Social Worker (LCSW) in Hawaii with 32 years of clinical experience. She works with people dealing with stress, anxiety, depression, anger, trauma and relationship problems. She also helps with issues like sleep trouble, self-esteem, career strain, addictions, ADHD, and coping with life changes.
Clients can expect straightforward, skills-focused work. She uses practical tools to reduce reactivity, manage strong feelings, and improve communication. Sessions include talking through specific problems, trying out behavior changes, and practicing techniques between meetings.
Roxy draws on Cognitive Behavioral Therapy and Dialectical Behavior Therapy in her practice. That means she looks at how thoughts, feelings, and actions link together and teaches concrete strategies for handling intense emotions. She aims to help people notice patterns, pause before reacting, and choose different responses when stress rises.
Her background includes long-term work with trauma survivors, adults facing life transitions, and people dealing with workplace stress. She has particular experience supporting older adults and men, and she addresses topics such as domestic violence, panic, and post-traumatic stress in session when relevant.
Sessions move at a practical pace. Roxy works on clear goals like reducing outbursts, calming anxiety, improving sleep, or staying sober. People leave with short, doable steps to try between sessions, and adjustments are made as progress is tracked.
How therapeutic approaches guide online work
Roxy uses Cognitive Behavioral Therapy to help people spot unhelpful thoughts and try different behaviors. CBT focuses on clear, short-term goals and practical exercises that reduce anxiety and lower reactivity.She also uses Dialectical Behavior Therapy skills to teach emotion regulation, distress tolerance, and interpersonal effectiveness. DBT techniques are useful when strong feelings lead to impulsive actions or relationship problems.
Finding the right approach is part of the work. Roxy will discuss goals and preferences with each person and help choose strategies that fit their situation. This is a collaborative process and methods can be adjusted as needs change.
Session formats are not specified in the biography, so confirm current options before booking. Online sessions can make it easier to fit therapy into a busy day, shorten travel time, allow for brief check-ins, or avoid being on camera when that helps. Talk with the clinician about what will work best for scheduling and comfort.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
32+ years
Listed in
Hawaii
Languages
English
Frequently asked questions
What kinds of anger or related concerns are addressed?
She works with anger alongside stress, anxiety, trauma, relationship problems, and related issues like sleep trouble and addictions.
What is her general approach in sessions?
Sessions are practical and skills-based, focusing on behavior change, emotion regulation, and clearer communication using CBT and DBT techniques.
How much experience does she have?
Roxy has 32 years of clinical experience working with adults on a wide range of emotional and interpersonal problems.
What credential does she hold and where is she located?
She is a Licensed Clinical Social Worker (LCSW) licensed in Hawaii and practices there.
Which languages are sessions offered in?
Sessions are offered in English.
Does she meet with international clients?
International clients are not currently accepted.
How are fees and billing handled?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Start by selecting the See online therapy options button, complete a short matching questionnaire, and schedule a first session.