About Chian
Chian Hsu is a Licensed Clinical Social Worker who focuses on practical ways to reduce stress and ease overwhelming feelings. She helps people managing anxiety, depression, grief, low self-esteem, and major life changes. Chian also supports people facing relationship strain, caregiver stress, chronic illness, and end-of-life concerns.
She speaks English and Mandarin and practices from Hawaii. Background and approach: Chian draws on five years of clinical experience and a combined background in social work and business to address both emotional and practical stressors.
Background and approach
She offers clear, step-by-step strategies for coping with day-to-day pressure, along with longer-term work on life purpose and meaning. Sessions use evidence-informed methods such as Cognitive Behavioral Therapy to shift unhelpful thoughts, Acceptance and Commitment Therapy to clarify values and actions, and Dialectical Behavior Therapy skills for emotion regulation. Her style is down-to-earth and person-centered.
She encourages clients to notice strengths they already have and try small, manageable changes. Chian pays attention to health, relationships, and life circumstances when planning treatment. She also brings mindfulness and brief hypnotherapy techniques when these seem helpful.
Chian has experience addressing aging and geriatric issues, immigration-related stress, chronic pain and disability, cancer and hospice-related concerns, and personality-related struggles such as avoidant or dependent patterns. She can help people who feel isolated, empty, or stuck in patterns of guilt and shame.
People who choose her can expect collaborative goal-setting, practical tools for coping, and an emphasis on building clearer decision-making and self-compassion over time.
Therapeutic approaches used in online sessions
Chian often uses Acceptance and Commitment Therapy to help people clarify what matters most to them and take steps toward those values. ACT focuses on noticing thoughts and feelings without getting stuck and committing to actions that match personal goals, which can help with anxiety, depression, and life transitions.She also uses Cognitive Behavioral Therapy to identify unhelpful thought patterns and test new ways of thinking and behaving. CBT is practical and problem-focused, useful for stress, low mood, and managing daily challenges. In sessions she may also teach DBT skills for emotion regulation and distress tolerance when strong emotions are interfering with daily life.
Finding the right approach is a collaborative process. The therapist will talk with each person about goals and preferences, then try methods that fit their needs. Over time the plan can be adjusted based on what helps most for the client's situation.
Online therapy offers flexibility across formats like video calls, phone sessions, live chat, and text-based messaging. Video lets people work face-to-face from different locations. Phone sessions can be easier when bandwidth is limited or a quick check-in is needed. Chat and messaging are useful for shorter exchanges, homework support, or when writing helps process thoughts. These options make it easier to fit therapy into work, caregiving, or medical schedules.
Frequently asked questions
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Specialties and expertise
Top specialties
Also works with
- Aging and geriatric issues
- Avoidant personality
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- Emptiness
- Family problems
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Immigration issues
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Prejudice and discrimination
- Relationship issues
- Self-love
- Social anxiety and phobia
- Workplace issues
Therapeutic approaches
- Experience
- 5 years
- Licensed
- Hawaii
- Languages
- English, Mandarin