About Roxy
Roxy Mico is a licensed clinical social worker who helps people manage stress, anxiety, depression, trauma, and relationship concerns. She works with clients around anger, addictions, intimacy issues, self-esteem, sleep problems, career strain, and ADHD. Roxy practices from a practical, straightforward stance that aims to make everyday life easier for people under strain.
With 32 years of experience, she brings steady, experienced care to sessions. She listens for patterns that make problems worse and helps clients try simple, doable changes.
Background and approach
Sessions focus on setting clear goals, practicing new skills, and checking what works in daily life. Roxy uses approaches that emphasize skills and thinking patterns to reduce distress and improve relationships. She guides people through steps to manage panic, mood shifts, and stress linked to work or personal life.
She also supports those coping with trauma and recovery from abuse by building safety and pacing progress. Her background includes long-term practice in Hawaii and work with a wide range of concerns across adulthood. Roxy draws on experience with communication problems, divorce and separation, domestic violence, isolation, and workplace issues.
That breadth helps her tailor plans to each person’s situation. In sessions clients can expect clear explanations, short exercises to try between meetings, and steady feedback on progress. Roxy values collaboration and helps people find practical ways to feel more in control and more connected to their goals.
Practical approaches for online support
CBT, or Cognitive Behavioral Therapy, helps people notice unhelpful thoughts and test them with real-life experiments. It is often used for anxiety, depression, panic, and workplace stress by teaching clear steps to change thinking and behavior.DBT, or Dialectical Behavior Therapy, focuses on building skills for emotional regulation, distress tolerance, and better communication. It can help people who struggle with intense emotions, relationship conflicts, or patterns that lead to repeated crises.
Choosing the right approach is part of the work together. The therapist will discuss goals and preferences and try approaches that fit the person’s needs. Sessions are collaborative and adjusted over time based on what helps most.
Online sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging to match different rhythms of life. Video calls let people work face to face from wherever they are, phone sessions can be easier when bandwidth is limited, and messaging or live chat can fit quick check-ins or ongoing coaching between meetings. These options give flexibility to fit therapy into busy schedules and varied routines.
Frequently asked questions
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How much clinical experience does she have?
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also works with
- 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