Roxy Mico, LCSW

Roxy Mico is an LCSW (Licensed Clinical Social Worker) practicing in Hawaii with 32 years of experience. She supports people dealing with anxiety, depression, stress, trauma and life changes, including social anxiety and phobia. She also helps with relationship and workplace concerns, sleep difficulties, anger, addictions, and self-esteem struggles.

Roxy uses straightforward, skills-focused methods to help people manage symptoms and face difficult moments. She draws on approaches such as Cognitive Behavioral Therapy and Dialectical Behavior Therapy to build coping tools and clearer thinking. Sessions include practical strategies for communication, emotion regulation, and handling panic or worry as it comes up.

Her background includes long clinical experience working with a wide range of issues across adulthood. That experience informs a steady, direct style that emphasizes learning small, useful skills and applying them in daily life. Roxy has particular experience with concerns that come from trauma, workplace stress, and changes like separation or aging.

Roxy helps clients notice patterns that keep problems going and then tries different, specific techniques to shift those patterns. Work might include practicing new ways to speak up, testing out feared social situations in small steps, or building routines that improve sleep and focus. She also addresses relationship and intimacy-related struggles one conversation at a time.

Sessions focus on clear goals, short-term skills, and longer-term planning when needed. People who want pragmatic tools and steady clinical experience often find this approach helpful for day-to-day functioning and for facing social anxiety or phobias in practical ways.

How CBT and DBT inform online work