Practitioner record · Checked 7 Nov 2026

Roxy Mico has been in practice 32 years and is licensed in Hawaii. Roxy lists stress, Anxiety, relationship issues and trauma and abuse among 30 subjects on the BetterHelp roster.

Everything below is either quoted from Roxy's own BetterHelp listing, taken from public licensing records, or written by Maker Therapy and labelled as such. Nothing here is an availability promise, a review, or a rating.

32years in practice
30subjects listed
2approaches listed

01 · Who Roxy works with

Roxy works with stress, Anxiety, relationship issues and trauma and abuse

Roxy lists 16 specialisms and 14 further focus areas. Specialisms are the subjects Roxy chose to list first, which is the closest a listing gets to “this is my actual practice”.

Specialisms
  • Stress, Anxiety
  • Relationship issues
  • Trauma and abuse
  • Anger management
  • Depression
  • Addictions
  • LGBT
  • Family conflicts
  • Intimacy-related issues
  • Sleeping disorders
  • Self esteem
  • Career difficulties
  • Bipolar disorder
  • Coping with life changes
  • Coaching
  • ADHD
Also experienced with
  • Aging and geriatric issues
  • Antisocial personality
  • Communication problems
  • Control issues
  • Divorce and separation
  • Domestic violence
  • Isolation / loneliness
  • Men's issues
  • Narcissism
  • Panic disorder and panic attacks
  • Post-traumatic stress
  • Sexual assault and abuse
  • Social anxiety and phobia
  • Workplace issues

02 · In Roxy's own words

What Roxy says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

As a licensed therapist in Hawaii with over three decades of clinical experience, I specialize in supporting individuals navigating complex emotional landscapes. My practice focuses on addressing challenges such as depression, anxiety, trauma recovery, and life transitions. I bring deep expertise in helping clients work through communication barriers, anxiety, workplace stress, and interpersonal difficulties.

My therapeutic approach is compassionate and collaborative, designed to empower individuals across diverse backgrounds and life stages. I have extensive experience supporting older adults, men, and survivors of various traumatic experiences. My work centers on creating a supportive environment where clients can explore their challenges, develop resilience, and cultivate meaningful personal growth.

I am committed to providing thoughtful, evidence-based guidance that honors each person's unique journey and inherent strengths. My goal is to help you develop effective coping strategies, improve emotional well-being, and create positive, sustainable life changes.

Roxy Mico, on the BetterHelp listing · read 7 Nov 2026

03 · How Roxy works

The 2 approaches Roxy lists, in plain English

These are the clinical methods Roxy lists. The descriptions are Maker Therapy's, not Roxy's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Roxy runs a session.

Cognitive Behavioural TherapyCBT
Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.
Dialectical Behaviour TherapyDBT
A structured skills-led adaptation of CBT built around holding two things at once: accepting yourself as you are and working to change. Teaches concrete skills for distress tolerance, emotion regulation and relationships. Developed for people whose feelings arrive at overwhelming intensity, and strongest-evidenced there.

04 · What happens next

From this page to a first session

Roxy practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Roxy's own practice, and not a promise about how quickly anything happens.

  1. A questionnaire, not a booking form

    BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Roxy at this point.

  2. Naming Roxy specifically

    BetterHelp matches algorithmically by default, so asking for Roxy is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Roxy.

  3. If the caseload is full

    You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

  4. The first conversation

    A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

  5. If the fit is wrong

    Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

3 questions worth asking Roxy

Built from what Roxy actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Roxy's - Roxy has not seen them and is under no obligation to answer any of them.

  • “How do you decide when someone is ready to work on a traumatic memory itself?”

    Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

  • “With 32 years in, what has changed most in how you work?”

    Long experience is only an advantage if it has been examined. This tends to surface whether it has.

  • “How do you handle the gap between sessions if something comes up?”

    On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential
LCSW
Licensed in
Hawaii
Licence
HI LCSW LCSW-3244
Licence number
LCSW-3244
Licence expires
30 Jun 2028
NPI
1811380975
Years in practice
32
Gender
Female
Languages
English
International clients
Not accepted
Listed since
15 May 2026

07 · Provenance

Where every line on this page came from

Roxy's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 7 Nov 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Roxy. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

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