Therapists in 96745
The clients I work with best are adults who want to work on themselves and are open to personal growth and change. I encourage clients to clarify their life goals, and whether the choices they have been making will get them to those goals. I specialize in working with clients who have issues in the areas of relationships, spirituality, work, gender roles, grief/loss, trauma, and sexual abuse. I use my expertise to support clients in finding their own answers to create their "best life," while giving professional guidance and sharing personal wisdom to facilitate them in that process.
The clients I work with best are adults who want to work on themselves and are open to personal growth and change. I encourage clients to clarify their life goals, and whether the choices they have been making will get them to those goals. I specialize in working with clients who have issues in the areas of relationships, spirituality, work, gender roles, grief/loss, trauma, and sexual abuse. I use my expertise to support clients in finding their own answers to create their "best life," while giving professional guidance and sharing personal wisdom to facilitate them in that process.
As a couples relationship counselor I have training working with couples who are severely distressed and are looking to find love and connection again. I treat a wide variety of concerns; infidelity, miscommunication, financial problems, depression, anxiety, aging, growing apart, and parenting teens. Many of these issues can leave relationships feeling hopeless. However restoration, healing and a future are possible. I also have extended training working with individuals and families. As a systems therapist I focus treatment on what is causing the problem. Wholeness in relationship is a goal I have for all of my clients.
As a couples relationship counselor I have training working with couples who are severely distressed and are looking to find love and connection again. I treat a wide variety of concerns; infidelity, miscommunication, financial problems, depression, anxiety, aging, growing apart, and parenting teens. Many of these issues can leave relationships feeling hopeless. However restoration, healing and a future are possible. I also have extended training working with individuals and families. As a systems therapist I focus treatment on what is causing the problem. Wholeness in relationship is a goal I have for all of my clients.
Living in Kona can feel both grounding and isolating, especially when you’re navigating anxiety, trauma, or major life transitions. I work with adults who want a space to be real about what they’re going through without having to filter or perform. Many of my clients are LGBTQ+ or exploring identity, and I welcome anyone seeking a more grounded, authentic way of living. Together, we focus on understanding patterns, building emotional regulation skills, and creating meaningful, sustainable change in your daily life.
Living in Kona can feel both grounding and isolating, especially when you’re navigating anxiety, trauma, or major life transitions. I work with adults who want a space to be real about what they’re going through without having to filter or perform. Many of my clients are LGBTQ+ or exploring identity, and I welcome anyone seeking a more grounded, authentic way of living. Together, we focus on understanding patterns, building emotional regulation skills, and creating meaningful, sustainable change in your daily life.
The path towards healing can be scary. Being vulnerable and honest with ourselves and with others can feel risky. However, this is a path that is rich and rewarding for the brave and courageous souls who are willing to embark on such a journey! It can be difficult to reach out, but if you are willing, I am happy to see how I can help. I would be honored to walk the path of healing alongside you!
The path towards healing can be scary. Being vulnerable and honest with ourselves and with others can feel risky. However, this is a path that is rich and rewarding for the brave and courageous souls who are willing to embark on such a journey! It can be difficult to reach out, but if you are willing, I am happy to see how I can help. I would be honored to walk the path of healing alongside you!
Counseling therapy allows individuals/couples/families a safe and supportive environment to re-evaluate the possible impact past experiences have had on their lives, exploration of their present awareness, and reinvention of future potential. The therapeutic forum is designed to allow individuals their freedom of expression, beliefs and goals while being encouraged to reach for core issues that encourage growth, change and healing of the mind, body and soul.
Counseling therapy allows individuals/couples/families a safe and supportive environment to re-evaluate the possible impact past experiences have had on their lives, exploration of their present awareness, and reinvention of future potential. The therapeutic forum is designed to allow individuals their freedom of expression, beliefs and goals while being encouraged to reach for core issues that encourage growth, change and healing of the mind, body and soul.
As a practicing psychologist for over 20 years I have been privileged to be part of my client's lives. I moved from San Diego to the Big Island of Hawaii in 1996. My specialties have changed and developed through the years. Now I specialize in the treatment of adults suffering from trauma, addiction related illness, relationship difficulties, depression, anxiety, grief/loss, and coping with illness. I have a particular interest in women's issues including domestic violence, work/life balance, parenting young adults, and menopause. I work with women and men facing transition points in their lives as they create renewed meaning in life.
As a practicing psychologist for over 20 years I have been privileged to be part of my client's lives. I moved from San Diego to the Big Island of Hawaii in 1996. My specialties have changed and developed through the years. Now I specialize in the treatment of adults suffering from trauma, addiction related illness, relationship difficulties, depression, anxiety, grief/loss, and coping with illness. I have a particular interest in women's issues including domestic violence, work/life balance, parenting young adults, and menopause. I work with women and men facing transition points in their lives as they create renewed meaning in life.
Have you experienced domestic violence, sexual abuse, or trauma that continue to affect your relationships, confidence, emotional well-being, or sense of safety? Do you feel overwhelmed by anxiety, shame, self-doubt, or the challenge of navigating life after what you've been through? Do you find yourself hoping for a future where you can trust yourself, feel empowered, and experience peace again? Now more than ever, survivors are seeking support as they heal from trauma, process painful experiences, and reclaim their lives. You don't have to carry the weight of your experiences alone. Healing is possible, and support is available.
Have you experienced domestic violence, sexual abuse, or trauma that continue to affect your relationships, confidence, emotional well-being, or sense of safety? Do you feel overwhelmed by anxiety, shame, self-doubt, or the challenge of navigating life after what you've been through? Do you find yourself hoping for a future where you can trust yourself, feel empowered, and experience peace again? Now more than ever, survivors are seeking support as they heal from trauma, process painful experiences, and reclaim their lives. You don't have to carry the weight of your experiences alone. Healing is possible, and support is available.
Have you been carrying a weight others don't see? Perhaps you've learned to hide your struggles while continuing to support everyone else. Whether you're feeling overwhelmed or disconnected, or navigating trauma, loss, or substance use, therapy can help you reconnect, heal, and better understand your experiences. I believe healing begins when you feel seen, heard, and accepted without judgment. My approach is culturally responsive, client-centered, and grounded in empathy and respect. I strive to create a space where you can be your authentic self, with room for reflection, honesty, tears, and laughter.
Have you been carrying a weight others don't see? Perhaps you've learned to hide your struggles while continuing to support everyone else. Whether you're feeling overwhelmed or disconnected, or navigating trauma, loss, or substance use, therapy can help you reconnect, heal, and better understand your experiences. I believe healing begins when you feel seen, heard, and accepted without judgment. My approach is culturally responsive, client-centered, and grounded in empathy and respect. I strive to create a space where you can be your authentic self, with room for reflection, honesty, tears, and laughter.
My mission is to guide Hawaii’s youth towards self-compassion, mindfulness, and finding the fire that lights the path toward personal success in academics and in life. We work to support students’ emotional, behavioral, and physical well-being by facilitating the improvement of mental health and the ability to take on a new perspective.
My mission is to guide Hawaii’s youth towards self-compassion, mindfulness, and finding the fire that lights the path toward personal success in academics and in life. We work to support students’ emotional, behavioral, and physical well-being by facilitating the improvement of mental health and the ability to take on a new perspective.
I have over 35 years in the helping profession. My specially is in relationships isuues. Experience working with individuals, couples, families, organizations, and businesses. I am specialized in interpersonal, structural, and systemic issues. I have supervised mental health professionals, both PhD and Masters level, for more than 15 years. I am also knowledgeable about the system of care in the State of Hawaii. My hope is to help you set goals, utilize your strengths, and help you, or your business, overcome any potential barriers that may be distracting you form your mission and goals in life.
I have over 35 years in the helping profession. My specially is in relationships isuues. Experience working with individuals, couples, families, organizations, and businesses. I am specialized in interpersonal, structural, and systemic issues. I have supervised mental health professionals, both PhD and Masters level, for more than 15 years. I am also knowledgeable about the system of care in the State of Hawaii. My hope is to help you set goals, utilize your strengths, and help you, or your business, overcome any potential barriers that may be distracting you form your mission and goals in life.
Kathleen A. Castillo
Marriage & Family Therapist, MA, LMFT
2 Endorsed
Online Only
Not accepting new clients
Have you forgotten what it feels like to be happy? Do you find yourself feeling stressed, anxious or depressed? Are you feeling overwhelmed by a difficult life transition? My goal as a therapist is to provide a safe, confidential and non-judgemental atmosphere in which clients can express their feelings and gain insight into what led to this current state of mind and then take the steps toward a positive change.
Have you forgotten what it feels like to be happy? Do you find yourself feeling stressed, anxious or depressed? Are you feeling overwhelmed by a difficult life transition? My goal as a therapist is to provide a safe, confidential and non-judgemental atmosphere in which clients can express their feelings and gain insight into what led to this current state of mind and then take the steps toward a positive change.
Are you feeling overwhelmed with personal and/or professional challenges? Are you having problems with your relationships or at work? Is your child or adolescent exhibiting emotional and/or behavioral problems? Are you faced with challenging life-transitions? I offer a variety of modalities to work with individuals, couples and families who are experiencing the effects of trauma, depression, anxiety, stress, divorce, aging or other life issues.
Are you feeling overwhelmed with personal and/or professional challenges? Are you having problems with your relationships or at work? Is your child or adolescent exhibiting emotional and/or behavioral problems? Are you faced with challenging life-transitions? I offer a variety of modalities to work with individuals, couples and families who are experiencing the effects of trauma, depression, anxiety, stress, divorce, aging or other life issues.
More Therapists Nearby
If you've been thinking about starting therapy, consider this your invitation to take the next step. Asking for support can feel difficult, but you don't have to navigate life's challenges alone. Whether you're seeking healing, personal growth, or simply a space to feel heard and understood, therapy can be a meaningful place to begin. I invite you to contact me for a consultation, ask any questions you may have, and see whether we're a good fit. I look forward to learning more about your story and supporting you on your journey toward greater well-being.
If you've been thinking about starting therapy, consider this your invitation to take the next step. Asking for support can feel difficult, but you don't have to navigate life's challenges alone. Whether you're seeking healing, personal growth, or simply a space to feel heard and understood, therapy can be a meaningful place to begin. I invite you to contact me for a consultation, ask any questions you may have, and see whether we're a good fit. I look forward to learning more about your story and supporting you on your journey toward greater well-being.
I am sorry for any confusion, I am not currently taking on any new clients at this time, I will revise this message when I am. I work from an Internal Family Systems (IFS) perspective, CBT, Jungian and Depth psychology. My training is in Jungian/Depth psychology. I work from the HMSA Online Behavioral Health platform only at this time. If you are paying out of pocket, we can make other arrangements. If you wish to contact me, email is the best. I am here to work with any adults, couples and teens. I do not speak out of a book, I do not judge. The confidentiality of anyone I work with is very important to me.
I am sorry for any confusion, I am not currently taking on any new clients at this time, I will revise this message when I am. I work from an Internal Family Systems (IFS) perspective, CBT, Jungian and Depth psychology. My training is in Jungian/Depth psychology. I work from the HMSA Online Behavioral Health platform only at this time. If you are paying out of pocket, we can make other arrangements. If you wish to contact me, email is the best. I am here to work with any adults, couples and teens. I do not speak out of a book, I do not judge. The confidentiality of anyone I work with is very important to me.
To provide quality care to people in the community dealing with mental illness by assessing and providing counseling through a variety of psychological theories and practices.
To provide quality care to people in the community dealing with mental illness by assessing and providing counseling through a variety of psychological theories and practices.
Healing and growth, which can be uncomfortable and painful, often take time and support. These are shifts that we do not have to experience alone. Through authenticity, warmth and collaboration, I work with clients to cultivate understanding of their thoughts, feelings and behaviors and we work together to decrease stress and achieve defined goals. Whether it is anxiety, depression, trauma, relationship issues or health concerns, I integrate evidence-based practices to allow for the transformation of pain into growth.
Healing and growth, which can be uncomfortable and painful, often take time and support. These are shifts that we do not have to experience alone. Through authenticity, warmth and collaboration, I work with clients to cultivate understanding of their thoughts, feelings and behaviors and we work together to decrease stress and achieve defined goals. Whether it is anxiety, depression, trauma, relationship issues or health concerns, I integrate evidence-based practices to allow for the transformation of pain into growth.
Therapy isn’t just about fixing what’s wrong, it’s about creating what’s right for you. I believe that true mental health is more than just the absence of distress; it’s the presence of well-being, purpose, and fulfillment. Too often, we focus solely on reducing symptoms, assuming that once anxiety, depression, or other struggles fade, happiness will naturally take their place. Simply feeling “okay” is not the same as feeling engaged, connected, and alive. The absence of mental illness does not automatically mean the presence of mental health.
Therapy isn’t just about fixing what’s wrong, it’s about creating what’s right for you. I believe that true mental health is more than just the absence of distress; it’s the presence of well-being, purpose, and fulfillment. Too often, we focus solely on reducing symptoms, assuming that once anxiety, depression, or other struggles fade, happiness will naturally take their place. Simply feeling “okay” is not the same as feeling engaged, connected, and alive. The absence of mental illness does not automatically mean the presence of mental health.
I’m Tiffany Koch, LMFT, and owner of Koch Kounseling in Kailua-Kona, Hawaii. I work with individuals, couples, and families who feel stuck in patterns affecting their relationships, identity, or life transitions. Many of my clients are navigating not only personal challenges but also cultural expectations, family dynamics, or discrimination that add extra layers of stress. Using a collaborative, person-centered approach, I help clients gain insight, improve communication, and develop tools for meaningful change so they can feel more grounded, connected, and empowered.
I’m Tiffany Koch, LMFT, and owner of Koch Kounseling in Kailua-Kona, Hawaii. I work with individuals, couples, and families who feel stuck in patterns affecting their relationships, identity, or life transitions. Many of my clients are navigating not only personal challenges but also cultural expectations, family dynamics, or discrimination that add extra layers of stress. Using a collaborative, person-centered approach, I help clients gain insight, improve communication, and develop tools for meaningful change so they can feel more grounded, connected, and empowered.
I am the lead provider in a small group practice specializing in the following: ADHD (the only specialty ADHD clinic outside of Oahu, to our knowledge); sexual issues of many kinds (identity, abuse, empowerment, experience enhancement, dysfunctions, etc.); medical cannabis certification; couples/relationship issues. Susan Cauley, MD, Lesly Mae K. Brittain, BSN-RN (ADHD specialist), and myself are the ADHD team. Dr. Susan Cauley can provide medication coordination for our ADHD program, and is our Cannabis specialist.
I am the lead provider in a small group practice specializing in the following: ADHD (the only specialty ADHD clinic outside of Oahu, to our knowledge); sexual issues of many kinds (identity, abuse, empowerment, experience enhancement, dysfunctions, etc.); medical cannabis certification; couples/relationship issues. Susan Cauley, MD, Lesly Mae K. Brittain, BSN-RN (ADHD specialist), and myself are the ADHD team. Dr. Susan Cauley can provide medication coordination for our ADHD program, and is our Cannabis specialist.
Aloha, I have been a practicing clinician for over 20 years. My approach to therapy is to build trusting relationships that cultivate honesty and authenticity, allowing for the deeper work to unfold. I support people to recognize their inherent wisdom, move past unhealthy patterns and heal old wounds. In the work, we focus on acquiring strategies to live in our ever changing world, developing new narratives and increasing self awareness as the path towards growth and healing. I specialize in complex trauma, anxiety, depression, eating disorders, and self harming behaviors. I also work with couples, parenting and family dynamics.
Aloha, I have been a practicing clinician for over 20 years. My approach to therapy is to build trusting relationships that cultivate honesty and authenticity, allowing for the deeper work to unfold. I support people to recognize their inherent wisdom, move past unhealthy patterns and heal old wounds. In the work, we focus on acquiring strategies to live in our ever changing world, developing new narratives and increasing self awareness as the path towards growth and healing. I specialize in complex trauma, anxiety, depression, eating disorders, and self harming behaviors. I also work with couples, parenting and family dynamics.
How does your Therapist compare?
Number of Therapists in 96745
10+
Average cost per session
$150
Therapists in 96745 who prioritize treating:
| 92% | Anxiety |
| 92% | Social Anxiety |
| 92% | Health Anxiety |
| 92% | Driving Anxiety |
| 75% | Relationship Issues |
| 75% | Depression |
| 75% | Self Esteem |
Average years in practice
12 Years
Top 3 insurances accepted
| 100% | Hawaii Medical Services Association |
| 73% | Hawaii Medical Assurance Association |
| 55% | BlueCross and BlueShield |
How Therapists in 96745 see their clients
| 50% | In Person and Online | |
| 50% | Online Only |
Gender breakdown
| 82% | Female | |
| 9% | Male | |
| 9% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in 96745?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.