Online Therapy in Hawaii

Personalized online therapy for Hawaii residents navigating anxiety, burnout, and trauma.

 

I’m Sage Grazer, LCSW-4695 (HI). I provide compassionate, individualized online therapy for adults throughout Hawaii.

My work is focused on helping you strengthen your emotional resilience, develop self-awareness, and enhance your self-esteem. Many of my clients are navigating the interconnected challenges of anxiety, difficult life transitions, or relationship challenges. These pressures can often lead to burnout or feel connected to past trauma.

I am particularly attuned to the unique stressors faced by high-achieving professionals and offer online therapy for entrepreneurs and leaders. I also focus on providing online therapy for women experiencing anxiety, helping them find their unique path toward lasting change.

I take an empathetic approach that blends evidence-based CBT and insight-oriented therapies. We'll work together to help you understand your needs and empower you to use your voice. My goal is to help you move beyond just coping.

Our sessions are calm and confidential, taking place on a secure telehealth platform, allowing residents from Honolulu to Mililani, to get the supportive care they need in a way that feels connected and fits a busy schedule.

Why Choose Online Therapy?

Meet from a private space at home or work

  1. Consistent, on-time sessions that support a steady weekly rhythm

  2. HIPAA-compliant video and paperless intake

  3. Continuity when traveling between islands or to the mainland

The Benefits of Online Therapy

  • Join sessions right from the comfort of your own home

  • Keep up with your therapy even when you’re traveling or your schedule changes

  • Get care that fits your values, lifestyle, and emotional needs

My Approach

I draw from Psychodynamic Therapy, Cognitive Behavioral Therapy (CBT), Mindfulness-Based Therapy, and Interpersonal Therapy. Together we clarify patterns, reduce reactivity, and build skills that help you feel more grounded and connected in everyday life.

You can learn more about therapeutic approach and modalities here.

Where I Work in Hawaii

I meet with adults across all of O‘ahu (including Kahala, Diamond Head, Hawaii Loa Ridge, and Portlock), Maui, Kauai, and the Big Island with availability statewide.

 

What I Help With

What’s the Difference Between Online Therapy, Telehealth, and Virtual Therapy?

These terms are often used interchangeably, and for good reason. They all refer to mental health care provided remotely using a secure video platform. Whether it's called telehealth therapy, virtual therapy, or online therapy, the service involves meeting with a licensed therapist (like myself) who provides professional care using HIPAA-compliant, encrypted tools.

I’m here to support you in your journey to healing.

Schedule a free 15-minute consultation with me to learn more about how we can work together.

Schedule Free consult

Common Questions about Online Therapy in Hawaii

  • Yes. I am licensed in the State of Hawaii (LCSW-4695) and work with adults who are physically located in Hawaii at the time of session.

  • We’ll meet one-on-one through a secure video platform for 50-minute sessions. The process is similar to in-person therapy, with the added flexibility of joining from wherever you feel most comfortable. My approach is collaborative and attuned to your pace, drawing from psychodynamic therapy, somatic practices, mindfulness, and trauma-informed care. We’ll work together to explore what’s beneath the surface, build emotional resilience, and support lasting change.

  • That’s a completely valid concern, especially if this is your first experience with therapy. Many clients are surprised by how safe, connected, and emotionally engaged online therapy can feel. With presence, consistency, and a focus on relationship, it’s possible to create a deeply supportive space—even across screens.

  • Yes. You can use whichever device feels most convenient and private—whether that’s your phone, tablet, or computer. What matters most is that you have a quiet, private space where you can show up fully for yourself.

  • Many PPO insurance plans offer partial reimbursement for online therapy in Hawaii, even when the provider is out-of-network. I provide superbills, detailed invoices that you can submit to your insurance company for potential reimbursement. Coverage varies by plan, but clients often receive 50–80% back. It's a good idea to call your insurance provider and ask about your out-of-network mental health benefits for telehealth services. I’m happy to guide you through the process and help clarify what to expect.

  • One of the benefits of online sessions is that we can usually maintain continuity when you travel. If you are outside Hawaii during a given session, I can only provide care in places where I hold a license; we will coordinate logistics as needed.