Online Therapy in Hawaii

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

 

I’m Sage Grazer, LCSW-4695 (HI). I provide virtual psychotherapy for adults throughout Hawaii. My work focuses on anxiety, burnout, self-esteem, and trauma. Sessions are calm, confidential, and tailored to your goals. I focus on helping people deal with anxiety, burnout, trauma, relationship challenges, and difficult life transitions. Our sessions happen on a secure telehealth platform, so you can get the care you need in a way that feels connected and supportive.

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.

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 in Hawaii, 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 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.

  • We can usually maintain continuity. If you are outside Hawai‘i during a given session, I can only provide care in places where I hold a license; we will coordinate logistics as needed.