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From the Practice

Evidence-based, compassionate notes on mental health — anxiety, depression, ADHD, and taking care of yourself — written for the people of Hawaiʻi.

October 21, 2026

Shorter Days, Lower Mood: Coping With Seasonal Change

Even in Hawaiʻi, shorter days can quietly pull mood down. Here’s how seasonal change affects mood — and what helps.

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October 14, 2026

When Stress Lives in Your Body: Understanding the Nervous System

Stress isn’t only in your head. Here’s how your nervous system drives the racing heart and tight chest — and physical tools that help.

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October 7, 2026

Men's Mental Health: Why Reaching Out Feels So Hard

Men often suffer in silence — not because they feel less, but because they were taught to show it less. Here’s how it shows up and why reaching out helps.

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September 30, 2026

Grief Doesn't Follow a Timeline: When Loss Needs Support

Grief doesn’t follow stages or a schedule. Here’s what it can look like — and when loss needs more than time.

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September 23, 2026

Setting Boundaries Without the Guilt

If saying no leaves you guilty for days, you’re not alone. Boundaries aren’t walls — they’re how you stay well enough to keep showing up.

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September 16, 2026

Why Sleep Is Mental Health Treatment, Not a Luxury

Sleep isn’t a reward for finishing everything — it’s treatment. Here’s how sleep and mental health feed each other, and what helps.

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September 9, 2026

Back-to-School Anxiety: Helping Kids (and Yourself) Through the Transition

A new school year brings excitement and nerves. Here’s how to tell normal jitters from anxiety that needs support — and how to help.

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September 2, 2026

Is It Normal Worry, or Anxiety? How to Tell — and What Helps

Everyone worries. So how do you know when it has crossed into an anxiety disorder — and what actually helps?

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August 26, 2026

Depression Is More Than Sadness — and It's Treatable

Depression isn't just sadness, and it isn't a weakness. Here's what it really is — and why there's real reason for hope.

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August 19, 2026

Adult ADHD: “Why Is It So Hard for Me to Focus?”

ADHD doesn't only affect kids, and it's often missed for years — especially in women. Here's what adult ADHD really looks like.

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August 12, 2026

How to Stop a Panic Attack: What Actually Helps in the Moment

A panic attack can feel like something is very wrong — but it isn't dangerous, and it will pass. Here's what helps in the moment.

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August 5, 2026

Getting Mental Health Care in Hawaiʻi When It Feels Impossible

If finding a mental health provider in Hawaiʻi has felt impossible, it isn't just you. Here's why — and practical ways to actually get care.

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July 29, 2026

What to Expect at Your First Psychiatric Visit

Feeling nervous about a first appointment is completely normal. Here's what actually happens — and why it's a conversation, not a verdict.

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July 22, 2026

Medication, Therapy, or Both? How to Think About Your Options

One of the most common questions I hear. Here's a clear way to think about what medication does, what therapy does, and why they're often stronger together.

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July 15, 2026

Postpartum Anxiety and Depression: You Are Not Alone

If the weeks or months after having a baby have felt heavier than you expected, you're not alone — and it's not a weakness. It's common, and it's treatable.

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July 8, 2026

Burnout Is More Than Being Tired

If rest doesn't seem to fix how depleted you feel, it may not be ordinary tiredness. Here's how to recognize burnout — and what actually helps.

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July 1, 2026

Caring for Aging Parents Without Losing Yourself

Stepping into a new role with an aging parent can bring love, guilt, grief, and exhaustion all at once. Your wellbeing matters in this too.

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