Professional portrait of Elaine Hicks, LCSW
Accepting new clients

Therapy for adults throughout Hawaiʻi

Trauma-informed care that connects the story with the body.

I help adults work through trauma, anxiety, burnout, mood concerns, recovery, and major life transitions—with practical tools, direct conversation, and nervous-system education that makes sense in real life.

What I treat

Start with what is happening now.

You do not need the perfect diagnosis or a neatly organized explanation before reaching out.

Many of my clients are capable, thoughtful people who have become very good at enduring. We begin by understanding what is affecting your life and what kind of support may help.

Trauma, PTSD, and C-PTSD

Trauma, complex post-traumatic stress, chronic stress, adversity, and experiences that remain difficult to name or resolve.

Anxiety and panic

Overthinking, vigilance, panic, overwhelm, irritability, and difficulty feeling settled or safe.

Depression and mood

Depression, bipolar disorder, emotional distress, loss of motivation, and changing mood patterns.

Sleep and insomnia

Sleep disruption and insomnia treated with Cognitive Behavioral Therapy for Insomnia (CBT-I), in which I am certified.

Forensic and justice-involved care

Reentry, incarceration-related trauma, court or mandated services, institutional systems, and the stress of navigating behavioral health alongside the justice system.

Burnout and life transitions

Compassion fatigue, work stress, caregiving, grief, menopause-related change, and major life transitions.

Recovery and substance use

Substance-use concerns, recovery, relapse prevention, and the relationship between coping, trauma, and behavior.

Regulation and self-concept

Nervous-system regulation, coping skills, self-esteem, body image, and learning to respond differently under stress.

Insurance and payment

Telehealth is available statewide in Hawaiʻi, with limited in-person availability.

AlohaCareHMSA Blue Cross Blue ShieldUnitedHealthcareKaiser by referralHMAAUHAPrivate pay
Request an appointment
TelehealthStatewide in Hawaiʻi
In personLimited availability
AdultsIndividual therapy
InsuranceMultiple plans accepted

Experience rooted in Hawaiʻi

More than a decade of clinical and community-based behavioral-health experience.

I began in community-based case management and have worked across therapy, psychosocial rehabilitation, substance-use services, justice-involved reentry, program leadership, education, and provider training.

2008Living and serving on Oʻahu
2009Working in mental health
2017Clinical, CSAC, and reentry work
2020Licensed clinical social worker

How I work

Eclectic by training. Intentional in practice.

The method should serve the person. The person should never have to perform for the method.

My work is trauma-informed, body-aware, collaborative, and grounded in established approaches. I translate clinical concepts and physiology into language you can understand and use.

Trauma processing

Cognitive Processing Therapy and trauma-focused approaches for experiences and beliefs that remain unresolved.

Cognitive and behavioral

CBT, DBT-informed skills, Problem-Solving Therapy, and Solution-Focused Brief Therapy.

Body and nervous system

Somatic approaches, mindfulness-based work, nervous-system education, and polyvagal-informed care.

Strength and motivation

Motivational Interviewing, Compassion-Focused Therapy, strengths-based care, and Positive Psychology.

Sleep and life-stage care

CBT for insomnia and menopause-informed support for physiological, emotional, and relational changes.

Creative and integrative

Appropriate art-based interventions and other evidence-informed strategies selected for your needs.

You will not be treated like a collection of symptoms—or handed a string of clinical terms and expected to determine what they mean.

Credentials

Training matters. So does knowing how to use it.

I bring clinical experience, nervous-system education, somatic awareness, and directness into the room.

Licensed Clinical Social WorkerHawaiʻi LCSW-4620
Certified Substance Abuse CounselorIntegrated understanding of recovery and behavioral health
Certified Complex PTSD Treatment SpecialistSpecialized training in complex post-traumatic stress and trauma recovery
Certified in Cognitive Behavioral Therapy for InsomniaStructured, evidence-based treatment for chronic insomnia and sleep disruption
Applied Graduate Certificate in Forensic PsychologySupporting justice-involved clients and reentry work dating to 2017
Nervous-system educatorSomatic awareness, interoception, and practical regulation strategies
Professional servicesClinical consultation, licensed supervision, education, and provider training are available separately from individual therapy.

Access and referrals

Clear next steps for clients and professionals.

For prospective clients

Appointments begin with a brief screening to determine whether my services match your needs. You can request an appointment securely online.

Request an appointment

Prefer email? elaine@sparkproject.netPlease use email for scheduling or general inquiries only and do not include sensitive health information.

For agencies and referral partners

Hospitals, clinics, physicians, case managers, therapists, insurers, and community agencies may contact the practice to discuss availability or submit a referral.

Elaine Hicks presenting her book Behind the Mask at a freediving event

Meet Elaine

Clinical experience, curiosity, and a practical way forward.

I’m Elaine Hicks, LCSW, CSAC. I listen carefully, ask difficult questions, and respectfully call attention to patterns that may be costing you more than they are protecting you. Our work can include practical tools, nervous-system education, new ways of understanding your responses, and—when useful—something to explore between sessions.

I am also known as The Underwater Therapist, an author, educator, and freediving instructor. My broader work examines trauma, human physiology, and the conditions that allow people to feel safe enough for choice, connection, and skill to return.

Getting started

Let’s find out whether we work well together.

Begin with a brief screening so we can talk about what is happening, what you need, and whether my approach is the right fit. You do not need a perfect explanation before reaching out.

Request an appointment