Online Therapy for Adults in Hawaiʻi

You can have it together and still feel stuck.

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Therapy for anxiety, trauma, relationship patterns, boundaries, and identity

You might be here because…

  • You’re used to being capable and dependable, even when you’re struggling underneath

  • You put a lot of pressure on yourself to get things right

  • You replay conversations, decisions, or mistakes long after they happen

  • You’re often the person others rely on, but asking for what you need can feel harder

  • The past still shapes how you react, protect yourself, or connect with others

  • You notice yourself repeating patterns you understand intellectually but still struggle to change

  • You’ve accomplished a lot, but still find yourself questioning whether you’re doing enough

  • You know something needs to shift and want to understand what comes next

Jethro Macaraeg, LCSW, licensed clinical social worker and therapist at Cages to Wings Wellness in Hawaii

Aloha, I’m Jethro! (he/him)

  • Personal

    • Born and raised in Hawai‘i

    • Ilocano (Filipino) ancestry

    • Second-generation immigrant

    • I identify as a cisgender gay male

    • LGBTQIA+, BIPOC, immigrant affirming

    Professional

    • Licensed Clinical Social Worker (LCSW-5268, HI)

    • Master of Social Work (Specialization: Behavioral Mental Health) from University of Hawaiʻi at Mānoa

    • Bachelor of Science, Psychology & Healthy Lifestyle Management from Creighton University

    • Experience working across the lifespan

    • Behavioral health care coordination, school-based services, palliative and hospice care, and outpatient mental health

  • I care about the backstory, but I also care about what changes.

    My style is warm, direct, and curious. We’ll connect what’s happening now to the experiences and patterns that shaped it, while paying attention to your thoughts, emotions, body, and relationships.

    Insight matters, but knowing why isn’t always enough. We’ll also build practical ways to work with what comes up, process what still feels stuck, and practice responding differently in everyday life.

    The goal isn’t to never get anxious, activated, shut down, or pulled into an old pattern again. It’s to notice what’s happening sooner, understand what you need, and have more choice in what happens next.

    You’re ready when the pattern can show up without taking over.

  • You’ll notice your patterns sooner and have more choice before fear, shame, urgency, or old roles take over.

    You’ll become more able to ground yourself, understand what you need, set limits, express yourself, and work through difficult moments without abandoning yourself.

    You won’t need to feel completely “finished.” You may be ready to graduate therapy when you no longer need me to do all the noticing for you.

    You’re ready when the pattern can show up without taking over.

  • Change happens when insight becomes something you can feel, practice, and live.

    Understanding yourself matters, but insight alone does not always change what happens in the moment.

    Change also happens through the body, through relationships, and through repeated experiences of doing something differently.

Therapy Offerings

Individual Adults · Online throughout Hawaiʻi
BIPOC, LGBTQIA+, and Immigrant Affirming
No couple/family sessions at this time

Mon-Thu: 3-8 PM · Fri: 3-5 PM

Sessions are initially scheduled weekly for 53-60 minutes. Clients must be physically located in Hawaiʻi during sessions.

    • Anxiety & Overthinking

    • Depression & Feeling Stuck

    • Trauma & PTSD

    • Relationships & Boundaries

    • Identity & Belonging

  • We’ll review fees, insurance, and any expected costs before scheduling your first appointment.

    Insurance

    I currently accept:

    • HMSA (Fed/HMO, PPO, QUEST)

    • UHA

    • HMAA (HWMG)

    • Kaiser and more (through Rula)

    Coverage and out-of-pocket costs vary by plan, so I recommend confirming your outpatient mental health benefits before beginning therapy.

    Out-of Network

    You may be able to use out-of-network benefits for partial reimbursement. I can provide a superbill for you to submit to your insurance plan.

    Private Pay

    My private-pay rate is $150 per session.

    Sliding Scale

    I strive to make therapy more accessible. If you’re interested in a reduced private-pay rate, I’ll send you a brief application to review your financial need and determine whether a sliding-scale spot is available.

  • Choose how you’d like to begin.

    Not sure if we’re a good fit?
    Book a free 15-minute discovery call. We’ll briefly talk about what you’re looking for, answer your questions, and see whether working together makes sense.

    Already ready to get started?
    Skip the discovery call and complete a brief screening form.

    After either option: If it looks like we’re a good fit, I’ll send your intake paperwork and information about fees and insurance. Then we’ll schedule your first session and create a plan for therapy together.

  • Healthcare professionals (including primary care providers, therapists, care managers, and other referral partners) may submit a secure referral for adults seeking outpatient telehealth psychotherapy throughout Hawaiʻi.