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 put pressure on yourself to get things right, be useful, or avoid disappointing people.

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

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

  • You’ve gotten good at adapting, keeping the peace, or making yourself smaller to stay connected.

  • The past still shapes how you react, protect yourself, or connect with other people.

  • You understand your patterns intellectually but still find yourself getting pulled into them.

  • You’ve accomplished a lot, but some part of you still wonders whether you’re doing enough.

  • You’re starting to question which parts of the way you’ve learned to live are actually yours and where you want to take up more room.

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

  • Not everything you carry began with you.

    How we understand ourselves is shaped by more than individual experiences. Family roles, culture, community, social expectations, discrimination, migration, intergenerational history, and systems of power can all influence what we learn to value, suppress, tolerate, or believe about ourselves.

    Therapy can provide space to examine these influences with greater context and less judgment. It can help distinguish what reflects your own values from what was inherited, expected, or required of you.

    This perspective does not assume that every struggle is a personal deficit or that healing means adapting more successfully to environments that may themselves be harmful.

    Instead, therapy can support a fuller understanding of what has shaped you while creating greater freedom to decide what you want to carry forward.

  • I care about the backstory, but I also care about what’s happening in your life now.

    My style is warm, direct, and curious. We’ll make space for where you’ve been while staying connected to what you’re dealing with today.

    Sessions might involve slowing something down, making connections you hadn’t considered, sitting with an emotion instead of moving past it, or getting practical about what to do next. I’ll ask questions, offer observations, challenge you when it feels useful, and make room for you to notice what resonates and what doesn’t.

  • 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 can give you a place to experience something new, not just understand why things have been the way they are.

  • Therapy should eventually help you need therapy less.

    You may find yourself recovering from difficult moments more quickly, saying what you mean more directly, setting limits with less guilt, trusting your own judgment, or staying connected to yourself when someone else is disappointed, distant, or upset.

    The goal isn’t to become unaffected by life. It’s to feel increasingly able to handle what comes without losing yourself in it.

    You may be ready to graduate when you no longer need me to do all the noticing with you.

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

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.