Pau Hana Counseling  

Individual, Couples, Group, and Family Therapy Services 

Medication Prescription and Medication Management Services


Changes in response to COVID-19

Beginning on June 1st, 2020, Pau Hana Counseling will begin seeing clients in person again on a limited basis. We will adhere to and follow federal and state mandated guidelines for reopening the office. There are several safety measures in place that all clients who wish to be seen in person will have to follow. Please ask your therapist regarding these procedures if you are interested in coming back to in-person sessions. All of our therapists will continue seeing clients virtually, via Telehealth technologies. We are using the Telehealth by Simple Practice technology, as well Zoom technologies, to continue providing treatment to our clients during this difficult time. The Telehealth and Zoom apps are very easy to use, all that is required is a computer or cell phone with video capabilities, and an internet connection. Nearly all insurance companies are currently providing coverage for Telehealth, so your payment rate for our services will not be affected at all. Please contact your therapist regarding questions about using this technology or insurance coverage. All of our therapists are currently still taking on new clients via Telehealth and in person at the present time. We would love to help give you support during these trying times and send love and care to every person affected by this virus. We encourage everyone to stay safe. 

Individual, Couples, Group, and Family Counseling and Therapy in Hilo, HI

Medication Prescription and Medication Management Services on Hawaii Island


Compassionate, Confidential, and Professional Therapy Services in Hawaii County, HI

Psychiatric and Addictions Nursing Services, including Medication Prescription and Medication Management Services, based upon Science, Compassion, and Respect


Pau Hana Counseling is an agency on the Big Island of Hawaii that was created to serve the local clientele. We are an organization that includes five therapists and one psychiatric nurse practitioner currently: 

Dr. Erin Gustin, MA, PsyD, Licensed Clinical Psychologist

Elizabeth Bush, MSN, APRN, Board Certified Psychiatric Advanced Practice Nurse

Hannah Hancock, LCSW, Licensed Clinical Social Worker 

Kristen McFee, LMHC, Licensed Mental Health Counselor

Joan Krakowiak, LCSW, Licensed Clinical Social Worker

Thomas Drumm, LCSW, Licensed Clinical Social Worker

We strive to provide a safe, respectful, and supportive environment where clients can begin the process of healing and change without judgment. Areas of expertise include trauma, chemical dependency, addiction, eating disorders, codependency, life transition issues, divorce, grief, personality disorders, adult children of alcoholics (ACOA), dual diagnosis, depression and anxiety. We strive to develop a collaborative relationship with clients and provide hope, healing, and empowerment through education, resources, and insights. Pau Hana Counseling currently provides individual counseling, couples counseling, group therapy, and marriage and family therapy, as well as medication prescription and medication management. Our goal is the help the residents of Hawaii County, including Hilo, HI and Pahoa, HI, by providing professional and compassionate therapy services, as well as medication prescription and management services.