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Dr. Erin Gustin, MA, PsyD, LP

Licensed Clinical Psychologist

Owner and Clinical Director of Pau Hana Counseling, LLC

Dr. Erin Gustin is a licensed clinical psychologist who received her Master's degree and Doctoral degree in Clinical Psychology from Spalding University in Louisville, KY. She is the owner and Clinical Director of Pau Hana Counseling, LLC. She specialized in Child, Adolescent, and Family Therapy with an emphasis on chemical dependency and addiction. She started her career in psychology working in a group home with adults with severe mental illness. Then, she moved into a community based setting and worked in a crisis stabilization center for children and provided therapy for families and children in crisis. Later in her career, she worked as an in-home therapist with children ages 4-18, providing individual therapy, play therapy, art therapy, and sand play therapy to this population. She also has experience working with court-ordered clients and worked at a college counseling center and can provide assistance with college transitional issues. 

After receiving her doctorate in clinical psychology, Dr. Gustin began working at the Hazelden Foundation with teenagers, young adults, and adults with addiction, chemical abuse and dependency, and co-occurring disorders or dual diagnosis. Hazelden Foundation is a world-renowned chemical dependency treatment center, and while at Hazelden, she worked with clients with depression, anxiety, personality disorders, ADHD, PTSD, eating disorders, process and behavioral addictions, gambling addictions, sexual addictions, chronic pain, trauma, abuse and neglect issues, grief and loss issues, and self-harm issues. After opening Pau Hana Counseling on the Big Island of Hawaii, Dr. Gustin became interested in treating trauma and became trained in EMDR therapy. She has a passion for working with couples and is trained in several methods of couples counseling. She is currently active in the Big Island Sand Play community and has specialized training in art therapy, sand tray therapy, and play therapy.

Dr. Jennifer De Costa, PhD, MFT

Licensed Marriage and Family Therapist

Dr. Jennifer De Costa is a licensed marriage and family therapist who received a Master’s degree in Psychology from Western Washington University in Bellingham, WA. She received a second Master’s degree in Education with a focus on Counseling, Family and Human Service specializing in Individual, Marriage and Family therapy from the University of Oregon in Eugene, OR. Her training included an internship at UO, Center for Family Therapy. She completed her doctorate in Human Development and Family Studies with an emphasis in Family Intervention from Oregon State University in Corvallis, OR. 

She began her career as a volunteer family therapist at a community-based clinic in Eugene, OR. After receiving her doctorate, she moved to the Big Island to continue serving adults, children, and families. Since her return, she has worked at an addiction’s treatment center with a focus on addictions, recovery, and violence prevention and intervention, provided home-based clinical support for a non-profit agency, worked at a Federally Qualified Health Center and a community hospital before transitioning to Pau Hana Counseling.

Dr. De Costa utilizes a strength-based approach, along with Cognitive Behavioral Therapy and Solution Focused Therapy. She believes a collaborative partnership is an important foundation in treatment. 

Jody Dunlap, MSW, LCSW

Licensed Clinical Social Worker

Jody Dunlap, MSW, LCSW has been a practicing social worker for over 40 years. Her personal and professional belief is how well people function is about how they process their life events.Through resiliency, the healthy tools they have learned or will learn and the belief in oneself, self-forgiveness and self-acceptance can emerge. As a result, she believes that people can learn to be their better selves. Jody believes that for healing and change to begin, it's important to identify what's working in their lives, what they are proud of and like about themselves. She also believe it's important to identify what tools have worked in the past when there have been struggles. Jody believes that people seeing their strengths and capabilities is critical in the beginning stages of therapy. 

Jody practices from a psychodynamic approach and tries to assist people in understanding and gaining personal insight about events from past/present that have shaped their lives. This often opens the door to self-understanding and shuts the door on self-judgement. She has experience working with many presentations of mental health issues. Some examples include, depression, bipolardisorders, anxiety related disorders, grief, including pet loss, and past or present trauma. She has also worked with people who have experienced physical, emotional, psychological trauma in a family setting. She enjoys working with both men and women struggling with anger problems and relationship problems. She works most ages of people,  from teens through seniors, as individuals, couples, families or in group settings. She also believes that humor can sometimes be good ‘medicine’ for therapy.

Hannah Hancock, MSW, LCSW

Licensed Clinical Social Worker

Hannah Hancock, MSW, LCSW is a Licensed Clinical Social Worker who received her Master’s degree from Walla Walla University. Hannah has specialized in child, adolescent, and family mental health, with an emphasis on severe emotional and behavioral dysregulation. She began working in the mental health field at a Psychiatric Residential Treatment Facility in Billings, Montana. Hannah continued to work at the Treatment Facility while completing graduate school and working full-time in school-based mental health as a Behavior Specialist. Upon graduation, Hannah moved to Asheville, North Carolina to work as a full-time in-home therapist, providing the highest level of community-based care available. After several years, Hannah moved to the Hilo area to continue serving children, families, and individuals as they pursue healing, growth, and overall progress in their lives.

Hannah utilizes a strengths-based, trauma-informed approach that focuses on the whole person and the ecological system in which they live. Hannah most frequently uses approaches from Cognitive Behavioral Therapy, Solution Focused Therapy, and the Collaborative Problem Solving method.

Kelly Hee, MSW, LCSW

Licensed Clinical Social Worker

Kelly Hee is a Licensed Clinical Social Worker who received her Master’s degree in Social Work from the University of Hawaii, at Manoa. Kelly is licensed in both California and Hawaii and practices in both states. Kelly began working with eating disorders in 2013 at Ai Pono Eating Disorder Treatment Program, where she worked directly under the supervision of Anita Johnston (author of Eating in the Light of the Moon). Kelly has worked at all levels of care in treatment. In each setting, Kelly has worked with clients facing underlying issues related to eating disorders, including, but not limited to: anxiety, OCD, depression, substance abuse disorders, trauma and PTSD, and dysfunctional family systems.

Kelly is one of the very few clinicians in both California and Hawaii that specializes in working with both eating disorders and athletes with eating disorders or body image struggles. Kelly is a member of the San Diego Sports Psychology group and also provides counseling services for student-athletes in the University of Hawaii athletic department. Kelly utilizes a humanistic and strengths-based approach when working with clients. Kelly frequently uses interventions from CBT, ACT, DBT, and family systems theory.

Joan Krakowiak, MSW, LCSW

Licensed Clinical Social Worker

Joan Krakowiak, MSW, LCSW is a Licensed Clinical Social Worker in the state of Hawaii. She holds a Master's Degree in Social Work from the University of Hawaii, Manoa. She has been providing counseling and therapy services in a variety of settings since 1993. She specializes in eating disorders, women's issues, and relationships. Additionally, Joan has experience and training in the treatment of unresolved trauma issues, grief and loss, depression, anxiety, and addiction. She has also worked with people suffering from chronic pain and/or debilitating illness such as diabetes, cancer, and HIV/AIDS. She has experience and training as a Geriatric Mental Health Specialist.

Joan's primary theoretical orientation is "person in environment" or systems theory. It is a client-centered approach that utilizes a bio-psycho-social-spiritual perspective or holistic approach to explore and transform problematic behaviors, unresolved issues and challenging life transitions. Joan considers the therapeutic relationship as being a partnership she develops with her clients. Her approach to therapy includes the use of cognitive behavioral, psycho-dynamic, existential, and action-oriented therapeutic methods. She uses an eclectic approach with various modalities to choose from to fit each individuals' model of reality, level of awareness, wants and needs. She provides counseling and therapy services for individuals, couples, families and groups.

Syntha Lorenz, MA, LMFT

Licensed Marriage and Family Therapist 

Syntha Lorenz is a licensed Marriage and Family Therapist and Registered Expressive Arts Therapist. She is Jungian-oriented and considers herself a Feminist psychotherapist with an Object-Relations base. She believes in the power of therapy and its ability to heal wounds. She has established herself professionally in the psychotherapy world for over 15 years. She has been a devout student of Spirit her entire life. She also holds a ministry credential and lives in sacred space and ritual. She loves to co-create sacred space and ritual for others for all sorts of life transitions. She has worked with non-traditional healers for over 25 years using alternative healing techniques such as shamanistic journey, dreams, ritual, body awareness, guided imagery, art, authentic movement, and healing touch. She is aware that cultural misappropriation of terms is a further insult to Native cultures, therefore she uses the term Shaman with a great deal of respect and consideration. 


Syntha has experience and training in both worlds, traditional and non-traditional, and has dived deep into the psyche to explore buried material. She believes in the importance of a therapist first doing their own work, and holds the belief that she can accompany people only to the depths that she's been to in her own process of healing.  She greatly values the work she's done in her own healing and seeks to transmit this healing to others.

Rosey Strong, MA, LMHC

Licensed Mental Health Counselor

Rosey Strong, MA, LMHC has extensive experience working with youth and caregivers. She is very  knowledgeable of the foster care system and CWS involvement, and works collaboratively with families at risk or already involved in the system. She was previously a foster parent and understands first-hand what it takes to thrive during hard times! She believes that behavioral issues and negative emotions stem from unhealthy patterns from the past, and she can help you and/or your youth to heal and grow out of negative experiences. She specializes in children and adolescents, as well as adults. 

She uses movement, art, play, and other expressive therapies, and in this way, she is able to work with even the very young. Traditional talk-therapy techniques are also utilized with adults and adolescents. Everyone is unique and specialized treatment is necessary! She strives to accommodate what works for each individual or family as a unit. She also offers free Powerpoint trainings and access to other resources. 

Office Administration

Angelina Crusat, BS

Office Manager of Pau Hana Counseling, LLC

Angelina Crusat began her 25 year customer service career in the industries of retail, telecommunications and finance. She routinely received quarterly customer service awards and was honored with senior mentorship roles. In 2012, she transitioned to office administration and management in the non-profit sector where she became a certified medical coder. Three years later, she started A2Z Billing; a medical billing, claims recovery and administrative support company that specializing in the behavioral health.

Angelina began working with Dr. Erin Gustin at Pau Hana Counseling, LLC as an administrative assistant in August 2018. She quickly was promoted to office manager and is greatly valued for her efficiency, dedication, and organizational skills at Pau Hana Counseling.  

Tammie Towne, MS, CMA

Administrative Assistant

Tammie is a CMA with an MS in Psychology. She joins Pau Hana Counseling after a career of teaching Psychology and Medical Specialties as an Associate Professor in California. She was a highly sought-after instructor, mentor, and tutor, earning the respect of students, faculty, and the administration staff. She received several recognitions including Most Inspiring Instructor and Professor of the Quarter.

In addition to her teaching career, Tammie is a retired member of the Navy Reserve. She served 26 years as a Hospital Corpsman, and 12 of those years with the Marines. She did two tours in Iraq where she set up and supervised the care for over 200 personnel at the base aid clinic. She looks forward to using the skills she learned setting up medical clinics in her new role as an Administrative Assistant at Pau Hana Counseling.

Stephen Wallace, BS

Administrative Assistant

Stephen Wallace graduated with his Bachelors of Science in Biology with an emphasis in Marine Biology. He has lived in Hilo, Hawai’i for eleven years. He has seven years of background in medical services and administration. He has extensive experience with all administrative tasks, including scheduling and correspondence that he brings to the Pau Hana Counseling team. Stephen is active in Brazilian Jujitsu and believes that his physical health correlates to improving his mental health.

Stephen can speak fluently in Filipino (Tagalog) and has previously translated in a medical setting. While volunteering in the Philippines, Stephen developed a strong sense of devotion for the community who lacked mental health support and saw first hand the desperate need to improve the quality of mental health awareness in low-income areas. Stephen believes Hawai’i is a beautiful place for clients of Pau Hana Counseling to start their journey of healing.