Pau Hana Counseling  

Individual, Couples, Group, and Family Therapy Services 

Medication Prescription and Medication Management Services

Browse Our Services

Pau Hana Counseling offers services for the following presenting issues:




Alcohol Abuse

Anger Management

Antisocial Personality


Asperger's Syndrome


Behavioral Issues

Bipolar Disorder

Borderline Personality

Career Counseling

Child or Adolescent

Chronic Illness

Chronic Impulsivity

Chronic Pain

Chronic Relapse


Coping Skills


Developmental Disorders

Dissociative Disorders


Domestic Abuse

Domestic Violence

Drug Abuse

Dual Diagnosis

Eating Disorders

Elderly Persons Disorders

Emotional Disturbance

Family Conflict




Impulse Control Disorders



Intellectual Disability

Internet Addiction

Learning Disabilities

Life Coaching

Life Transitions

Marital and Premarital Counseling

Medication Management

Medication Prescription

Men's Issues

Mood Disorders

Narcissistic Personality


Obsessive-Compulsive (OCD)

Oppositional Defiance


Peer Relationships

Personality Disorders

Pregnancy, Prenatal, Postpartum


Racial Identity

Relationship Issues

School Issues


Self Esteem

Sex Therapy

Sexual Abuse

Sexual Addiction

Sleep or Insomnia


Sports Performance


Substance Abuse

Suicidal Ideation

Teen Violence

Testing and Evaluation

Thinking Disorder


Trauma and PTSD

Traumatic Brain Injury

Video Game Addiction

Weight Loss

Women's Issues

Pau Hana Counseling treats clients of the following ages:

Toddlers / Preschoolers (0 to 6)

Children (6 to 10)

Preteens / Tweens (11 to 13)

Adolescents / Teenagers (14 to 19)


Elders (65+)

We also offer online and distance counseling through Telehealth. 

Pau Hana Counseling utilizes the following therapeutic modalities with clients:

  • Acceleration Resolution Therapy (ART)
  • Art Therapy
  • Attachment-based
  • Coaching
  • Cognitive Behavioral (CBT)
  • Collaborative Problem Solving
  • Dialectical (DBT)
  • Eclectic
  • Emotionally Focused
  • Eye Movement Desensitization Therapy (EMDR)
  • Family / Marital
  • Family Systems
  • Geriatric
  • Humanistic

  • Imago
  • Intervention
  • Mindfulness-based (MBCT)
  • Motivational Interviewing
  • Narrative
  • Neurosequential Model of Therapeutics (NMT)
  • Play Therapy
  • Psychoanalytic
  • Psychodynamic
  • Psychological Testing and Evaluation
  • Relational
  • Sand Play
  • Systems
  • Solution Focused Brief Therapy (SFBT)

Pau Hana Counseling is allied with and has experience supporting clients in the following groups:

Aviation Professionals

Bisexual Allied

Body Positivity


Gay Allied

HIV / AIDS Allied

Lesbian Allied

Non-Binary Allied

Queer Allied

Racial Justice Allied

Transgender Allied

Vegan Allied


Specialized Services

All of our therapists are currently offering online and distance counseling 

via Telehealth due to the COVID19 pandemic.

Dr. Erin Gustin and Kristen McFee are active in the Big Island Sand Play community. Dr. Gustin has specialized training in art therapy, sand play therapy, and play therapy. Dr. Erin Gustin is trained in Eye Movement Desensitization and Reprocessing (EMDR) and also has specialized training in couples and family therapy. She has been trained in Imago Therapy and the Gottman Method of couples therapy and received her Doctorate in Clinical Psychology with an emphasis on Child, Adolescent, and Family Therapy. 

Kristen McFee is also trained in Eye Movement Desensitization and Reprocessing (EMDR), Sandplay (CST-P), the Neurosequential Model of Therapeutics (NMT) and Accelerated Resolution Therapy (ART).

Elizabeth Bush holds a Master of Science in Nursing and is board certified as a Psychiatric Nurse Practitioner and as a Psychiatric Clinical Nurse Specialist. She is also board certified as a Certified Substance Abuse Counselor (CSAC), Certified Co-occurring Disorders Professional-Diplomate (CCDP-D), and an Addictions RN in Advanced Practice (CARN-AP). She prescribes psychiatric medication and offers medication management in addition to therapy.