Pau Hana Counseling  

Individual, Couples, Group, and Family Therapy Services 

Medication Prescription and Medication Management Services


Dr. Erin Gustin, MA, PsyD, LP

Licensed Clinical Psychologist


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 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 that has been saving lives and restoring families from substance abuse and addiction for more than 60 years. 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.



Elizabeth Bush, MSN, APRN, CARN-AP, CSAC, CCDP-D

Psychiatric Nurse Practitioner 


Elizabeth (Liz) Bush has practiced mental health nursing on the Big Island since 1999 and trains substance abuse counselors in her spare time. She has also served as a mental health provider in the immediate vicinity of the September 11th tragedy and has worked with Combat Veterans, Native American tribes and Pacific Islanders, as well as in East coast inner cities.

Ms. 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).


Elizabeth prescribes psychiatric medications and works with clients 18 years of age and older. Her areas of expertise include Addictions, Post Traumatic Stress Disorder and other Psychiatric and co-occurring disorders. Liz is an alumnus of University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania B.S.N. /M.S.N. with graduate specialization in Advanced Practice Psychiatric/Mental Health Nursing. She offers evidence-based Psychiatric Services, including psychiatric and substance use evaluations, medication management and individual psychotherapy based upon Science, Compassion, and Respect



Kristen McFee, MA, LMHC, LPCC, LPC

Licensed Mental Health Counselor


Kristen has experience working with adolescents, young adults, women and adults in acute hospital, day treatment, residential and outpatient settings. She utilizes a strength-based approach and believes each person is unique and deser​ves unconditional, positive regard. She works with people who experience depression, anxiety, trauma, emotional dysregulation, self-esteem issues, identity concerns, life transition concerns and women's issues. She is trained in Eye Movement Desensitization and Reprocessing (EMDR), Sandplay (CST-P), the Neurosequential Model of Therapeutics (NMT) and Accelerated Resolution Therapy (ART). She is also currently providing online and distance counseling through Telehealth. 


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. 

Thomas Drumm, LCSW

Licensed Clinical Social Worker


Tom has had several decades of experience providing treatment for a wide variety of problems in both adults and children. He has extensive experience working with adolescents and children who have a variety of emotional and behavioral problems. He enjoys and has had great deal of success in this type of work. He also enjoys working with individuals who experience problems controlling their anger and who have difficulty resolving conflict with others. He also has an interest in helping individuals with alcohol & substance problems and with teaching clients tools for conflict resolution.

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.