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Pau Hana Counseling  

Individual, Couples, Group, and Family Therapy 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, 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.

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. 

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.

Kelly Hee, MSW, LCSW

Licensed Clinical Social Worker

Kelly Hee, LCSW 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 and is currently the Clinical Supervisor at Montecatini Eating Disorder Treatment Center in Encinitas, CA. In each setting, Kelly has worked with clients facing underlying issues related to the eating disorder, 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.

Moani Silva, LMFT

Licensed Marriage and Family Therapist

Moani Silva is an LMFT who was born and raised in Hawaii. She has experience working with people from all different ethnic backgrounds and believes in treating the whole being. She uses a conscious and holistic approach when working with individuals, families and children to help them thrive and experience living life to its fullest. She incorporates DBT, EMDR, EFT, Sand Play and CBT into her therapy. She has experience working with sexual trauma, childhood trauma, relationship issues, depression, anxiety, PTSD, parenting struggles and mood disorders. She works to empower clients to awaken their self-guidance system, embrace their authentic selves, open to a life worth living, and step onto their own unique life-path.

Angelina Crusat, BS

Office Manager

Angelina Crusat began working with Pau Hana Counseling, LLC in August 2018. For 15 years, she excelled at customer service in the industries of retail, telecommunications and finance, winning quarterly awards, routinely achieving top sales goals and 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 and began medical billing. Angelina is the owner of A2Z Billing; a medical billing, claims recovery and administrative support company specializing in behavioral health. She and her husband of 17 years have a home in Keaau, two children and five chihuahua fur babies.

Tina Egan, BS

Administrative Assistant

Tina Egan began working as an administrative assistant with Pau Hana Counseling, LLC in February 2020. She received her Bachelor's degree from The Cleveland Institute of Art. She assists the office manager and all Pau Hana Counseling staff with communication, scheduling, billing, and all office related needs. Prior to that, she worked at Pacific Quest where she got her introduction into the mental health field. She has applied to graduate school at the University of Hawaii, Manoa to begin the process of receiving her Master's degree in Social Work.