- Cognitive Behavioral Therapy
- Mindfulness practices
- DBT skills
About Chian
Chian Hsu is a Licensed Clinical Social Worker (LCSW) practicing in Hawaii with five years of clinical experience. She helps people facing stress, anxiety, depression, grief, self-esteem struggles, relationship strain, and life changes. She speaks English and Mandarin and works with clients from diverse cultural backgrounds.
Hsu draws on a mix of practical, evidence-based methods. She uses Cognitive Behavioral Therapy to help people notice and change unhelpful thoughts. She teaches Dialectical Behavior Therapy skills for emotion regulation and coping. Mindfulness practices are included to increase present-moment awareness and reduce reactivity.
Her background also includes a Master of Social Work and a Master of Business Administration. That combination informs how she supports people dealing with workplace stress, career shifts, and life transitions. Sessions emphasize concrete skills, problem solving, and building on what already works in someone’s life.
People often come to her with grief, caregiving stress, chronic illness, or issues tied to identity and purpose. She also addresses concerns like control issues, isolation, and feelings of emptiness. Guilt and shame are listed among her focus areas and are part of the concerns she will address in therapy.
In sessions she takes a client-centered stance, listening first and then suggesting strategies that fit each person. Hypnotherapy may be part of the mix when appropriate. The aim is practical change over time through repeated practice and small shifts.
For those interested, international clients can be seen and sessions are offered in Mandarin as well as English. Prospective clients are asked to follow the site's process to match and schedule a first appointment.
How her approaches are used in online sessions
Chian Hsu commonly draws on Acceptance and Commitment Therapy and Cognitive Behavioral Therapy in her work. ACT focuses on noticing what matters to someone and taking small, values-aligned actions despite difficult feelings. CBT looks at thought patterns and behavior links to reduce unhelpful cycles and build more effective habits.She also uses client-centered principles to shape sessions, listening to what the client brings and collaborating on which approach to try. Finding the right fit is treated as a shared process - the therapist and client check in about what helps and adjust methods over time based on needs and preferences.
Confirm the specific session formats before booking, as the profile does not list formats explicitly. Online work can make it easier to fit therapy into busy days, allow shorter check-ins when needed, and remove travel time. For some people, not being on camera for a session can reduce pressure, while other people prefer face-to-face video for skills practice. The therapist will discuss practical arrangements and recommend the best way to use online sessions alongside each person’s goals.
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
5+ years
Listed in
Hawaii
Languages
English, Mandarin
Frequently asked questions
What kinds of problems does she help with?
She works with stress, anxiety, depression, grief, self-esteem concerns, relationship strain, and coping with life changes. Additional areas listed include caregiver stress, chronic illness, family problems, guilt and shame, and life purpose.
How would she approach shame or guilt in sessions?
She uses client-centered listening first, then introduces tools like CBT for thought patterns and DBT skills for emotional coping. Mindfulness practices are also used to notice feelings without getting overwhelmed.
What is her professional background and experience?
She holds a Master of Social Work and an MBA and has five years of clinical experience as an LCSW. That mix informs her work with workplace and life-transition stress.
Where is she based and what credential does she hold?
She is based in Hawaii and practices as an LCSW with the credential listed as HI LCSW.
Which languages are supported in sessions?
Sessions are offered in English and Mandarin.
Can people outside the United States work with her?
Yes, international clients are accepted.
How are sessions paid for and what does it cost?
Cost varies by location and sessions use a subscription that can be canceled at any time. Exact pricing depends on the site subscription terms for the client’s region.
What steps do I take to begin?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session through the platform.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.