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Chian Hsu

Chian Hsu, LCSW

Therapist · Hawaii · 5+ years of experience

Compassionate, practical support for life transitions

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  • Midlife life changes
  • Stress and anxiety
  • Grief and loss

About Chian

Chian Hsu is a Licensed Clinical Social Worker (LCSW) who focuses on helping people regain balance during stressful life stages. She combines practical strategies with steady support to help people manage anxiety, depression, grief, and major life changes. Chian draws on both clinical and real-world experience to offer clear, down-to-earth guidance.

With five years of clinical experience, she brings a holistic and strength-based perspective to each meeting. She pays attention to how work, family roles, and health intersect with emotional well-being. Chian helps people notice unhelpful thinking, build coping skills, and find small, doable changes that make daily life easier.

Her approach mixes methods like Cognitive Behavioral Therapy (CBT) to shift thinking patterns, Dialectical Behavior Therapy (DBT) skills for emotion regulation, Acceptance and Commitment Therapy (ACT) to clarify values, and client-centered care that follows the person's pace. She also uses mindfulness practices and hypnotherapy where appropriate to support relaxation and focus.

Chian places emphasis on cultural sensitivity and understands how background, immigration history, and caregiving roles can shape stress. She works with concerns that include aging and geriatric issues, chronic illness and pain, caregiver stress, and end-of-life and hospice counseling. Practical life issues such as work stress, relationship strain, and questions of life purpose are common topics.

Sessions are offered in English and Mandarin. Chian aims to help people build clearer goals, gentler self-talk, and steady coping skills so they can move forward with more confidence and calm.

Areas of expertise

Also works with

Relationship issues

Additional focus areas

Aging and geriatric issuesAvoidant personalityCancerCaregiver issues and stressChronic pain, illness, and disabilityControl issuesDependent personalityEmptinessFamily problemsForgivenessGuilt and shameHospice and end-of-life counselingImmigration issuesIsolation / lonelinessLife purposeMidlife crisisMoney and financial issuesMood disordersMulticultural concernsPanic disorder and panic attacksPrejudice and discriminationSelf-loveSocial anxiety and phobiaWorkplace issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)HypnotherapyMindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapyTrauma-Focused TherapySystemic Therapy

Experience

5+ years

Credentials

Hawaii

Languages

English, Mandarin

How therapeutic approaches shape online care

Acceptance and Commitment Therapy (ACT) helps people notice what really matters to them and take steps toward those values, even when feelings are difficult. It can be useful for life transitions, midlife questions, and situations that bring uncertainty. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thought patterns and behaviors, which can ease anxiety and depressive symptoms and improve daily routines. Dialectical Behavior Therapy (DBT) teaches concrete skills for managing intense emotions and improving relationships, useful for people who need help with emotional regulation and stress management.

Choosing the right approach is a collaborative process. The therapist will talk with the client about goals, preferences, and small experiments to see what fits best. Plans evolve as progress is tracked and priorities change, so methods may be mixed or adjusted over time.

Confirm the specific session options before booking, since formats are not listed here. Online work can make it easier to fit therapy into a busy schedule, shorten travel time, and allow check-ins from different locations. It can also make skill practice and homework easier to integrate into daily routines. Licensed professionals, including therapists who use ACT, CBT, and DBT, can adapt exercises and pacing to suit remote sessions and the client’s day-to-day life.

Frequently asked questions

What kinds of concerns does this therapist address?

Chian focuses on stress, anxiety, grief, self-esteem, depression, coping with life changes, and relationship concerns. She also works with topics like aging, chronic illness, caregiver stress, and life purpose.

What is her general therapy style?

Her style is holistic and client-centered, combining practical skills training with mindfulness and acceptance-based work. Sessions emphasize small, actionable steps and emotional regulation techniques.

How much clinical experience does she have?

She has five years of clinical experience as an LCSW. That background informs her work helping people through transitions and stressful life events.

What credentials and region are listed for this therapist?

She holds the credential LCSW and is based in Hawaii. The licence is recorded as HI LCSW.

Which languages are available for sessions?

Sessions are offered in English and Mandarin.

Can people outside the U.S. work with her?

International clients are accepted. Ask about scheduling and any regional licensure details during the intake process.

How does cost and billing work?

Cost varies with location and therapist availability and sessions use a subscription model that can be canceled at any time. Exact pricing is provided when matching and scheduling.

What are the steps to begin working with her?

Select the Start Therapy button, complete the short matching questionnaire, and then schedule according to therapist availability.

Chian Hsu Online therapy options on BetterHelp

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