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Mr. Joachin Kaaihue, LMFT, HI LMFT MFT-229, MS is a family therapist specializing in family therapy. Mr. Joachin Kaaihue, LMFT, HI LMFT MFT-229, MS is affiliated with BetterHelp.
“I am a Licensed Marriage and Family Therapist based in Hawaii with 16 years of professional experience in the field. Throughout my career, I have provided therapeutic and consultative services to individuals across a wide age spectrum, including young children (3 through 13 years old), adolescents (14 to 19 years old), and adults (20 years and older). My journey in the helping profession began in 1995, during which I have held both private (non-profit) and public-sector roles. “The Conversation” in Sessions I strongly advocate for the significance of "the conversation" in therapy and counseling, aiming to demystify the counseling experience while acknowledging each client's unique perspectives. My objective is to foster a non-judgmental, authentic virtual environment in which clients feel secure sharing their life narratives, including the circumstances that led to our initial engagement. In Hawaiian culture, this approach is often described as "talking story." Clients are regarded as the foremost authorities on their own life experiences, possessing inherent strengths to address their current challenges, whether or not they recognize them. My role, as I perceive it, is to facilitate this process and provide necessary support. My "Systemic Perspective” My specific licensure as a Marriage and Family Therapist might suggest a focus on working solely with married couples and families; however, most of my expertise is in providing counseling and therapy to individuals. I approach each case by carefully analyzing the individual's circumstances and the factors that led them to seek help. This is done from a systemic perspective, using a strength-based, solution-focused, and cognitive-behavioral approach. This "systemic" perspective includes the individual's interactions and relationships across different areas of their life, such as work, family, social activities, and personal experiences. It also considers how these relationships may influence their current attitudes, habits, and behaviors. While the systemic perspective might seem broad at first, it serves as a basic framework—an "initial template"—that allows individuals to share their personal experiences during our sessions. The Approach and Process in Sessions In my counseling/therapy sessions, I strive to establish a dynamic process characterized by sharing, exploration, and learning. I employ a strength-based, Cognitive-Behavioral, Solution-Focused, and pragmatic approach that emphasizes identifying overarching themes and specific details about the client’s current circumstances that have led them to seek counseling or therapy. This initial phase involves the client narrating their experiences related to their presenting concerns while also expressing their ideal and realistic outcomes. The primary objective of this process is to formulate pertinent goals and a clear direction for subsequent sessions by pinpointing "exceptions," or instances in the client's life where their presenting concerns either did or did not manifest. Clients are often required to recall particular details surrounding these occurrences, such as the individuals involved, the setting, the time of day, and the relevant time period in their lives—whether past, present, or future. This recollection process may pose challenges and evoke emotional responses. In instances where a specific memory becomes particularly distressing, the client may choose to take a break, discontinue the discussion entirely, or redirect the conversation to a different subject. It is imperative that the client retains agency and determines when they are prepared to engage with a specific situation. Assignments and Resources The BetterHelp platform offers a variety of resources, including worksheets, access to an online journal, and, in certain instances, informational videos. Recognizing that individuals lead busy lives and that their time is valuable, I am careful in my assignment of worksheets, whether they are intended for completion or review. For clients who feel comfortable, I encourage the use of the jou”
Connect with this therapist via:
Online messaging - send messages throughout the day as you have time; relax and give yourself opportunity to fully ponder each step of the conversation
Video Visits - connect over video conferencing software for a virtual session -- almost as if you're there in person
Phone Visits - good old-fashioned technology for those who don't want to worry about appearance or who have might have internet bandwidth limitations; a little bit like connecting with an old friend, but with a counselor instead
Instant Message (IM) Visits - real-time chat -- like a phone call, but over text
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Attention Deficit Disorder (ADD/ADHD)
Attention Deficit Hyperactivity Disorder, or ADHD, is one of the most common disorders diagnosed in children. Nine percent of children in the USA have been diagnosed with ADHD. Symptoms, which include hyperactivity and difficulty maintaining focus or paying attention, can last into adulthood for some patients. Boys are four times as likely to be diagnosed as girls, although experts don't know why this is.
There are three main types of ADHD:
When diagnosing ADHD, it is important to rule out other issues that may be causing the symptoms. Seizure disorders, hearing loss, anxiety, and domestic problems are some examples of problems that can cause behaviors similar to those seen with ADHD.
Treatment can include stimulant medications, behavioral therapy to teach patients ways to navigate their world and control symptoms better, and accommodations at school or work. A structured environment (with lots of organization and well-defined rules) seems to help most kids with ADHD function at their best.
ADHD is mainly thought of as a disorder that affects children, but symptoms can last into adulthood for a third to half of those diagnosed. In adults, ADHD has similar symptoms as when it is seen in children: impulsive behavior, difficulty maintaining focus, being easily distracted, or a tendency to fidget. These symptoms can cause problems in a patient's careers and relationships. Additionally, adults with ADHD are at increased risk for substance abuse. Medications can be an important part of treatment for adults, as well as stress reduction techniques and organization skills training. Specialized ADHD coaches can help adults with ADHD manage their symptoms and succeed in all areas of their life.
Career Difficulties
Career difficulties are issues related to one's career and work experience. There is a growing awareness in mental health and wellness communities that work and career issues may impact one's wellbeing. Several studies have found that work challenges and poor working conditions can result in low job satisfaction and a reduced sense of security. Career difficulties can also contribute to day-to-day stress, anxiety, and relationship issues. Career difficulties may include problems such as:
These problems and others can make a job seem unbearable. For example, a demanding or detached supervisor can contribute to poor job satisfaction and work anxiety. Similarly, a lack of control in one's job, such as the inability to work on a project or make day-to-day decisions, can diminish one's workplace morale. Many workers in these situations find themselves dissatisfied and eager to leave their jobs or even to become fired. However, resignations and job losses can pose equally challenging career difficulties. Job loss or unemployment can trigger financial stress as well as feelings of isolation, depression, and diminished self-confidence. People experiencing job loss may feel dissatisfied with other job prospects or fear their career opportunities are limited.
For many, mental health therapy can improve negative emotions and behaviors arising from career difficulties and both those with jobs and those experiencing job loss may benefit from therapy. Therapists may listen to people's career difficulties and provide advice for navigating a number of work-related problems. Online counseling can be particularly helpful for career issues in the modern workplace in that direct access to a therapist throughout the day can help alleviate recurring pressure and anxiety arising from one's job. Many people find that therapy or counseling for career difficulties can improve their overall job performance and disposition. For example, therapists can guide people to develop and hone essential skills, such as building the self-confidence necessary to deliver a presentation or the sustained focus needed to complete a lengthy project. For those experiencing job loss or unemployment, therapy can help with feelings of isolation, depression, and diminished self-confidence. Therapists may encourage some to seek other job prospects and opportunities. Like some problems in other areas of life, difficulties in the workplace can be debilitating for some, and consultations with a therapist can help some overcome initial feelings of being overwhelmed.
Career counseling is another option for those with career challenges. Career counselors help people develop professional skills and gain the tools necessary to further their careers. A career counselor may help with job applications, coach practice job interviews, proofread resumes, and provide networking strategies to move someone towards his or her ideal career. Career counseling can also help people navigate work problems like lack of motivation, indecisiveness, and burnout, so that they might better enjoy their current position.
Some people decide to switch career paths in order to achieve happiness and fulfillment. Through personality and aptitude tests, therapists and career counselors can help people identify occupations or industries that are better suited to them. Therapists and counselors also take into account a person's intellectual and physical strengths, as well as what a person values in work, whether that be job security or opportunity for creativity and challenge. Therapists and career counselors may recommend people complete certification courses or educational degrees to shift towards their ideal careers.
Career difficulties are a widespread issue that nearly everyone who works has or will endure at some point in time. Many people find that mental health therapy or career counseling can greatly improve their career satisfaction and overall happiness.
Self-Esteem Issues
Self-esteem is the value one assigns to oneself based on a complex combination of factors such as confidence, identity, sense of belonging, and self-image, among others. Self-esteem plays a critical role in determining one's happiness and overall well-being. Those with a very positive self-perception are considered to have "high" self-esteem, whereas those with negative self-perception have "low" self-esteem. Self-esteem does not dictate one's true intelligence, skills, looks, or accomplishments, although it can undermine one's motivation and opportunities. Successful people can have low self-esteem, and in some cases, that low self-esteem might motivate people to work harder at establishing themselves. Self-esteem is also not a binary scale, but a broad spectrum that people may move up or down throughout the course of their lives.
Humans begin to gain self-esteem in childhood from being cared for by adults and reaching natural milestones such as learning how to tie one's shoes. Self-esteem evolves through adolescence and adulthood, and can change drastically based on one's positive and negative experiences. It's important to develop healthy self-esteem to navigate through challenges, make decisions, and gain motivation to pursue interests.
Self-esteem issues can influence one's emotions, behavior, relationships, and world view. Self-esteem issues frequently arise from low self-esteem. Low self-esteem can be caused by factors such as trauma, caregiver neglect, abuse, bullying, and academic, social, or professional difficulties. Stressful life events such as parental divorce, caregiver conflict, and financial problems may also contribute to low self-esteem. In recent years, researchers have highlighted the influence of social media in negatively impacting adolescents' mental health. Common signs of low self-esteem include:
Excessive self-esteem can also be problematic in that it can hinder one's ability to form relationships with others. People with extremely high self-esteem may appear to be conceited or entitled. Some researchers suggest very high self-esteem can lead people to engage in more risk-taking behaviors. Causes of excessive self-esteem are less well-known, but may include upbringing, personality, and cognitive biases.
Fortunately, self-esteem issues can be readily addressed at any time. Positive self-affirmations recognizing one's own accomplishments can raise low self-esteem. Accepting one's own weaknesses and imperfections can benefit those with both low and high self-esteem. People with self-esteem issues often find therapy is an effective means to improve their self-esteem and mental health. Cognitive behavioral therapy (CBT) can help people with self-esteem issues identify and change destructive patterns of thought. Support groups, family counseling, and antidepressant medication may also help with self-esteem issues.
Maintaining a positive outlook and belief in oneself can go a long way towards forming healthy self-esteem. Developing a strong sense of self can be important for well-being and contributes to overall happiness and success in life.
He has a state license in Hawaii.
Licensed In: Hawaii
Mr. Joachin Kaaihue, LMFT, HI LMFT MFT-229, MS is associated with these hospitals and organizations:
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Mr. Joachin Kaaihue specializes in family therapy. Mr. Kaaihue's areas of expertise include the following: career difficulties, anger management, and attention deficit disorder (ADD/ADHD). He is affiliated with BetterHelp. According to BetterHelp, he is currently accepting new patients at his office in.