- Addictions
- Existential work
- Solution-focused
About Scott
Scott Kilousky is a Licensed Marriage and Family Therapist (LMFT) in Hawaii with four years of clinical experience. He focuses on concerns such as addiction, depression, anxiety, trauma and abuse, relationship and intimacy issues, and questions about life purpose. Scott also helps with grief, stress, anger, bipolar challenges, ADHD, and struggles with self-esteem and isolation.
Scott works in a non-directive, collaborative way. He uses client-centered methods that let people talk through what matters most to them. Existential ideas are part of his approach - he encourages people to consider meaning and choice when life feels unclear. Solution-focused strategies are used to identify practical next steps and small changes that make day-to-day life easier.
Sessions are conversational and paced to the person. Scott listens for the patterns that repeat in relationships, mood, and behavior, and then discusses options that can reduce harm and increase functioning. He pays attention to communication problems, guilt and shame, forgiveness, and self-love as part of therapy work.
People who come after a major life change or who feel stuck about what comes next may find this approach useful. Scott aims to help clarify immediate concerns and outline concrete steps forward rather than promise quick fixes. He asks questions, reflects back what he hears, and collaborates on simple, measurable goals.
For those worried about how to begin, he uses a short matching questionnaire and a first-session planning step. Work can cover practical coping skills and deeper questions about values and direction over time.
How his approaches translate to online work
Scott uses client-centered therapy which means sessions focus on listening and reflecting so the person can make sense of their situation. This approach helps when someone needs time and space to name feelings and relationships. Existential therapy is also part of his work and invites people to explore meaning, choice, and responsibility in the face of change or loss. That can be helpful when a life transition raises questions about purpose. Solution-focused therapy concentrates on small, practical steps and what can be done differently right now to reduce stress or improve relationships.Finding the best approach is collaborative. Scott will talk with the client about goals, try methods that match their needs, and adjust the style as they learn what helps. The early sessions often combine listening, meaning-making, and short experiments to see what feels useful.
The exact session formats are not specified in the biography, so confirm the available options before booking. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and reduce travel time. It also lets people try talking through practical relationship or life-purpose questions from wherever they are located in Hawaii without needing to add commuting time.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
4+ years
Listed in
Hawaii
Languages
English
Frequently asked questions
What kinds of concerns does he help with?
Scott helps people facing addiction, depression, anxiety, trauma, relationship and intimacy issues, grief, stress, bipolar challenges, ADHD, and questions about life purpose.
How would he approach feeling stuck or directionless?
He uses a collaborative, non-directive style drawing on client-centered and existential ideas to clarify values, plus solution-focused steps to identify immediate actions.
How much clinical experience does he have?
Scott has four years of experience working as an LMFT in clinical settings and private practice environments in Hawaii.
What are his credentials and where does he practice?
He is an LMFT licensed in Hawaii and practices from that state.
Which languages are supported?
Sessions are offered in English.
Can international clients work with him?
International clients are not currently accepted.
How are sessions priced?
Cost varies with location; sessions use a subscription that can be canceled at any time.
What do I need to do to get started?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.