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Services Ohia Lehua

Nancy Bottorff, PsyD

Licensed Psychologist

Services Provided

I provide psychotherapy for adults, ages 18 and over. I have expertise in working with a wide range of emotional and behavioral issues. My areas of treatment specialization include:


  • Therapy for depression which can include feeling down, lacking motivation, feeling excessively guilty, and being overly self-critical

  • Therapy for anxiety which can present as panic attacks, social anxiety, or constant worry

  • Relationship difficulties

  • Problems with anger

  • Self destructive behaviors

  • Parenting Support

  • Grief Counseling

  • Work and Career issues

  • Stress Management

  • Navigating significant life transitions


Below, I describe in detail two reasons people often seek help: because of self-destructive patterns of behavior and difficulty managing significant life transitions.


Self-Destructive Behaviors

Self-destructive behaviors manifest in a number of different ways, including:

  • Substance Abuse

  • Damaging Relationships

  • Impulsivity

  • Disordered Eating

  • Chronic Procrastination

  • Obsessive Worries and Thoughts

  • Lack of Self-Care

While these self-destructive behaviors act as coping mechanisms to manage pain and stress, they also lead to isolation from the people and activities that bring joy, connection, and a secure sense of self. The process of therapy allows clients to gain a deeper understanding of the role these behaviors play and the impact on their lives. Acceptance, understanding, and tools gained in therapy allow clients to let go of old self-destructive patterns and replace them with more adaptive means of coping.


Navigating Significant Life Transitions

Many individuals seek therapy for help with the following kinds of transitions:

  • Entering or leaving college or graduate school

  • Making career changes or unemployment

  • Coming out

  • Mourning the death of a loved one

  • Moving

  • Beginning or ending a romantic relationship

  • Becoming a parent

  • Retirement and aging

Psychotherapy helps clients gain a deeper awareness of the impact of transitions on their relationships, one's sense of self, and daily functioning. Working together, I help my clients make sense of their distress and to make choices they need to feel engaged in and empowered by the process of change.


Nancy Bottorff, PsyD, LP

Kealakekua, HI



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Photo by Jarrod Brubaker

Nancy Bottorff, PsyD

Licensed Psychologist

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