A Path That Shapes Your Future.
A Path That Shapes Your Future.
A Path That Shapes Your Future.
Balance
There may not be a single switch, but there are clear steps forward.
Every path is different. These are the ways we help people move forward with confidence.
If only finding balance were as simple as flipping a switch.
You’re closer than you think.
And every step you take makes it clearer.
Balance
There may not be a single switch, but there are clear steps forward.
Every path is different. These are the ways we help people move forward with confidence.
If only finding balance were as simple as flipping a switch.
You’re closer than you think.
And every step you take makes it clearer.
Balance
There may not be a single switch, but there are clear steps forward.
Every path is different. These are the ways we help people move forward with confidence.
If only finding balance were as simple as flipping a switch.
You’re closer than you think.
And every step you take makes it clearer.
Licensed Clinical Psychologist
Ann Inouye, PsyD
Ann Inouye, PsyD
Aloha! If hard emotions, past trauma, relationship patterns, or behaviors you can’t seem to break have been controlling your life, we’re going to take your life back.
Together, we can overcome these hard things and build a life guided by purpose and values. My style is warm, direct, and results-driven: we use evidence-based therapy (CBT, DBT, ACT, Prolonged Exposure, and more) to create real, measurable progress that you can apply immediately.
With training at Yale and Brown and experience at a leading PTSD research center, I combine deep processing with clear action steps so every session moves you forward.
Individual Therapy
$250 · 55 min
$335 · 80 min
Evidence-based care that addresses root drivers and builds lasting change.
read more
Individual Therapy
$250 · 55 min
$335 · 80 min
$250/55min session $300/80 min session Personalized, evidence-based treatment that goes beyond coping to resolve what’s underneath and help you thrive holistically.
read more
Individual Therapy
$250 · 55 min
$335 · 80 min
$250/55min session $300/80 min session Personalized, evidence-based treatment that goes beyond coping to resolve what’s underneath and help you thrive holistically.
read more
Couples Therapy
$285 · 55 min Session
$385 · 80 min session
Structured work to strengthen communication, trust, and connection.
read more
Couples Therapy
$285 · 55 min Session
$385 · 80 min session
$275/55min session $800/80min session Structured work to strengthen communication, trust, and connection
read more
Couples Therapy
$285 · 55 min Session
$385 · 80 min session
Structured work to strengthen communication, trust, and connection.
read more
Executive Coaching
$600 · 55 min session
$780 · 80 min session
Clear, strategic coaching to elevate performance, confidence, and resilience under pressure.
read more
Executive Coaching
$600 · 55 min session
$780 · 80 min session
$600/55min session $800/80min session Clear, strategic coaching to elevate performance, confidence, and resilience under pressure.
read more
Executive Coaching
$600 · 55 min session
$780 · 80 min session
$600/55min session $800/80min session Clear, strategic coaching to elevate performance, confidence, and resilience under pressure.
read more
Trauma Intensives
$3,000 · 2 day couples intensive · 12 hours total
$4,250 · 14 day intensive · 90min/day
Accelerated, trauma-focused treatment delivered in extended sessions for deeper progress.
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Trauma Intensives
$3,000 · 2 day couples intensive · 12 hours total
$4,250 · 14 day intensive · 90min/day
$2,000/2day intensive $5,000/10 day intensive Accelerated, trauma-focused treatment delivered in extended sessions for deeper progress
read more
Trauma Intensives
$3,000 · 2 day couples intensive · 12 hours total
$4,250 · 14 day intensive · 90min/day
$2,000/2day intensive $5,000/10 day intensive Accelerated, trauma-focused treatment delivered in extended sessions for deeper progress
read more
How It Works
How It Works
How It Works
Reach Out
Schedule a complimentary 15-minute consultation to clarify what’s driving your concerns and determine whether our approach is the right fit.
Reach Out
Schedule a complimentary 15-minute consultation to clarify what’s driving your concerns and determine whether our approach is the right fit.
Reach Out
Schedule a complimentary 15-minute consultation to clarify what’s driving your concerns and determine whether our approach is the right fit.
Define Direction
We’ll review key measures, pinpoint the patterns keeping you stuck (including unresolved experiences), and translate that into clear goals, a personalized treatment map, and a practical workflow that fits your life.
Define Direction
We’ll review key measures, pinpoint the patterns keeping you stuck (including unresolved experiences), and translate that into clear goals, a personalized treatment map, and a practical workflow that fits your life.
Define Direction
We’ll review key measures, pinpoint the patterns keeping you stuck (including unresolved experiences), and translate that into clear goals, a personalized treatment map, and a practical workflow that fits your life.
Meaningful Progress
Each evidence-based online session is built for momentum—clear priorities, practical tools, and a concrete plan to execute between sessions.
Meaningful Progress
Each evidence-based online session is built for momentum—clear priorities, practical tools, and a concrete plan to execute between sessions.
Meaningful Progress
Each evidence-based online session is built for momentum—clear priorities, practical tools, and a concrete plan to execute between sessions.
Ready to find
your path?
Ready to find
your path?
Ready to find
your path?
Where we service:
Where we service:
Where we service:
our values
our values
our values
We help people build clarity, resilience, and lasting change through grounded, collaborative, and deep connection.
We help people build clarity, resilience, and lasting change through grounded, collaborative, and deep connection.
We help people build clarity, resilience, and lasting change through grounded, collaborative, and deep connection.
Emotional, relational, cognitive, and physiological parts of healing
Emotional, relational, cognitive, and physiological parts of healing
Emotional, relational, cognitive, and physiological parts of healing
We focus on progress that lasts—integrated, sustainable, and real.
We focus on progress that lasts—integrated, sustainable, and real.
We focus on progress that lasts—integrated, sustainable, and real.
Insight and action, thoughtfully integrated
Progress You Can See
Progress You Can See
Progress You Can See
0%
0%
Clients met clinical meaningful
improvement in Anxiety
0%
0%
Clients met clinical meaningful
improvement in Depression
0%
0%
Clients met clinical meaningful
improvement in Trauma
0%
0%
Clients met their treatment goals
within 4 months
0%
0%
Clients met clinical meaningful
improvement in Anxiety
0%
0%
Clients met clinical meaningful
improvement in Depression
0%
0%
Clients met clinical meaningful
improvement in Trauma
0%
0%
Clients met their treatment goals
within 4 months
0%
0%
Clients met clinical meaningful
improvement in Anxiety
0%
0%
Clients met clinical meaningful
improvement in Depression
0%
0%
Clients met clinical meaningful
improvement in Trauma
0%
0%
Clients met their treatment goals
within 4 months
1,872+
1,872+
1,872+
1,872+
1,872+
1,872+
Therapy sessions
completed
Therapy sessions
completed
Therapy sessions
completed
91+
91+
91+
91+
91+
91+
Clients
supported
Clients
supported
Clients
supported
0+
0+
0+
0+
0+
0+
Years of professional
experience
Years of professional
experience
Years of professional
experience
0+
0+
0+
0+
0+
0+
Programs and
tools offered
Programs and
tools offered
Programs and
tools offered
Your questions.
Answered.
How do I know if therapy is right for me?
How do I know if therapy is right for me?
Therapy isn’t just for crises. It’s for anyone curious about growth, clarity, or navigating life’s changes with more support and self-awareness.
What can I expect from the first session?
What can I expect from the first session?
After your free consultation, your first paid session is a comprehensive assessment. We’ll explore what’s bringing you in, your history, and what you want to be different.
By the end, you’ll leave with clear goals and a plan for how we’ll work together.
Do you offer both online and in-person sessions?
Do you offer both online and in-person sessions?
We offer solely secure video sessions for clients who prefer remote work or have scheduling constraints. Virtual therapy can be just as effective as in-person sessions for most concerns. All virtual sessions use HIPAA-compliant platforms to protect your privacy.
How often should I come to therapy?
How often should I come to therapy?
There’s no one-size-fits-all answer. Some people come weekly, others bi-weekly or monthly. You and your therapist will decide what feels right based on your needs and pace.
Why don't you take insurance?
Why don't you take insurance?
Insurance companies dictate treatment length, require diagnostic labels that follow you forever, and demand access to your private records. As a private-pay practice, your sessions are completely confidential, unlimited in scope, and tailored entirely to your needs. We provide superbills for out-of-network reimbursement.
How much does therapy cost?
How much does therapy cost?
Our fees vary by session length—most clients choose a 55-minute session ($200). We also offer an extended 80-minute session ($300) for deeper work. We accept all major credit cards and ask that you keep a card on file.
Is everything I share kept private?
Is everything I share kept private?
Yes. Therapy at Thrivana is confidential, and as a private-pay practice, your sessions aren’t routinely shared with insurance companies for payment or authorization.
We only share information in two situations:
With your written permission (for example, if you ask us to coordinate care or provide a document).
When required by law, including:
Suspected abuse or neglect of a child, elder, or dependent adult (mandatory reporting)
Immediate safety concerns, such as a specific, imminent threat of serious harm to you or to an identifiable person (duty to protect/warn rules vary by jurisdiction)
A valid court order requiring disclosure
We’ll review these limits clearly so there are no surprises and so you can feel safe being fully honest in session.
How long does treatment usually take?
How long does treatment usually take?
It depends on your goals. Some clients achieve what they need in 12-16 focused sessions. Others benefit from longer-term work. Our goal is to give you the tools to thrive independently. We'll regularly assess progress and adjust accordingly.
What is your cancellation policy?
What is your cancellation policy?
We require 24 hours notice for cancellations. Sessions cancelled with less notice are charged $100.
What therapeutic approaches do you use?
What therapeutic approaches do you use?
We draw from multiple evidence-based approaches—Acceptance and Commitment Therapy (ACT), Prolonged Exposure (PE) for trauma, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT) for emotion regulation, and somatic techniques to support nervous system health.
There’s no one-size-fits-all here. We tailor the approach to you—choosing the right tools for your goals so you can make meaningful progress as efficiently as possible.
Your questions.
Answered.
How do I know if therapy is right for me?
How do I know if therapy is right for me?
Therapy isn’t just for crises. It’s for anyone curious about growth, clarity, or navigating life’s changes with more support and self-awareness.
What can I expect from the first session?
What can I expect from the first session?
After your free consultation, your first paid session is a comprehensive assessment. We’ll explore what’s bringing you in, your history, and what you want to be different.
By the end, you’ll leave with clear goals and a plan for how we’ll work together.
Do you offer both online and in-person sessions?
Do you offer both online and in-person sessions?
We offer solely secure video sessions for clients who prefer remote work or have scheduling constraints. Virtual therapy can be just as effective as in-person sessions for most concerns. All virtual sessions use HIPAA-compliant platforms to protect your privacy.
How often should I come to therapy?
How often should I come to therapy?
There’s no one-size-fits-all answer. Some people come weekly, others bi-weekly or monthly. You and your therapist will decide what feels right based on your needs and pace.
Why don't you take insurance?
Why don't you take insurance?
Insurance companies dictate treatment length, require diagnostic labels that follow you forever, and demand access to your private records. As a private-pay practice, your sessions are completely confidential, unlimited in scope, and tailored entirely to your needs. We provide superbills for out-of-network reimbursement.
How much does therapy cost?
How much does therapy cost?
Our fees vary by session length—most clients choose a 55-minute session ($200). We also offer an extended 80-minute session ($300) for deeper work. We accept all major credit cards and ask that you keep a card on file.
Is everything I share kept private?
Is everything I share kept private?
Yes. Therapy at Thrivana is confidential, and as a private-pay practice, your sessions aren’t routinely shared with insurance companies for payment or authorization.
We only share information in two situations:
With your written permission (for example, if you ask us to coordinate care or provide a document).
When required by law, including:
Suspected abuse or neglect of a child, elder, or dependent adult (mandatory reporting)
Immediate safety concerns, such as a specific, imminent threat of serious harm to you or to an identifiable person (duty to protect/warn rules vary by jurisdiction)
A valid court order requiring disclosure
We’ll review these limits clearly so there are no surprises and so you can feel safe being fully honest in session.
How long does treatment usually take?
How long does treatment usually take?
It depends on your goals. Some clients achieve what they need in 12-16 focused sessions. Others benefit from longer-term work. Our goal is to give you the tools to thrive independently. We'll regularly assess progress and adjust accordingly.
What is your cancellation policy?
What is your cancellation policy?
We require 24 hours notice for cancellations. Sessions cancelled with less notice are charged $100.
What therapeutic approaches do you use?
What therapeutic approaches do you use?
We draw from multiple evidence-based approaches—Acceptance and Commitment Therapy (ACT), Prolonged Exposure (PE) for trauma, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT) for emotion regulation, and somatic techniques to support nervous system health.
There’s no one-size-fits-all here. We tailor the approach to you—choosing the right tools for your goals so you can make meaningful progress as efficiently as possible.
Your questions.
Answered.
How do I know if therapy is right for me?
How do I know if therapy is right for me?
Therapy isn’t just for crises. It’s for anyone curious about growth, clarity, or navigating life’s changes with more support and self-awareness.
What can I expect from the first session?
What can I expect from the first session?
After your free consultation, your first paid session is a comprehensive assessment. We’ll explore what’s bringing you in, your history, and what you want to be different.
By the end, you’ll leave with clear goals and a plan for how we’ll work together.
Do you offer both online and in-person sessions?
Do you offer both online and in-person sessions?
We offer solely secure video sessions for clients who prefer remote work or have scheduling constraints. Virtual therapy can be just as effective as in-person sessions for most concerns. All virtual sessions use HIPAA-compliant platforms to protect your privacy.
How often should I come to therapy?
How often should I come to therapy?
There’s no one-size-fits-all answer. Some people come weekly, others bi-weekly or monthly. You and your therapist will decide what feels right based on your needs and pace.
Why don't you take insurance?
Why don't you take insurance?
Insurance companies dictate treatment length, require diagnostic labels that follow you forever, and demand access to your private records. As a private-pay practice, your sessions are completely confidential, unlimited in scope, and tailored entirely to your needs. We provide superbills for out-of-network reimbursement.
How much does therapy cost?
How much does therapy cost?
Our fees vary by session length—most clients choose a 55-minute session ($200). We also offer an extended 80-minute session ($300) for deeper work. We accept all major credit cards and ask that you keep a card on file.
Is everything I share kept private?
Is everything I share kept private?
Yes. Therapy at Thrivana is confidential, and as a private-pay practice, your sessions aren’t routinely shared with insurance companies for payment or authorization.
We only share information in two situations:
With your written permission (for example, if you ask us to coordinate care or provide a document).
When required by law, including:
Suspected abuse or neglect of a child, elder, or dependent adult (mandatory reporting)
Immediate safety concerns, such as a specific, imminent threat of serious harm to you or to an identifiable person (duty to protect/warn rules vary by jurisdiction)
A valid court order requiring disclosure
We’ll review these limits clearly so there are no surprises and so you can feel safe being fully honest in session.
How long does treatment usually take?
How long does treatment usually take?
It depends on your goals. Some clients achieve what they need in 12-16 focused sessions. Others benefit from longer-term work. Our goal is to give you the tools to thrive independently. We'll regularly assess progress and adjust accordingly.
What is your cancellation policy?
What is your cancellation policy?
We require 24 hours notice for cancellations. Sessions cancelled with less notice are charged $100.
What therapeutic approaches do you use?
What therapeutic approaches do you use?
We draw from multiple evidence-based approaches—Acceptance and Commitment Therapy (ACT), Prolonged Exposure (PE) for trauma, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT) for emotion regulation, and somatic techniques to support nervous system health.
There’s no one-size-fits-all here. We tailor the approach to you—choosing the right tools for your goals so you can make meaningful progress as efficiently as possible.