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Scope Statement
This page is for Hawaii residents only.
Teri Holter is a Licensed Psychotherapist in the State of Hawaii.
International clients, please visit the main RadicalBalanceNow.com coaching site for facilitation, nervous-system support, and group work.
I am a Licensed Psychotherapist in the State of Hawaii, and I offer psychotherapy services to Hawaii residents via telehealth throughout the state.
These services are separate from, and not part of, the international coaching practice described on the main RadicalBalanceNow.com site. They are billed and documented under a different scope, with a different consent and intake process, and with clinical confidentiality protections (HIPAA) that the international coaching scope does not carry.
If you are a Hawaii resident looking for licensed clinical care — including work that can be billed to insurance — this is the right page.
If you are outside Hawaii, the international coaching site is where you want to be.
Teri Holter, Licensed Psychotherapist (Hawaii) License #LCSW HI 3180
I came to this work through my own healing. An injury brought me to Maui to recover from a fractured vertebra, and within 24 hours I knew I had to move here. I could feel it in my bones — and it was a broken bone that got me here.
I found an energy on Maui that gently yet powerfully accelerates healing and growth — an expediting force I think of as grace.
I opened my wellness center two years later. The first intensive I offered — for a vacation studio guest, using Energy Psychology approaches — resolved his core issues in three days. He wrote that it had been "the coolest thing" he'd ever done. I'd echo that for myself.
I continue to experience Maui's energy supporting rapid transformation in my clinical work — whether through Brainspotting, Somatic Experiencing, the Safe & Sound Protocol, new Rest & Restore Protocol or the synergistic use of energy-informed and body-based modalities.
I hold a clinical license in the State of Hawaii and offer psychotherapy to adults experiencing a wide range of concerns, with a particular focus on trauma, nervous system dysregulation, and the long tail of difficult experiences which often includes complex health syndromes.
Therapeutic Modalities
My NeuroSomatic clinical work is grounded in Polyvagal theory, neuroexperiential, body-based, and trauma-focused approaches.
I tailor treatment to each client — there is no script.
Modalities I use in clinical practice:
- Brainspotting — locating and processing trauma and distress held in the body's subcortical brain and 8 nervous systems
- Somatic Experiencing® — titrating and resolving trauma through the body, at a pace the nervous system can tolerate
- Safe and Sound Protocol (SSP) — supporting the nervous system's capacity for safety and social engagement
- Rest and Restore Protocol (RRP) — deep nervous system recovery from sustained stress and trauma
- Energy Psychology approaches — integrating the body's energy system into trauma treatment
- EMDR-informed work — WHEE (Wholistic Hybrid of EMDR & EFT)
- IFS-informed parts work — promoting Self-leadership with all parts welcome and supported
- Trauma-focused integrative approaches — combining modalities for complex presentations
Treatment is collaborative. You set the pace.
We work with what your system is ready to process, in the order it is ready to process it.
Presenting Concerns I Work With
I work with adult clients experiencing:
- Trauma (single-incident and complex developmental/attachment traumas)
- PTSD and post-traumatic stress
- Anxiety, panic, chronic stress and phobias
- Autism, auDHD and ADHD
- Highly Sensitive Person (HSP)
- Depression
- Grief and loss
- Burnout and professional exhaustion, including 1st Responders
- Nervous system dysregulation
- Dissociation, shutdown, freeze responses including DID
- Relational patterns and attachment injuries
- LGBTQIA+ / GSRM
- Life transitions
- Medical trauma and chronic illness adjustment
- Spiritual or existential crises
If you are unsure whether your concern fits what I do, please reach out — I'm happy to talk briefly on the phone before we schedule.
I also offer consultation and/or adjunctive care with the SSP/RRP listening protocols to primary therapists and their clients.
What to Expect
Intake
The first 1–2 sessions are an intake and clinical assessment. We talk about what brings you in, your history, what you've already tried, and what you're hoping for. By the end of intake, we agree on a treatment plan together.
Sessions
Standard sessions are 50–60 minutes. Frequency is typically weekly to start, then spaced as appropriate.
Sessions are paced collaboratively — I follow your nervous system, not a protocol.
Treatment Planning
We revisit your goals regularly. Treatment ends when you feel ready, not when a session count is up.
Length of Treatment
This varies widely — some clients come for a focused 8–12 sessions, others for longer-term work.
There is no required minimum or maximum.
Fees & Insurance
Insurance
I am an in-network or out-of-network provider for the following Hawaii plans: HMSA, HMAA, UHA, UHC, Aetna, Anthem, Blue Cross/Blue Shield, Cigna, Humana, Kaiser Added Choice Plan, Magellan, Medicare, and some Medicaid/Quest.
If I am in-network with your plan, I will bill your insurance directly. Co-pays, co-insurance, and deductibles apply per your plan.
If I am out-of-network for your plan, you pay at the time of service and I can provide a superbill for you to submit to your insurance for partial reimbursement.
Self-Pay / Out-of-Pocket
$250 per 50–60 minute session.
Ask about sliding scale availability — with SSP/RRP listening therapies.
Cancellation Policy
48 hours notice is required for cancellations. Late cancellations and no-shows are billed at the full session rate.
Good Faith Estimate (No Surprises Act)
Under federal law (the No Surprises Act), healthcare providers are required to give clients who are not using insurance an estimate of expected charges. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
For questions or more information about your right to a Good Faith Estimate, visit cms.gov/nosurprises.
Hawaii-wide Telehealth
Telehealth
Secure, HIPAA-compliant video sessions are available to clients located anywhere in the State of Hawaii at the time of session.
Hours
10-5 Monday, Wednesday-Friday
Contact & Schedule
To schedule an intake:
Phone: 808-495-0153
Email: TeriHolter@RadicalBalanceNow.com
If you are in crisis, please call 988 (Suicide & Crisis Lifeline) or go to your nearest emergency room. I do not provide crisis services.