Breakthrough
A therapist sitting in her Hawaiʻi office

Accepting Hawaiʻi-licensed therapists

Therapists don’t like to admit they have a favorite client.

Our goal is to fill your caseload with them.

Taneasha Evans, LCSWRoy Angelo Manosca, LMHCKatelyn Usam, LMFT

145+ Hawaiʻi therapists · Free · ~11 min

We bring you Hawaiʻi clients matched to how you practice. You decide who to take on.

Since launching in March 2026

340+

Hawaiʻi residents have turned to Breakthrough

20+

New clients ask us for a therapist every week

60+

Clients began ongoing care

Demand is outpacing our growing network. Apply to join →

Sound familiar?

It usually isn’t your clinical skills. It’s fit – and the directories were never built to solve for it.

1 in 4
clients drop out of therapy early
70%
of them gone by the second visit*

* Olfson et al., 2009; Swift & Greenberg, 2012.

What we do

Breakthrough connects you with clients you prefer to see – and work well with.

01 · The fit we look for

We learn what fit means for you.

Structured intake on what a client needs and how you work – and every accept or pass sharpens the next referral.

30+ fields and 8 validated measures per client40+ attributes per therapist

Clinical fit

Client
  • Concerns
  • Symptoms
  • Acuity
You
  • Specialties
  • Modalities
  • Exclusions

Practical fit

Client
  • Insurance
  • Budget
  • Location
You
  • Insurance
  • Cash rate
  • Availability

Personal fit

Client
  • Preferences
  • Background
  • Culture
You
  • Clinical style
  • Ideal clients
  • Identity
See exactly how matching works

02 · The call stays yours

You choose who you see.

  • You approve every match – you review an anonymized summary first.

  • Set your rules – clients you don’t take never reach you.

  • Use it on your terms – fill one last slot, skip a payer, pause anytime.

Sample referral

New match · CL-042Sent 2 days ago

34F · Oʻahu

Evenings & weekends

HMSA

Reason for therapy

“Work stress has been keeping me up at night. I want real tools to manage the anxiety, not just talk about it.”

Duration

3–6 months

Impact

Moderate

No obligation. Pass, and they never see your profile.

Apply to join

Completely free · no fees, no cut of your rate

How to join

Be match-ready in under 15 minutes

A short intake and a photo – then we send you only the referrals that fit your practice.

  1. 01

    Tell us how you practice

    ~11 min

    Your Hawaiʻi license, specialties, modalities, and the payment types you accept – plus a brief Clinical Style Inventory.

    No fees or session cuts

  2. 02

    Add your profile picture

    ~2 min

    A quick smartphone snap works – no professional shoot needed.

    Your clients stay yours

  3. 03

    Start getting matched

    ongoing

    We hand-vet every referral against your profile. You accept the ones that fit. Every match starts with a free 15-minute consult.

    Bill clients your usual way

Apply to join

We review every application and verify licensure with the Hawaiʻi DCCA – usually within a few days.

We don’t take a cut.
On purpose.

Right now, we’re focused on matching clients well and building a platform therapists actually want to use – not charging you to use it.

No feesNo subscriptionsNo cut of your sessions

Pricing may change as we grow, but we’ll never bill you retroactively. Clients you’re seeing today stay free for you, for good – and every client you meet through Breakthrough is yours. You own the relationship.

We pay to bring you clients. Enjoy it while it’s on us.

From our network

What our therapists say.

Mahalo for the wonderful referrals. I truly appreciate your thoughtful matching process and the care taken to connect me with clients who are exactly the population I serve.
Taneasha EvansLCSW
I really appreciate your screening process and have made dedicated space in my calendar for Breakthrough clients. I think this will grow into something amazing for both Hawaiʻi clinicians and clients.
Wendy Carter-LoreteroLCSW, CSACInspiring Resilience LLC
You are doing a great job keeping us informed and prepared every step of the way. We’re grateful for what you’re doing for our community.
Deanna Mirzai-NagasakaPsyDHoʻokupu Counseling Services
The referral network Breakthrough is building is absolutely amazing and exactly what Hawaiʻi has needed.
Katelyn UsamLMFTHealing Hearts Therapy
Roy Nakamaejo, founder of Breakthrough

Why I built Breakthrough

Finding the right therapist shouldn’t come down to luck.

Breakthrough started with my own search for a therapist in Hawaiʻi.

When I finally found the strength to ask for help, I reached out to 20+ therapists. After more than a week, I got one reply.

I got lucky – that one therapist turned out to be a great fit. Not everyone is as lucky.

Here, fit is local: family, culture, which island, even what high school you went to. A national directory misses all of it.

I built Breakthrough so no one in Hawaiʻi has to get lucky to find a therapist who fits.

Roy Nakamaejo

Founder, Breakthrough Health Labs

Help me build it – apply to join →

Or email me directly: support@breakthrough.me

Ready to build a caseload that fits?

Apply in about 11 minutes – we review every application. No fees, no subscriptions.

Apply to join

You stay independent, with your own practice, EHR, and billing.Every license is verified with the Hawaiʻi DCCA.

Build a caseload that fits

Free to join · Apply in ~11 mins

Apply to join