Sophia Hoskins , LMFT

Sophia Hoskins is a licensed psychotherapist and a Licensed Marriage and Family Therapist (LMFT) who has practiced in Hawaii since 2008. As an LMFT, she carries specialized training in working with relationships and family systems, and she draws on that background when helping individuals, couples, families and groups navigate emotional and interpersonal challenges.

She maintains a private practice on Oahu where she addresses a broad range of concerns including anxiety, depression, stress, anger, adjustment, relationship difficulties and parenting struggles. Her clinical work blends attention to emotional experience with practical strategies to help people manage symptoms and improve daily functioning.

Hoskins has spent more than nine years providing care for service members across all branches of the military, both overseas and stateside, supporting people through trauma, deployment, reintegration, anger and relationship issues. That experience informs her work with clients facing high-stress transitions and trauma-related concerns.

Outside the therapy room she has long been active with horses, snowboarding, mountain biking and surfing, which sparked a particular interest in peak performance. Over the past five years she has worked with athletes to develop the mental skills that support specific performance goals. She frames her work as a partnership aimed at helping people move toward the lives and relationships they want to build.

Approaches for Relationships, Performance, and Emotional Health Online

Sophia commonly draws on Cognitive Behavioral Therapy (CBT) to help clients identify unhelpful thinking and behavior patterns and build practical skills for managing anxiety, depression, sleep problems and stress. CBT focuses on changing thoughts and habits that maintain distress and teaches tools people can use between sessions.

She also uses Emotionally-Focused Therapy (EFT) for couples work, a method that helps partners understand and reorganize emotional responses to strengthen bonding and intimacy. EFT is aimed at improving communication and creating more secure emotional connection in relationships.

Imago Relationship Therapy is another approach Sophia employs with couples to explore long-standing relationship dynamics and facilitate deeper understanding and repair. It emphasizes empathy, structured dialogue and creating new patterns of interaction.

Finding the right approach is part of the therapeutic process. Sophia collaborates with each person or couple to select and adapt methods based on the client’s goals, preferences and life context so the work feels relevant and achievable.

Online sessions via video, phone, live chat or text-based messaging offer flexibility for busy schedules and for people who live at a distance. These formats make it possible to maintain continuity of care, access therapy from different locations and choose the communication style that best fits a client’s needs.