What can I expect in the initial free consultation with Lilia?

The consultation is a full hour and is mostly a conversation. Lilia will share more about the therapeutic process, ask about what brought you in, what's been going on in your life, and what you're hoping to get out of therapy. She'll also help you gauge fit, answer questions, and invite your feedback along the way.

What type of personality does Lilia have as a therapist?

Lilia is compassionate and person-led, offering unconditional acceptance and a strong focus on each individual's own inner wisdom and expertise on their own life. She is dedicated to seeking out her clients' voice and wisdom to guide the direction of their sessions.

What therapeutic approaches does Lilia use and how does she decide?

Lilia draws from Emotionally Focused Therapy (EFT), Narrative Therapy, Family of Origin work, and Humanistic Therapy. With couples, EFT and Family of Origin work help partners understand emotional cycles and generational patterns. With individuals, Narrative and Humanistic approaches help clients explore their own story and values, centered on each client's own inner wisdom.

What populations and concerns does Lilia specialize in?

Lilia works with women, couples, new parents, families, and individuals, with particular experience supporting polyamorous couples, cross-cultural couples, Spanish-speaking clients, couples navigating grief or the loss of a child, and neurodivergent individuals and couples. She commonly supports clients through the transition into parenthood, breakup or divorce, shifting from monogamy to polyamory, relocation, self-worth issues, betrayal and jealousy, and fertility or pregnancy loss.

Does Lilia have experience with cross-cultural or Spanish-speaking clients?

Yes. Lilia holds a Bachelor of Arts in Intercultural Communication and has lived and worked abroad among diverse cultures. She is fluent in Spanish and offers sessions in both English and Spanish. She is also a leader of women's peer groups and an advocate for women's maternal mental health.

What's the difference between a Marriage & Family Therapist and a psychologist or psychiatrist?

An MFT is trained to work with the emotional and relational patterns that shape how people think, feel, and connect with others. Unlike psychiatrists, MFTs do not prescribe medication. Unlike psychologists, who often focus on assessment and diagnosis, MFTs are specifically trained in relationship systems.

What does it mean to be a "Pre-Licensed" MFT?

After completing a master's degree, MFTs must work under the supervision of a Licensed MFT for at least two years and accumulate 1,000 hours of direct client experience before taking their licensing exam. A Pre-Licensed MFT can be a good fit for clients who want greater accessibility and additional case oversight.

Does Lilia accept insurance? How much do sessions cost?

Lilia does not accept any insurance plans. Her standard rate is $90 per session, with a sliding scale available depending on client need. Schedule a consultation to review your specific situation.

Does Lilia offer online therapy?

Yes, Lilia is currently available to see clients virtually through a secure, HIPAA-compliant telehealth platform, for individuals, couples, and families located anywhere in Hawaii.

Lilia Ramil, MA, Pre-Licensed MFT

Picture of Lilia Ramil, Pre-Licensed MFT, Online Individual Couple's, and Family therapist in Hawaii

Individual, Couples, and Family Therapy in Honolulu

Lilia Ramil provides therapy for individuals, couples, and families, offering telehealth appointments statewide throughout Hawai’i. Lilia has a particular passion for working with women, new and expecting parents, and couples navigating major life transitions. She also welcomes polyamorous couples, cross-cultural couples, Spanish-speaking individuals and couples, couples navigating the loss of a child or grief, and neurodivergent individuals and couples.

Lilia draws from Emotionally Focused Therapy (EFT), Narrative Therapy, Family of Origin work, and Humanistic Therapy. Rather than applying a single model, Lilia tailors her approach to each client's unique story, values, and cultural background, with a strong belief in each person's own inner wisdom and capacity for growth.

Lilia has been practicing as a Pre-Licensed MFT since 2024.

Cultural and Language Background: Lilia holds a Bachelor of Arts in Intercultural Communication and has lived and worked abroad among diverse cultures. She is fluent in Spanish and offers therapy in both English and Spanish. Lilia is also a leader of women's peer groups, an advocate for women's maternal mental health, and a Registered Behavior Technician with experience supporting autistic and ADHD children.

Insurance and Fees: Lilia does not accept any insurance plans, and her standard rate is $90 per session. Sliding scale fee reductions are available; please schedule a consultation to see if you may qualify for a reduced rate.

Lilia is only available to see clients virtually through our secure telehealth platform. She is currently accepting new clients for individual, couples, and family therapy. Please use the button below to schedule a free, full-hour consultation.

Request Appointment

Background and Experience

Originally from the Windward side of the island, Lilia is a recent graduate from Touro University Worldwide with a Masters in Marriage and Family Therapy (2024). Her educational background includes a Bachelor of Arts in Intercultural Communication from Chapman University in 2007 and a Registered Behavior Technician Certificate from the Behavior Analyst Certification Board in 2024. Below is a brief message from Lilia:
“I personally believe that each individual has the internal knowledge, resources and wisdom to capture the opportunities and overcome the obstacles they are faced with in their lives. The challenge can be having the ability to take a step back and unlock the answers that lie within them.
As your therapist, I’d be humbled to walk alongside you and help you dive deeper into your own internal wisdom and help find the answers you may be seeking. Together we will work to alleviate some of the stress, pain or worry you might be experiencing in your life and within your intimate relationships. By gaining a deeper knowledge of self, we can shed light on some of the areas in your life that may benefit from some shifts in perceptions or behaviors. I look forward to sitting with you– with your pain and with your joy. I can offer you a listening ear, a compassionate heart, and a person-centered approach in therapy.”
Mahalo in advance for putting your trust and confidence in me.

FAQS

The consultation is a full hour and is mostly a conversation. Lilia will share more about the therapeutic process, ask about what brought you in, what's been going on in your life, and what you're hoping to get out of therapy. She'll also give you a chance to get a feel for whether working together feels like a good fit, answer any questions you may have, and invite your feedback along the way. There's no pressure, and nothing you share will be judged.
Lilia is compassionate and person-led, offering unconditional acceptance and a strong focus on each individual's own inner wisdom and expertise on their own life. She is dedicated to seeking out her clients' voice and wisdom to guide the direction of their sessions together, rather than imposing her own agenda.
Lilia draws from Emotionally Focused Therapy (EFT), Narrative Therapy, Family of Origin work, and Humanistic Therapy. With couples, EFT helps partners understand the emotional cycles driving conflict and rebuild secure connection, while Family of Origin work looks at the patterns each partner brings from their own upbringing. With individuals, Narrative and Humanistic approaches help clients explore their own story, values, and preferred way of relating to their experiences, always centered on each client's own inner wisdom.
Lilia works with women, couples, new parents, families, and individuals, and has particular experience with polyamorous couples, cross-cultural couples, Spanish-speaking individuals and couples, couples navigating the loss of a child or grief, and neurodivergent individuals and couples. Common concerns she supports clients through include the transition into motherhood or parenthood, breakup or divorce, shifting from monogamy to polyamory, relocation to a new place, self-worth and self-love (especially for women), blame and shame or feelings of unworthiness (especially for men), betrayal and jealousy, difficulty conceiving or pregnancy/child loss, and the adjustment to parenthood as a couple.
Yes. Lilia holds a Bachelor of Arts in Intercultural Communication and has lived and worked abroad among diverse cultures. She is fluent in Spanish and offers sessions in both English and Spanish for individuals and couples. She is also a leader of women's peer groups and an advocate for women's maternal mental health.
An MFT (Marriage and Family Therapist) is trained to work with the emotional and relational patterns that shape how we think, feel, and connect with others. Unlike psychiatrists, MFTs do not prescribe medication. Unlike psychologists, who often focus on assessment and diagnosis, MFTs are specifically trained in relationship systems â€” meaning Lilia looks not just at the individual, but at how relationships, family history, and life context are shaping your experience.
After completing their master's degree, MFTs are required to work under the supervision of a Licensed MFT for at least two years and gather 1,000 hours of direct client experience before they can take their licensing exam. A Pre-Licensed MFT can often be a good fit for clients who want greater accessibility and additional oversight on their case.
Lilia does not accept any insurance plans. Her standard rate is $90 per session, with a sliding scale available to help make therapy more affordable depending on client need. Schedule a consultation to review your specific situation.
Yes, Lilia is currently available to see clients virtually through our secure, HIPAA-compliant telehealth platform, for individuals, couples, and families located anywhere in Hawai’i.