03/27/2026
At Akua Family Therapy, we are excited to welcome new cash pay clients seeking high-quality, personalized care without the limitations of insurance. If you’re ready to invest in your mental health, relationships, and personal growth, our team is here to support you.
We currently have availability with two skilled therapists—Kristi Efford and Seth Moran—both offering sessions at an affordable rate of $115 per 55-minute session.
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Why Choose Cash Pay Therapy?
Choosing cash pay (private pay) therapy gives you greater flexibility, privacy, and access to care without long waitlists or insurance restrictions.
Benefits include:
• No diagnosis required for coverage
• Greater confidentiality (no insurance reporting)
• More freedom in treatment approach and pace
• Increased availability and scheduling flexibility
For many individuals, couples, and families, cash pay therapy allows for a more personalized and effective experience.
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Meet Our Therapists
Kristi Efford, MFT
Specialties:
• Anger Management
• Premarital Counseling
• Pre-Engagement Therapy
• Co-Parenting Therapy
• Women’s Issues
• Parenting Support
Kristi holds a degree in Marriage and Family Therapy and brings a warm, relational, and structured approach to her work. She is especially passionate about helping couples build strong foundations before marriage and supporting families navigating transitions such as separation or co-parenting.
Her work in anger management and parenting support helps clients develop emotional awareness, practical tools, and healthier communication patterns that create lasting change.
Kristi is also a great fit for women seeking support with identity, relationships, and emotional well-being in a safe, supportive environment.
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Seth Moran, MFT & PCC
Specialties:
• Men’s Issues
• Individual Therapy for Men
• Support for Elderly/Aging Men
• Marriage & Couples Therapy
• Anger Management
Seth holds dual training in Marriage and Family Therapy (MFT) and Professional Clinical Counseling (PCC), giving him a well-rounded and integrative clinical perspective.
He specializes in working with men navigating challenges such as:
• Stress and pressure
• Relationship struggles
• Emotional expression and communication
• Life transitions and aging
Seth provides a grounded, approachable space where men can process openly and build tools for stronger relationships and personal clarity. He also works with couples seeking to rebuild connection and improve communication.
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Our Approach at Akua Family Therapy
At Akua Family Therapy, we take a trauma-informed, relationship-focused approach to care. We believe that healing happens in the context of safe, supportive relationships—whether you are coming in as an individual, couple, or family.
We offer both mainstream clinical therapy and Christian-integrated counseling upon request, allowing you to align your care with your personal values and beliefs.
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Investment in Your Growth
• $115 per 55-minute session
• Flexible scheduling options
• No insurance required
This rate reflects our commitment to providing affordable, high-quality therapy while maintaining accessibility for our community.
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Who Is a Good Fit for Cash Pay Therapy?
You may be a great fit if you:
• Want to start therapy quickly without waitlists
• Prefer privacy and confidentiality
• Are motivated for personal growth and relationship improvement
• Are seeking specialized support (anger management, premarital, co-parenting, men’s or women’s issues)
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Get Started Today
Taking the first step toward change can feel overwhelming—but you don’t have to do it alone.
If you’re ready to begin:
👉 Visit our website: www.AkuaFamilyTherapy.net
👉 Click “Get Started” to complete our intake form
You can also call or text us at 808-646-3150 for assistance with scheduling.
Welcome to Akua Family Therapy Christian Faith-Based & Trauma-Informed Counseling in Hawaii At Akua Family Therapy, we offer compassionate, professional mental health services rooted in clinical excellence and Christian values. Established in 2018 and located in Kurtistown on the Big Island of