Kalani Perreira

I am a licensed Marriage and Family Therapist who was born and raised on Maui, Hawaiʻi. I am of mixed heritage—Hawaiian and Portuguese—and grew up at the intersection of Western influence and Indigenous ways of knowing. In my community, when someone was suffering, the first line of care often came from community healers—curandeiras—who worked with energy, connected with ancestors, and attended to what could not always be seen or spoken. There was also the influence of the land itself: the place that roots us, communicates with us, and teaches us. These early experiences shaped the way I understand healing, connection, and the deeper layers of human experience. As a mixed-race trans man, I have spent much of my life navigating the intersections of culture, identity, and belonging. These lived experiences have shaped my capacity to hold complexity and nuance in the therapeutic process, and they have given me a unique perspective on how we hold ourselves—and one another—in mind. My work is grounded in an attachment-based, trauma-recovery, depth-oriented, and liberation-focused framework. Depending on the needs of my clients, I also incorporate parts work, somatic approaches, mindfulness, and Brainspotting. I pay close attention to what is communicated beyond language—through tone, emotion, and presence. My ability to read people allows me to hear what is often veiled but deeply important to the experiences that may be keeping someone stuck. I approach this work with humility, care, and deep respect for each person’s story. I have worked in the mental health field since 1995 across the San Francisco Bay Area, Maui, and Portland, Oregon, and I have been licensed and in private practice since 2017. It is a true honor to support people in their healing, growth, and self-understanding.