April Kua is an exceptional psychiatric nurse practitioner whose clinical expertise and compassionate care have been genuinely life-changing. After more than a decade of being dismissed and disregarded by multiple providers, I finally found someone who took my concerns seriously and provided the comprehensive, thoughtful treatment I desperately needed. What sets April apart is her remarkable depth of knowledge combined with genuine thoroughness in her approach. She didn't rush through our appointments or offer superficial solutions. Instead, she took the time to truly understand my situation, asked insightful questions, and demonstrated a level of clinical competence that had been sorely missing from my previous experiences with mental health care. The ease of scheduling was refreshing, no months-long waitlists or bureaucratic obstacles that so often plague psychiatric care. April made herself accessible when I was in crisis, which speaks volumes about her commitment to her patients. Her compassion and consideration are evident in every interaction. She treated me with dignity and respect, validating my experiences rather than minimizing them. This may sound like a basic expectation, but after years of being dismissed, it was profoundly healing to finally be heard and believed. The follow-up care has been impeccable. April doesn't just prescribe and disappear; she maintains consistent communication and adjusts treatment as needed, demonstrating genuine investment in my wellbeing and progress. For anyone who has struggled to find competent, compassionate psychiatric care especially if you've been dismissed by other providers; I cannot recommend April Kua highly enough. She has restored my faith that excellent mental health care is possible, and I am deeply grateful for her service. read more

I honestly can't say enough good things about April Kua. She changed my life. I first started seeing her when she was with Psychiatrists and Associates, and I followed her to her own private practice because I trusted her that much -- and I still do. When I first came to her, I thought I already knew what I needed. I've had ADHD since I was 5 and was originally treated with Ritalin. I stopped treatment as a teenager, convinced I didn't need meds anymore. Years later, in my 30s, I went through a really rough time with anxiety and depression and tried a bunch of SSRIs with awful side effects. Nothing helped. Eventually, a doctor suggested my anxiety and depression might actually be symptoms of untreated ADHD, and he started me on ADHD meds. He was right -- the moment my ADHD was treated, my anxiety and depression basically disappeared. I stayed on that treatment for a few years and then stopped. Fast forward five years -- symptoms were creeping back in, and that's when I found April. I gave her the full backstory, confident I already knew what worked for me. But she didn't just take my word for it -- she really listened to both what I said and what I didn't realize I was saying through my symptoms. Based on my responses and behavior, she suggested starting with something to treat depression. I was hesitant -- I reminded her that SSRIs had never worked for me. She explained that Wellbutrin wasn't an SSRI and asked if I'd be open to trying it. Within a week, I felt different. Not just better -- but clearer. For the first time, I realized I might have actually been depressed my whole life without knowing it. I just thought that was how life felt for everyone. After a few months, we started ADHD treatment again. I'd always done well on Vyvanse, but April suggested we try Concerta. The combo of Wellbutrin and Concerta has been a complete game-changer. I feel more like myself than I ever have before. April didn't just stick to a checklist or hand me what I thought I wanted -- she brought her own insight, experience, and care into the room and gently helped me find something that worked even better than what I thought I needed. I came in thinking I knew everything. She showed me what healing could really look like. And I am so, so thankful for her. read more

DANGEROUS PROVIDER WARNING: April Shintani Kua, APRN Hawaii License #3987 | Former name: April Ann Beatty This woman has a multi-state disciplinary history, including license revocations in Ohio and North Carolina, and a 2-year suspension in Hawaii for failing to disclose her history of unethical behavior. Verify this for yourself at nursys.com by searching "April Kua RN Hawaii." (I wish I'd known how to search for this in advance--as nothing about it comes up online, and she does not disclose her former name or concerning history on her site or bio.) I came to her stable and thriving, needing simple help with a medication change for international travel. Instead, she delivered a cold, detached assessment that ignored my medical history and misdiagnosed me within 50 minutes over telehealth. She prescribed medication contraindicated for my seizure history (which she never asked about). When it nearly gave me a seizure and I lost an entire day to severe side effects and trauma flashbacks, she told me I was "imagining" it and instructed me to keep taking the pills. (So dangerous--and if I hadn't known better, who knows what could have happened.) She falsified my chart with events that never occurred in our session, including claiming I "can't hold down a job." (Verifiably false, as I've run a thriving business for over a decade.) She showed zero compassion, zero medical competence, and zero concern for my safety even when I reported life-threatening symptoms. If I'd been more vulnerable--as I was in the past, before receiving a correct ADHD diagnosis and treatment from a licensed psychiatric professional--this could have ended very badly. I leave this review out of concern for other Tricare beneficiaries and vulnerable veterans, who are already at elevated risk of harm. Our military service members deserve better than this cold, negligent standard of "care." I truly believe this provider is a danger to patients. She dismissed documented medical history from far more experienced and educated professionals and ignored clear contraindications that could have had lethal consequences. If you have literally ANY other option--take it. RESPONSE TO PROVIDER: I provided you with an evaluation from a psych physician with 20 years of experience assessing ADHD, not a PCP. This was emailed to you before the tele-health visit. I'm not sure why you're unable to admit this or process factual information, but facts don't seem to be your strong suit. I believe you were raised in Texas, correct? It's hard to find accurate information as you've changed your identity so many times and have rarely held down a job for more than 6 months. You were also testifying as an APRN in Alaska, but I couldn't find your license number there. Were you practicing without a license there? That seems worrisome. In any event, as a respectful outsider living on Maui for over a decade, I just know I would never pretend to be something I'm not. I have too much respect for my native neighbors and what is pono to do so. I am a respectful visitor here. And thank you for your response. You would not respond via email, but I suppose public feedback warrants a moment of your time? read more

Highly recommend!!! Not only was April over knowledgeable- she was also super personable and sweet.

very respectful calm approaching lady, they may be some things she recommenced that I didn't agree with right off the bat but at the end its always a I told you so, never experience any misconduct. she's very respectful and as her client I am very appreciative and she is very neat and clean office is very neat. read more