Tish Silva , LCSW

Tish Silva is a Licensed Clinical Social Worker (LCSW) practicing in California with 18 years of professional experience supporting people through life transitions and emotional challenges. As an LCSW she holds a master's-level clinical social work credential and is licensed to provide psychotherapy in California (CA LCSW 76647). Her practice focuses on areas such as stress and anxiety, trauma and abuse, grief and loss, depression, relationship and intimacy concerns, and a range of family and identity issues including adoption and foster care, attachment and blended family struggles, and LGBT-related concerns.

Tish approaches therapy from a perspective that honors each person as the expert of their own story, drawing on clients' existing strengths to address patterns like codependency, communication problems, dissociation, and persistent shame or guilt. She integrates methods that support emotional regulation, healthy boundaries, and clearer self-understanding while working with co-occurring challenges such as chronic illness, caregiver stress, or ADHD.

Beginning therapy can require courage, and Tish aims to create a steady, compassionate space where clients can explore change at their own pace. She is licensed to work only with individuals who are physically located in California and generally prefers video and phone sessions as primary modes of connection.

Therapeutic Approaches and Online Care

Attachment-Based Therapy focuses on understanding how early relationships shape current emotional patterns and interpersonal needs. It helps people who struggle with abandonment, attachment injuries, or difficulty trusting others to build more secure connections and regulate strong emotions.

Client-Centered Therapy emphasizes a respectful, nonjudgmental stance that centers the client's own goals and pace. It is useful for improving self-esteem, clarifying values, and navigating life changes by building on a person's existing strengths.

Cognitive Behavioral Therapy (CBT) offers structured ways to identify and shift unhelpful thoughts and behaviors, which can reduce symptoms of anxiety and depression and improve coping skills.

Deciding which approach fits best is part of the therapeutic process. Tish collaborates with each person to tailor methods to their needs, goals, and preferences, adjusting techniques as work progresses so therapy remains practical and client-focused.

Online therapy offers flexibility for scheduling and makes it easier to maintain continuity of care. Through video calls, phone sessions, live chat, or text-based messaging, clients can access licensed professionals from home or other convenient locations, which can be especially helpful for those balancing work, family, or mobility challenges.