Victoria Cashio , LCSW

Victoria Cashio is a licensed clinical social worker (LCSW) practicing in Hawaii with 11 years of clinical experience. She works with people facing a broad range of concerns, including depression, anxiety, relationship difficulties, sleep disturbances, ADHD, career challenges, and other life stressors. Her background also includes training in evidence-based approaches to support individuals who have experienced combat trauma, sexual trauma, or other forms of abuse.

Victoria describes her practice as holistic and integrative, blending therapeutic perspectives so each person receives care tailored to their needs. At the center of her work is a person-centered philosophy that emphasizes collaboration, respect, and sensitivity. She aims to create a therapeutic direction that feels comfortable and useful for each person she sees.

Relationships and dialogue are essential in Victoria's approach, and she customizes treatment plans to address each client's unique goals and circumstances. She invites feedback throughout the process to ensure sessions are meaningful and relevant. Recognizing that starting therapy takes courage, Victoria offers steady support as clients pursue clearer purpose, improved coping, and greater well-being.

Therapeutic Approaches and Online Care

Victoria often integrates client-centered work and cognitive behavioral strategies to meet each person's needs. Client-Centered Therapy focuses on building a respectful, nonjudgmental relationship where the person’s own goals guide the work. This approach is useful for improving self-esteem, relationships, and overall coping. Cognitive Behavioral Therapy (CBT) helps identify and shift patterns of thinking and behavior that contribute to anxiety, depression, and sleep problems, offering practical skills for day-to-day change. Victoria also uses EMDR when trauma-related memories and symptoms are present - this method supports processing distressing experiences and reducing their emotional intensity.

Choosing the right approach is part of the therapeutic process. Victoria collaborates with each person to assess needs, preferences, and goals, then tailors a plan that may combine methods over time. This collaborative stance helps ensure treatment fits the individual rather than forcing a single model.

Online therapy options such as video calls, phone sessions, live chat, and text-based messaging provide flexible ways to engage in care. These formats make it easier to schedule sessions around work, family, and location, and they allow licensed professionals and therapists to deliver consistent support across different communication styles.