Tish Silva, LCSW

Tish Silva is a California-licensed clinician with 18 years of professional experience who supports people facing stress, anxiety, trauma and abuse, grief and loss, and depression. As an LCSW - a licensed clinical social worker - she combines clinical training with practical skills to help clients navigate difficult life moments and rebuild a sense of balance. She approaches therapy from the perspective that each person is the expert of their own story and brings strengths that can be used to address current challenges. That belief shapes a collaborative working style that centers the client and builds on existing resources.

Tish recognizes that beginning therapy takes courage and offers steady support for those first steps. She asks that clients be physically located in California in order to work together and she strongly prefers video and phone sessions. Her practice emphasizes respect for personal experience and a focus on practical ways to move forward, honoring both the challenges and the capabilities clients bring to the work.

Therapeutic Approaches for Online Care

Tish Silva draws on approaches that translate well to online work and focus on practical, relational, and cognitive tools. Attachment-Based Therapy looks at patterns in relationships and early bonds to understand how those dynamics affect current connections and emotional responses; it can be helpful for people dealing with abandonment, attachment issues, and relationship or family difficulties.

Client-Centered Therapy emphasizes empathy, active listening, and collaboration. It involves creating a supportive, nonjudgmental space where the client’s own goals and strengths guide the pace and focus of therapy, which is useful for stress, depression, self-esteem, and life transitions.

Cognitive Behavioral Therapy (CBT) offers structured techniques to identify and shift unhelpful thoughts and behaviors, often used for anxiety, depression, and coping with day-to-day stressors. Finding the right approach is part of the process; Tish works collaboratively with each person to choose and adapt methods based on needs, goals, and preferences.

Online therapy provides flexibility - sessions can be scheduled as video calls or phone sessions, and ongoing support can be provided through live chat or text-based messaging. These options make it easier to fit care into a busy life and to maintain continuity of support across changing circumstances.