Victoria Cashio, LCSW

Victoria Cashio is a Licensed Clinical Social Worker (LCSW) practicing in Hawaii with 11 years of clinical experience. She supports people facing a wide range of concerns including depression, anxiety, relationship difficulties, sleep disorders, ADHD, and career challenges. She also has specialized training in evidence-based treatments for combat-related trauma, sexual trauma, and other forms of abuse.

Victoria practices from an integrative, holistic perspective and blends therapeutic methods to match each person’s unique needs. At her core she follows a person-centered approach, emphasizing collaboration, empathy, and respect as the foundation of care. She aims to shape conversations and treatment plans that reflect each person’s values and goals while honoring dignity, sensitivity, and compassion.

Therapeutic relationships are central to her work, and she tailors interventions to fit the individual rather than a one-size-fits-all model. Victoria recognizes that beginning therapy can feel challenging, especially after prior experiences with other therapists, and she invites ongoing feedback so the work remains useful and focused. She offers steady support for people taking steps toward a more satisfying and balanced life.

Therapeutic Approaches and Online Care

Victoria integrates several proven approaches to meet different needs. Client-Centered Therapy centers on the person’s own goals and experiences; the therapist provides empathy and support while empowering the individual to guide the pace and focus of sessions. Cognitive Behavioral Therapy (CBT) helps identify and shift unhelpful thinking and behavior patterns, and is often used for anxiety, depression, sleep problems, and stress-related concerns. Eye Movement Desensitization and Reprocessing (EMDR) is an evidence-informed option for people who have experienced traumatic events and wish to process distressing memories in a structured way.

Choosing the right approach is part of the therapeutic process, and Victoria works collaboratively with each person to determine which methods fit best with their needs, goals, and preferences. She adapts strategies over time based on progress and feedback so care remains responsive and meaningful.

Online therapy with Victoria is offered via video calls, phone sessions, live chat, or text-based messaging, providing flexibility for different schedules and life demands. These options make it easier to maintain continuity of care when in-person visits are challenging, and allow licensed professionals and therapists to tailor session formats to what works best for each individual.