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LCSW

Tish Silva, LCSW

  • Experience18 years
  • LocationCalifornia
  • Focus areasADHD, Stress and Anxiety, and Trauma and abuse
  • Therapy approachesAttachment-Based Therapy and Client-Centered Therapy
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About Tish

Tish Silva is a licensed clinical social worker (LCSW) with 18 years of professional experience who draws on client-centered and evidence-based approaches to support people facing stress, anxiety, trauma, grief, depression, and ADHD.

Background and approach

She emphasizes the client as the expert in their own life and works collaboratively to build on individual strengths while addressing challenges such as relationship and intimacy concerns, anger, low self-esteem, and coping with life changes.

Her practice also attends to complex and intersecting issues including attachment wounds, adoption and foster care histories, caregiver stress, chronic illness and pain, codependency, dissociation, and family of origin dynamics. Tish integrates cognitive and mindfulness-based techniques alongside dialectical and attachment-informed perspectives to tailor interventions to each person’s needs.

She is licensed in California and offers sessions primarily by video or phone, encouraging those ready to begin to take the first step toward change.

Integrating attachment, CBT, and mindfulness for online care

Attachment-based work focuses on how early relationships shape current patterns, helping clients notice emotional needs and build more supported ways of relating. This approach can be useful for people exploring family of origin issues, abandonment, or connection-related difficulties. Cognitive Behavioral Therapy (CBT) helps identify unhelpful thoughts and patterns and teaches practical skills to shift behaviors and mood; it is often applied for anxiety, depression, and stress management. Mindfulness therapy trains present-moment awareness and nonjudgmental observation, offering tools to regulate emotions and reduce reactivity in the face of difficult thoughts and sensations.

Finding the right combination of methods is part of the therapeutic process, and the therapist works collaboratively with each person to determine which approaches best fit their goals and preferences. Together they will review what feels most relevant and adjust techniques over time based on progress and feedback.

Online sessions are offered via video calls, phone, live chat, or text-based messaging to provide flexibility for varying schedules and needs. These formats make it easier to attend appointments from different locations within California and to choose the communication style that supports ongoing engagement and skill practice.

Frequently asked questions

What kinds of concerns does this therapist address?
Tish works with a range of issues including stress, anxiety, trauma and abuse, grief, depression, ADHD, and relationship and intimacy-related problems, plus many related areas such as attachment issues, caregiver stress, and body image.
What is the general therapeutic style used in sessions?
The approach is client-centered and collaborative, combining cognitive behavioral strategies, mindfulness techniques, and attachment-informed methods to meet each person where they are and build practical skills.
How much clinical experience does the therapist have?
The clinician brings 18 years of professional experience working with diverse concerns and applying multiple evidence-informed approaches in practice.
Where is the therapist licensed and based?
The therapist is licensed as an LCSW in California with license number CA LCSW 76647 and provides services while physically located in California.
Which languages are available for sessions and can international clients participate?
Sessions are conducted in English, and the therapist is not accepting international clients at this time.
What session formats are offered for online work?
Appointments can take place via video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences and schedules.
How are fees and subscriptions handled?
Costs vary depending on location and therapist availability; sessions are accessed through a subscription model that can be canceled at any time.
What steps are involved in getting started?
To begin, select the Start Therapy button, complete a brief matching questionnaire, and then schedule sessions according to the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyTrauma and abuseGriefDepressionCoping with life changes

Also works with

LGBTRelationship issuesFamily conflictsIntimacy-related issuesAnger managementSelf esteemCoachingADHD

Additional focus areas

AbandonmentAdoption and foster careAttachment issuesBlended family issuesBody imageCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommunication problemsDissociationEmptinessFamily of origin issuesForgivenessGuilt and shameHospice and end-of-life counselingImpulsivityIsolation / lonelinessJealousyLife purposeMidlife crisisMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksPost-traumatic stressSeasonal Affective Disorder (SAD)Self-loveSexual assault and abuseSocial anxiety and phobiaSomatizationWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingSolution-Focused TherapySomatic TherapyTrauma-Focused Therapy

Experience

18+ years

Licensed

California

Languages

English