Tish Silva , LCSW

Tish Silva is a licensed clinical social worker with 18 years of practice in California. She focuses on women's issues among a wide range of concerns and aims to make beginning therapy feel manageable and clear.

She uses an approach that centers the client's experience. Tish trusts that people know their own stories and brings listening and practical tools to each session. She encourages clients to notice strengths and small steps that build change over time.

Her work addresses stress, anxiety, trauma and abuse, grief and depression, and coping with life changes. Tish also supports people facing relationship and intimacy-related issues, identity questions, and challenges like codependency or family of origin wounds. She helps with concerns such as abandonment, body image, and caregiver stress.

Tish blends attachment-based ideas with client-centered practice and cognitive behavioral strategies. She draws on dialectical behavior therapy skills and mindfulness to teach emotion regulation and clearer thinking. Sessions often include skill practice, reflection, and short-term behavioral experiments to notice what shifts.

Most sessions are offered by video or phone, and she also uses live chat and text-based messaging when appropriate. She works with people who are physically located in California and conducts care in English. Getting started typically begins with a short matching questionnaire and scheduling a first session.

How therapeutic approaches translate to online care

Attachment-Based Therapy centers relationships and patterns from early connections to help people understand how they relate now; it can be useful for intimacy issues, attachment wounds, and family of origin concerns. Client-Centered Therapy emphasizes listening, acceptance, and the client's own goals; it helps people gain clarity and feel heard before trying new strategies. Cognitive Behavioral Therapy (CBT) focuses on noticing thoughts and behaviors that keep problems going and practicing small experiments to change them, which is helpful for anxiety, depression, and stress.

Choosing which approach to use is a team effort. The therapist will talk with the client about needs, goals, and what feels most helpful, then try strategies and adjust as progress is reviewed. That collaborative process helps match methods like attachment work, client-centered listening, or CBT skill-building to the person’s priorities.

Online therapy offers practical flexibility. Video calls let the therapist and client make eye contact and work through exercises together. Phone sessions can be a good option when bandwidth is limited or a shorter, focused check-in is needed. Live chat and text-based messaging allow ongoing reflection between sessions and make it easier to fit support into a busy day. These options help people keep consistent work on stress, trauma recovery, and life transitions without extra travel.