Victoria Cashio , LCSW

Victoria Cashio is a Licensed Clinical Social Worker (LCSW) in Hawaii with 11 years of clinical experience. She helps people who are dealing with stress, anxiety, depression, relationship challenges, sleep problems, career pressure, ADHD, and substance concerns. She also supports those coping with grief, trauma, and identity questions including LGBT and gender dysphoria concerns.

Victoria takes a person-centered approach that keeps the client's experience at the center of each session. She mixes methods to match what a person needs in the moment rather than using only one fixed technique. That can mean focusing on thoughts and behaviors in some sessions, and on skills like emotion regulation or mindfulness in others.

Her background includes work with people who have experienced combat-related trauma, sexual trauma, and other forms of abuse. She draws on modalities such as cognitive behavioral techniques, dialectical behavior strategies, EMDR, and narrative methods when those approaches fit a client's goals. She aims to make therapy practical and relevant to daily life.

Sessions are designed to be collaborative. Victoria pays attention to feedback and adjusts plans so therapy remains useful. She emphasizes respect, sensitivity, and compassion in conversations about painful or difficult topics.

People who want to explore life changes, caregiving stress, family-of-origin issues, intimacy or sexual concerns, or chronic pain and illness may find her approach helpful. She encourages clear communication and small, manageable steps toward change.

How therapeutic approaches translate to online care

Client-centered therapy focuses on listening and responding to what matters most to the person. In an online session that means the therapist follows your lead, checks in about goals, and adjusts pace so conversations feel useful. Cognitive Behavioral Therapy, or CBT, looks at the link between thoughts, feelings, and actions; it often uses concrete exercises and homework that can be assigned and reviewed during video or messaging sessions. Dialectical Behavior Therapy, DBT, teaches emotion regulation, distress tolerance, and interpersonal skills; these skills can be practiced in between sessions and reviewed over phone or chat to build new coping habits.

Finding the right approach is part of the process. The therapist will work together with you to decide which methods to try based on your goals, history, and what feels comfortable. Plans are adjusted as you give feedback and notice what helps most in day-to-day life.

Online formats offer practical flexibility. Video calls let you use visual cues and screen-share worksheets. Phone sessions are useful when bandwidth is limited or when you prefer not to be on camera. Live chat and text-based messaging are helpful for brief check-ins, for practicing skills in the moment, or when a shorter touchpoint fits your schedule. These options make it easier to fit therapy into work, caregiving, or travel commitments.