Tish Silva, LCSW

Tish Silva is a Licensed Clinical Social Worker who uses practical, evidence-informed methods to help people feel steadier. She draws on Cognitive Behavioral Therapy along with attachment-focused and person-centered approaches to help people untangle anxiety, grief, trauma, and life changes.

She works from the belief that each person understands their own story and already has strengths to build on. Sessions focus on clear goals and skills that people can use between meetings. Tish keeps language straightforward so conversations stay useful and to the point.

Over 18 years in California practice have included supporting people through depression, coping with loss, and managing stress that shows up in relationships and daily life. She also addresses concerns such as self-esteem, anger, intimacy-related issues, and the effects of past abandonment or attachment wounds.

Tish integrates tools from dialectical behavior therapy and mindfulness to help with emotion regulation and staying present. She also brings coaching-style strategies for clients who want goal-focused work and skill building for daily functioning.

Sessions are offered by video or phone when the client is located in California. The first step is a short intake to match goals with a plan for therapy and schedule sessions that fit the client’s life.

Integrating practical approaches with online access

CBT, or Cognitive Behavioral Therapy, focuses on identifying unhelpful thinking patterns and practicing different behaviors to reduce anxiety and depression. It is useful for stress, low mood, and managing everyday symptoms. Attachment-Based Therapy looks at how early relationships shape current patterns and helps people build more secure ways of relating and coping with abandonment or family of origin issues. Client-Centered Therapy emphasizes a respectful, nonjudgmental conversation where the therapist follows the client’s lead and helps them clarify their own goals and values.

Choosing the best approach is a collaborative process. The therapist will talk with the client about their needs, goals, and preferences and then suggest which methods to try first. Plans can change as therapy progresses so the approach fits what is actually helping the client reach their goals.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging. Video lets people work face-to-face when schedules allow, phone sessions are useful when bandwidth is limited or when camera time feels tiring, and chat or messaging can be helpful for brief check-ins or between-session support. These options make it easier to fit therapy into work, caregiving, or travel routines while still using CBT, attachment, and client-centered techniques.