Tish Silva , LCSW

Tish Silva is a licensed clinical social worker (LCSW) practicing in California with 18 years of professional experience. She has worked extensively with people facing stress and anxiety, trauma and abuse, grief and loss, depression, and life transitions, and she also supports clients with relationship, family, and intimacy-related concerns as well as ADHD and self-esteem challenges.

Rooted in a strengths-based perspective, she views each person as the expert of their own story and helps them draw on existing resources to navigate difficult moments. Her work often emphasizes safety, connection, and practical coping strategies that align with each person’s goals and values. Clients encounter an empathetic, collaborative approach that honors individual experience while offering structure and tools when helpful.

Tish is licensed only in California and holds the credential LCSW, which stands for Licensed Clinical Social Worker - a mental health professional trained to provide psychotherapy and clinical support. She requires that clients be physically located in California for services and prefers to meet via video or phone sessions. She recognizes that beginning therapy takes courage and affirms the step of reaching out for support.

Therapeutic Approaches and Online Care

Attachment-Based Therapy focuses on how early and current relationship patterns shape emotional needs and reactions. It helps people understand fears around abandonment, improve trust in relationships, and build more secure connections. Client-Centered Therapy emphasizes an empathetic, nonjudgmental therapeutic relationship where the therapist follows the client's lead and supports personal growth; it is especially useful for people seeking validation, clarity, and self-directed change. Cognitive Behavioral Therapy (CBT) is a structured approach that helps identify and shift unhelpful thoughts and behaviors to reduce symptoms of anxiety, depression, and stress and to improve coping skills.

Tish works collaboratively with each person to determine which approaches fit best for their needs, goals, and preferences. She helps clients explore options and tailors interventions so the work feels relevant and achievable. This collaborative process is central to finding an effective path forward.

Online therapy with video calls, phone sessions, live chat, or text-based messaging offers flexibility for scheduling and makes it easier to access licensed professionals from different locations within California. These options allow sessions to fit into busy lives and help maintain continuity of care when in-person meetings are not feasible.