Victoria Cashio , LCSW

Victoria Cashio is a Licensed Clinical Social Worker (LCSW) based in Hawaii with 11 years of clinical experience. She works with individuals facing a range of concerns, including depression, anxiety, relationship challenges, sleep difficulties, ADHD, and career-related stress.

She also has experience and training in evidence-based approaches for people who have experienced combat trauma, sexual trauma, or other forms of abuse. That training informs her work with trauma-related symptoms and related life challenges.

Victoria practices in a holistic, integrative way, blending therapeutic perspectives to meet each person where they are. At her core she is person-centered - she honors a direction in therapy that feels comfortable and useful for the individual. She approaches clients with dignity, respect, sensitivity, and compassion, and places importance on the therapeutic relationship as a vehicle for change.

She tailors conversations and treatment plans to address unique needs, and she values client feedback to ensure sessions are meaningful. Victoria recognizes that beginning therapy takes courage, and she offers steady support for people taking steps toward a more fulfilling and satisfying life.

Therapeutic Approaches for Online Care

Victoria often draws on client-centered therapy, cognitive behavioral therapy (CBT), and EMDR in her work. Client-centered therapy focuses on building a respectful, accepting relationship and following the client’s pace to explore goals and values. CBT helps people identify and shift unhelpful thoughts and behaviors, and is commonly used for anxiety, depression, sleep problems, and stress. EMDR is an evidence-informed approach used to process traumatic memories and reduce their ongoing emotional impact.

Finding the right approach is part of the therapeutic process. Victoria works collaboratively with clients and will help determine which methods fit best based on their needs, goals, and preferences, adjusting the plan as progress unfolds.

Online therapy with a licensed professional offers practical flexibility - sessions can take place by video call, phone, live chat, or text-based messaging. These options make it easier to fit therapy into busy schedules, access care from different locations, and choose the format that feels most comfortable for the individual while still receiving consistent therapeutic support.