About Tish
Tish Silva, LCSW, brings 18 years of clinical experience to her work supporting people facing anxiety, stress, depression, grief, trauma, and ADHD. She speaks plainly and focuses on practical steps people can use right away. Tish centers the person in the room and helps them build on what already works for them.
She uses a mix of approaches to match each person's needs. That can mean helping someone notice unhelpful thoughts and test new behaviors, or using mindfulness exercises to calm the body and mind.
Background and approach
She also pays attention to how early relationships and attachment patterns shape current struggles and decisions. Tish aims to make sessions feel collaborative. She listens for strengths and patterns, then suggests concrete strategies to try between visits.
Sessions often include goal-setting, skill practice, and problem-solving for everyday challenges like communication, anger management, or coping with life changes. People contact her for a wide range of issues, including relationship and intimacy concerns, self-esteem, caregiver stress, chronic illness, and questions around identity and belonging. She also supports people working through abandonment, adoption or family-of-origin wounds.
Tish is licensed in California as a licensed clinical social worker and offers video and phone sessions along with live chat and text-based messaging. She asks that clients be located in California during care and conducts sessions in English.
Approach-based care delivered online
Many clients find benefit from a blend of approaches. Cognitive Behavioral Therapy, or CBT, focuses on spotting unhelpful thoughts and testing new behaviors to reduce symptoms like anxiety or depression. Attachment-Based Therapy looks at how early relationships shape patterns in adult life and can help with intimacy, abandonment, and family-of-origin issues.Choosing the right approach is part of the work. The therapist will collaborate with each person to identify goals and try methods that fit those goals and preferences. That means checking in and adjusting techniques over time rather than committing to a single method from the start.
Online therapy offers flexible ways to connect. Video calls allow face-to-face conversation and visual cues, phone sessions work when bandwidth is limited or a camera is not wanted, and live chat or text-based messaging are useful for brief check-ins or when someone prefers written communication. These options make it easier to fit therapy into work, school, caregiving, or medical routines and to continue work between sessions.
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What this therapist works with
Most often
Also listed
- Abandonment
- ADHD
- Adoption and foster care
- Anger management
- Attachment issues
- Blended family issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Communication problems
- Coping with life changes
- Depression
- Dissociation
- Emptiness
- Family conflicts
- Family of origin issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Post-traumatic stress
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Somatization
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 18 years
- Licensed
- California
- Languages
- English
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