About Tish
Tish Silva is a licensed clinical social worker with 18 years of experience helping people manage stress, anxiety, trauma, grief, and depression. She approaches therapy with respect for each person's story and strengths. She encourages small steps and celebrates the courage it takes to reach out for support.
Her style blends attachment-based and client-centered ideas. She listens for how past relationships shape current patterns and helps people notice what they already do well.
How Tish works
Sessions focus on practical skills from cognitive behavioral and dialectical behavior approaches when those tools fit the problem. Tish has supported people facing relationship and intimacy struggles, difficulties with self-esteem, anger, and communication problems. She also works with ADHD, caregiver stress, chronic illness and pain, and the emotional effects of adoption or abandonment.
She pays attention to family of origin issues and themes like guilt, shame, and forgiveness. Therapy sessions often include mindfulness practice to build calm and attention. She uses goal-focused conversation and motivational interviewing to help people clarify what they want and take manageable steps toward it.
The work is collaborative and paced to the person’s needs. Tish is licensed in California as an LCSW and offers online care while both therapist and client are located in the state. Video and phone sessions are preferred, and other online formats are offered depending on what fits the person’s life and schedule.
Tish lists 9 ways of working on the entry:
What Tish works with
The areas below are the ones Tish selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
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
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 18 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | California |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Therapeutic approaches you can use online
Attachment-based work looks at how early relationships influence current patterns. It helps people understand why they react or connect the way they do and supports new ways of relating. Client-centered therapy focuses on building a respectful, nonjudgmental space where the person’s own goals guide the work. It is useful when someone needs a supportive place to talk things through.Cognitive behavioral therapy, or CBT, teaches practical ways to change unhelpful thoughts and behaviors. It can reduce anxiety, ease depressive symptoms, and support coping with life changes. These approaches are used in a collaborative way so the therapist and person decide together what feels most helpful.
Choosing the right method is part of the process. The therapist will listen to your concerns, goals, and preferences and will suggest strategies that match those needs. Work is paced to what feels workable, with room to adjust methods over time.
Online sessions are offered by licensed professionals in video calls, phone sessions, live chat, or text-based messaging. Video sessions allow face-to-face conversation and visual cues. Phone sessions can be easier when bandwidth is limited or when you prefer not to be on camera. Live chat or text messaging can fit quick check-ins, brief coaching, or moments when typing feels easier than speaking. These options make it simpler to fit therapy into a busy life and try different formats to see what works best.
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Common questions
What concerns does Tish often help with?
What is her therapeutic style like?
How much experience does she have?
Where is she licensed and located?
Which languages are supported for sessions?
What session formats are available?
How are sessions paid for and what does it cost?
What are the steps to begin working together?
A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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