About Victoria
Victoria Cashio is a licensed clinical social worker with 11 years of experience based in Hawaii. She meets people where they are and helps them manage stress, anxiety, depression, relationship struggles, sleep problems, ADHD, and career concerns. Her style is warm and respectful and she focuses on what matters most to each person.
Victoria blends different therapy styles to match each person's needs. She uses client-centered conversations to shape sessions around what the person finds useful.
How Victoria works
She also uses Cognitive Behavioral Therapy to identify and shift unhelpful thoughts and behaviors, and Dialectical Behavior Therapy skills for emotion regulation and coping. Victoria has experience helping people who have faced trauma, including combat-related and sexual trauma, and other forms of abuse. She also supports people dealing with grief, addiction, compassion fatigue, chronic pain or illness, and life transitions.
Her additional focus areas include attachment and family of origin issues, caregiver stress, gender dysphoria, and money or career pressures. In sessions she aims to tailor the plan to each person's goals. Feedback is encouraged so the work stays useful and relevant.
She describes therapy as a collaborative effort that grows from an honest, respectful relationship. Sessions are offered through a range of online formats including video calls, phone sessions, live chat, and text-based messaging. Victoria emphasizes practical steps you can try between sessions, and she supports people as they build new habits and routines.
Victoria lists 9 ways of working on the entry:
What Victoria works with
The areas below are the ones Victoria selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Relationship issues
- Sleeping disorders
Also listed
- Addictions
- ADHD
- Anger management
- Attachment issues
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Family of origin issues
- Family problems
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Life purpose
- Men's issues
- Money and financial issues
- Mood disorders
- Parenting issues
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self esteem
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Trauma and abuse
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 11 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Hawaii |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Therapeutic approaches for online care
Victoria frequently uses client-centered therapy, which focuses on listening closely and shaping sessions around what the person finds most helpful. This approach helps people set goals and steer the work in a way that fits their values and pace. She also uses Cognitive Behavioral Therapy to help identify patterns of thought and behavior that contribute to distress, and to teach practical skills for changing those patterns. Dialectical Behavior Therapy skills are used when stronger emotion regulation, distress tolerance, or interpersonal skills are needed; these skills are practical and can be practiced between sessions. Choosing the right method is part of the process. Victoria works collaboratively to figure out which approaches match a person's goals, preferences, and situation. She adapts the plan over time based on feedback and what proves most helpful. Online therapy offers flexibility for people balancing work, caregiving, or mobility limits. Video calls let you have a full session face-to-face, phone sessions can be easier when bandwidth is limited or for a shorter check-in, and live chat or text messaging allow ongoing support between sessions. These options make it simpler to fit therapy into a busy life and to continue work consistently over time.Start online instead of waiting
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Common questions
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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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