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Tish Silva

LCSW

Tish Silva , LCSW

Therapist in California

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Online therapy - get matched and start messaging.

About Tish

Tish Silva is a licensed California clinician with 18 years of professional experience helping people navigate stress, anxiety, trauma and abuse, grief and loss, and depression. As a Licensed Clinical Social Worker (LCSW) she draws on practical skills and a strengths-based perspective, honoring each person as the expert on their own story while offering guidance to move through difficult experiences.

Her work addresses a wide range of concerns, including relationship and family issues, intimacy and communication difficulties, self-esteem and anger, ADHD, and challenges related to adoption, attachment, and blended families. Tish also supports those coping with chronic illness or caregiving stress, body image concerns, feelings of emptiness, and the complex emotional impact of trauma and co-morbid conditions. She blends evidence-informed strategies with a client-centered stance that emphasizes respect, collaboration, and the client’s own resources.

Taking the first step toward therapy often requires courage, and Tish acknowledges and supports that effort. She is licensed to practice in California and prefers video and phone sessions; clients must be physically located in the state to work with her.

Approaches That Guide Online Care

Attachment-Based Therapy focuses on patterns in close relationships, helping people understand how early bonds affect current connections and emotional responses; it can be useful for those working through abandonment, attachment wounds, or family of origin issues. Client-Centered Therapy emphasizes empathy and collaboration, centering the person’s perspective so goals and pace are set together; this approach supports self-esteem, coping with life changes, and building resilience. Cognitive Behavioral Therapy (CBT) helps identify and shift unhelpful thoughts and behaviors, offering practical tools for anxiety, depression, stress, and many day-to-day challenges.

The therapist views finding the right approach as a collaborative process. Tish will work with each person to assess needs, preferences, and goals, blending methods as appropriate so the plan fits the individual rather than forcing a single model.

Online therapy with Tish is offered through video calls, phone sessions, live chat, and text-based messaging, giving flexibility for different schedules and communication styles. These options make it easier to access regular support from licensed professionals without the need to travel, and they allow therapy to continue through life transitions and busy routines.

Frequently asked questions

How much experience does Tish Silva have?

Tish Silva has 18 years of experience.

Is Tish Silva a licensed therapist?

Yes, holds these credentials: LCSW. License details: CA LCSW 76647.

In which languages does Tish Silva provide therapy?

English.

Where is Tish Silva located?

California.

How can I work with Tish Silva as my therapist?

You can work with Tish Silva through video calls, phone sessions, live chat, or text-based messaging.

Does Tish Silva work with international clients?

Tish Silva does not currently work with international clients.

How much does therapy with Tish Silva cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, just click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. Just click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Areas of expertise

Primary focus

Stress, AnxietyTrauma and abuseGriefDepressionCoping with life changes

Also works with

LGBTRelationship issuesFamily conflictsIntimacy-related issuesAnger managementSelf esteemCoachingADHD

Additional focus areas

AbandonmentAdoption and foster careAttachment issuesBlended family issuesBody imageCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommunication problemsDissociationEmptinessFamily of origin issuesForgivenessGuilt and shameHospice and end-of-life counselingImpulsivityIsolation / lonelinessJealousyLife purposeMidlife crisisMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksPost-traumatic stressSeasonal Affective Disorder (SAD)Self-loveSexual assault and abuseSocial anxiety and phobiaSomatizationWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingSolution-Focused TherapySomatic TherapyTrauma-Focused Therapy

Experience

18+ years

Licensed

California

Languages

English

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