Tish Silva, LCSW - Therapist in California

About Tish

Tish Silva uses an approach grounded in attachment work and practical strategies. She guides people through stress, anxiety, trauma, grief, and life changes in a calm, straightforward way. Tish emphasizes each person’s strengths and helps them build clearer tools for everyday life.

She is a Licensed Clinical Social Worker - LCSW in California with 18 years of practice experience. Her style is collaborative and down-to-earth. Sessions focus on what matters most to the client.

Explore online therapy options See what online therapy involves and what your next steps would be on BetterHelp.

Background and approach

Tish blends client-centered listening with techniques from cognitive behavioral therapy and dialectical behavior therapy to reduce symptoms and improve coping skills. Mindfulness practices are woven in to help regulate emotions in the moment. Tish often helps people untangle relationship and intimacy concerns, family of origin issues, and attachment wounds.

She also addresses abandonment, adoption and foster care topics, body image, codependency, and caregiver stress. Practical problems like communication breakdowns, anger, and low self-esteem are regular areas of focus. People who need support with chronic illness, chronic pain, dissociation, or co-morbid conditions can work with her on pacing and realistic self-care plans.

She also supports clients exploring identity and LGBT-related concerns and offers coaching-oriented work when helpful. Therapy with Tish is available to people located in California. Sessions are offered by video calls and phone, and she uses messaging for ongoing check-ins.

Getting started involves a short matching form and scheduling a time that fits the client’s needs.

How attachment work and skills-based therapy translate online

Attachment-Based Therapy focuses on understanding how early connections shape reactions today. Online sessions use conversation and reflective questions to explore relationship patterns and build new ways of relating. Cognitive Behavioral Therapy (CBT) targets thinking and behavior patterns that maintain anxiety or depression, and delivers clear exercises clients can practice between meetings. Mindfulness Therapy teaches simple attention and breathing practices to reduce overwhelm and improve emotional awareness.

Choosing the right approach is part of the work. The therapist will talk with the client about goals, preferences, and what feels most useful. Together they will try methods and adjust plans so the work fits the client’s needs and pace rather than forcing a single model.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video lets people use visual cues and practice exercises in real time. Phone sessions may be easier when bandwidth is limited or the client prefers not to be on camera. Live chat and messaging support brief check-ins, homework guidance, and ongoing encouragement between sessions. These options offer flexibility to fit therapy into a busy life and make it easier to maintain consistent work on goals.

Explore online therapy options See what online therapy involves and what your next steps would be on BetterHelp.

Frequently asked questions

What concerns can Tish help with?

Tish works with stress, anxiety, trauma and abuse, grief, depression, and coping with life changes. She also focuses on relationship and intimacy issues, self-esteem, ADHD, and a range of family origin and attachment concerns.

What is her therapeutic style like?

Her approach is collaborative and client-centered, combining listening with practical tools. She uses elements of attachment work, CBT, DBT, and mindfulness to address thoughts, emotions, and behaviors.

How much experience does she have?

She brings 18 years of professional experience to her work, helping people navigate trauma, grief, anxiety, and chronic challenges.

What credentials and region apply?

She is a Licensed Clinical Social Worker - LCSW licensed in California, listing license CA LCSW 76647. Services are provided to people located in California.

Which languages are supported and can she see people abroad?

Sessions are offered in English. She does not accept international clients at this time.

What formats are available for sessions?

Therapy is offered by video calls, phone sessions, live chat, and text-based messaging for check-ins or brief support between sessions.

How does billing and cost work?

Cost varies with location and therapist availability and is handled through a subscription model. The subscription can be canceled at any time.

What is the first step to begin therapy?

Start by selecting the Start Therapy button and completing a short matching questionnaire. After that you can schedule sessions according to the therapist’s availability.

Specialties and expertise

Top specialties

Therapeutic approaches

Experience: 18 years
Licensed: California
Languages: English