About Victoria
Victoria Cashio is a licensed clinical social worker who helps people manage stress, anxiety, depression, relationship strain, sleep problems, and career concerns. She works with adults facing transitions, grief, addiction, ADHD, and questions about identity and intimacy. Her first aim is to make the process feel manageable and respectful.
She keeps language direct and practical so parents and busy people can follow along. Victoria blends several therapeutic approaches to fit each person's needs rather than using a single method all the time.
Background and approach
She draws on client-centered care to keep sessions focused on what matters most to the individual. She also uses Cognitive Behavioral Therapy and Dialectical Behavior Therapy techniques to teach skills for coping, mood management, and handling intense emotions. For trauma and abuse, Victoria incorporates approaches that help people process difficult memories and reduce their hold on daily life.
She pays attention to attachment patterns and caregiver stress when those issues affect relationships and wellbeing. She also supports people dealing with chronic illness, pain, or the repeated strain of caregiving. Victoria has eleven years of clinical experience in Hawaii and holds the LCSW credential, license number HI LCSW LCSW-4108.
She communicates in English and does not take international clients. Her style is collaborative, straightforward, and adaptive to each person’s pace. In sessions, practical goals get set together and adjusted as needed.
She encourages feedback so therapy stays useful and relevant. The focus is on small, achievable steps toward better daily functioning and clearer priorities.
Approaches that translate well to online care
Client-centered therapy focuses on the person’s own goals and pace. It involves open, nonjudgmental listening and working together to set useful goals. This approach helps when someone needs a respectful space to sort priorities and feelings.Cognitive Behavioral Therapy, or CBT, helps people identify unhelpful thoughts and practice small changes in thinking and behavior. It is a good fit for anxiety, depression, sleep difficulties, and career-related stress because it includes concrete tools and homework between sessions.
Dialectical Behavior Therapy, DBT, offers skills for managing intense emotions and improving relationships. It teaches practical techniques for distress tolerance, emotional regulation, and clearer communication that can be practiced in daily life.
Choosing the right approach is part of the work. The therapist will talk with each person about needs, goals, and preferences and then propose an approach to try. That plan is revisited and adjusted based on what helps most. The process is collaborative and driven by the client’s feedback.
Online therapy here is offered through video calls, phone sessions, live chat, or text-based messaging. Video is useful when visual cues and face-to-face conversation help progress. Phone sessions can fit into a busy day or when bandwidth is limited. Live chat and text messaging are handy for shorter check-ins, skill reminders, or when writing out thoughts feels easier. These options give flexibility so therapy can fit into work, caregiving, or travel schedules.
Frequently asked questions
What kinds of problems does Victoria help with?
How would you describe the therapeutic style?
What is her clinical background?
Where is she licensed and based?
Which languages are supported for sessions?
What session formats are available?
How does payment and cost work?
What do I need to do to begin therapy?
Specialties and expertise
Top specialties
- Stress, Anxiety
- Relationship issues
- Sleeping disorders
Also works with
- 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
Therapeutic approaches
- Experience
- 11 years
- Licensed
- Hawaii
- Languages
- English