Tish Silva, LCSW
Licensed in California · 18 years in practice
Tish Silva uses a practical, person-focused approach to help people facing stress, anxiety, trauma, grief, and depression.
License and registration
- LCSW, California
- 76647 · expires September 2026
- NPI
- 1104001510 · national provider identifier
- Years in practice
- 18
- Languages
- English
Details are as listed on the therapist's public professional profile. You can check any license with the state board and any NPI with the national registry.
About Tish
Tish Silva uses a practical, person-focused approach to help people facing stress, anxiety, trauma, grief, and depression. She is a licensed clinical social worker (LCSW) practicing in California and brings 18 years of experience to her work. Her style is straightforward and respectful, and she encourages people to use their own strengths as they make changes.
In sessions she listens carefully and centers the client's perspective. She treats clients as the experts on their own lives and helps them find clearer ways to cope.
Background and approach
Sessions often focus on small, doable steps rather than large, sudden shifts. Tish draws on attachment-based work to look at how early relationships shape current patterns. She also uses cognitive behavioral techniques to identify unhelpful thoughts and develop practical strategies to change them.
Mindfulness skills and emotion-regulation tools are introduced when they fit a client's needs. She has worked with people dealing with relationship and intimacy concerns, family of origin issues, adoption and foster care questions, and caregiver stress. Other areas she helps with include anger, self-esteem, body image, and chronic health challenges.
Her practice also includes support around LGBT concerns, ADHD, and grief. Therapy is offered by phone or video in California, with additional messaging options for check-ins and short updates. Tish explains steps clearly, helps set realistic goals, and supports people as they try new ways of coping.
Focus areas and approaches
Everything Tish lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Trauma and abuse
- Grief
- Depression
- Coping with life changes
- LGBT
- Relationship issues
- Family conflicts
- Intimacy-related issues
- Anger management
- Self esteem
- Coaching
- ADHD
- Abandonment
- Adoption and foster care
- Attachment issues
- Blended family issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Communication problems
- Dissociation
- Emptiness
- Family of origin issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Somatization
- Women's issues
- Workplace issues
- Young adult issues
Approaches Tish names
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Mindfulness Therapy
- Motivational Interviewing
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.
Online support
Approaches that translate well to online care
Attachment-based work looks at how early relationships shape how people connect and react now. Online sessions can help identify patterns in relationships and practice new ways of relating. Cognitive Behavioral Therapy, or CBT, focuses on the links between thoughts, feelings, and actions and teaches concrete skills to shift unhelpful patterns. This approach is useful for anxiety, depression, and stress because it breaks problems into manageable steps.Finding the right approach is part of the therapy process. The therapist will discuss goals, listen to what matters most, and try methods together to see what fits. That collaborative process helps tailor techniques from attachment work and CBT to each person's situation and pace.
Online therapy offers flexibility through video calls, phone sessions, live chat, and text messaging. Video is useful for full sessions and visual cues, phone works well when bandwidth is limited or you prefer not to be on camera, and messaging supports short check-ins or reminders between sessions. These options make it easier to fit therapy around work, caregiving, and travel while keeping momentum between meetings.
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Questions people ask
What kinds of problems does she focus on?
She works with stress, anxiety, trauma and abuse, grief, depression, and coping with life changes. She also supports people with relationship and intimacy issues, self-esteem, anger, and ADHD.
How would you describe her therapeutic style?
Her style is client-centered and respectful, treating you as the expert on your story. She emphasizes practical steps, coping skills, and emotional awareness.
How long has she practiced clinically?
She has 18 years of professional experience working with people across a range of concerns and life stages.
Where is she licensed and based?
She is licensed as an LCSW in California and practices while physically located in that state.
Can sessions be conducted in other languages or from other countries?
Sessions are offered in English. She is not accepting international clients and requires clients to be located in California during sessions.
What session formats are available?
She offers video calls, phone sessions, live chat, and text-based messaging for check-ins and brief communication.
How is cost handled for sessions?
Cost varies with location and therapist availability, and sessions use a subscription model that can be canceled at any time.
What are the first steps to begin working together?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule according to therapist availability.
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