Victoria Cashio, LCSW

Victoria Cashio is a Licensed Clinical Social Worker (LCSW) in Hawaii with 11 years of clinical experience. She helps people who are dealing with stress, anxiety, depression, relationship problems, sleep difficulties, ADHD, career challenges, and addiction. She also works with people processing trauma, grief, and intimacy-related concerns.

Her approach is grounded and person-centered. She starts by listening to what matters most and then works alongside each person to set practical goals. She draws from several methods to match the work to the client's needs rather than using one fixed model.

Victoria uses tools from cognitive behavioral therapy to identify unhelpful thinking and from dialectical behavior therapy to teach emotion regulation and coping skills. She also integrates EMDR for processing trauma and mindfulness-based practices to reduce rumination and increase present-moment focus. These methods are mixed based on what the client and therapist agree will be most useful.

Sessions focus on clear steps people can take between meetings. Topics often include improving sleep routines, managing anxiety, resolving relationship patterns, addressing substance use, and navigating life transitions. She pays attention to practical barriers like work schedules, caregiving responsibilities, and money concerns.

People who choose her can expect straightforward communication about goals and progress. The therapist asks for feedback and adjusts the plan when needed. To begin, follow the site's process to match and schedule an initial session.

How her approaches translate to online care