Tish Silva

Collaborative, practical therapy rooted in evidence-based care

LCSW California

Experience: 18 years in practice
Focus areas: Stress, Anxiety, Trauma and abuse, Grief
Approaches: Cognitive Behavioral Therapy (CBT), Attachment-Based Therapy
Languages: English

About Tish

Tish Silva brings 18 years of clinical experience to her work as an LCSW in California. She centers Cognitive Behavioral Therapy alongside attachment-informed and client-centered approaches, helping people untangle patterns that contribute to stress, anxiety, depression, grief, and the aftermath of trauma.

Background and approach

Her practice emphasizes collaboration, recognizing each person as the expert on their own life while offering practical strategies and reflective support. Clients seek her guidance for a wide range of concerns including relationship and intimacy issues, self-esteem and anger, caregiving stress, chronic illness or pain, and challenges like abandonment, adoption and foster care, and family-of-origin dynamics.

She also addresses ADHD, codependency, dissociation, and body image with tailored interventions. Tish prefers video and phone sessions and works with clients who are physically located in California, offering a mix of session formats to match different needs.

Throughout her practice she aims to create a collaborative atmosphere where evidence-based tools meet curiosity about personal history and values. Her goal is to help people build skills that reduce distress and increase meaningful connection and functioning in day-to-day life.

Evidence-Informed Approaches for Online Care

Teletherapy with Tish commonly draws on Cognitive Behavioral Therapy and Attachment-Based Therapy. CBT focuses on identifying and changing unhelpful thoughts and behaviors, which can be helpful for anxiety, depression, stress, and coping with life transitions. Attachment-based work explores relational patterns that shape emotional responses and connection, useful for intimacy, relationship struggles, and family-of-origin concerns.

Finding the right approach is treated as a collaborative process. The therapist partners with clients to assess needs, goals, and preferences, adapting techniques over time so the work remains practical and personally meaningful rather than one-size-fits-all.

Offering video calls, phone sessions, live chat, and text-based messaging makes therapy more flexible and easier to fit into busy lives. These formats can support continuity of care when in-person meetings are not possible, allow the use of interactive CBT and mindfulness exercises, and let clients choose how they feel most comfortable engaging in their work.

Frequently asked questions

What concerns does she commonly address?

She works with stress, anxiety, trauma and abuse, grief, depression, relationship and intimacy issues, self-esteem, anger, ADHD, and many related concerns such as caregiver stress, chronic pain, abandonment, and family-of-origin issues.

How would you describe her therapeutic style?

Her approach blends Cognitive Behavioral Therapy with attachment-informed and client-centered perspectives, and she also draws on DBT and mindfulness to offer practical skills alongside reflective exploration.

How much experience does she have?

She has 18 years of professional experience working with a broad range of emotional and relational concerns.

What are her credentials and where is she licensed?

She is an LCSW licensed in California with license number CA LCSW 76647 and practices while clients are physically located in California.

Can she work with non-English speakers or international clients?

She conducts therapy in English and is not currently accepting international clients.

Which session formats does she offer?

She offers video calls, phone sessions, live chat, and text-based messaging, with a preference for video and phone formats.

How are sessions paid for and what do they cost?

Costs vary depending on location and therapist availability; sessions use a subscription model that can be canceled at any time.

What steps are involved in getting started?

To begin, select the Start Therapy button, complete a short matching questionnaire, and schedule a session according to the therapist's availability.

Areas of expertise

Primary focus

Stress, Anxiety Trauma and abuse Grief Depression Coping 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 counselingImpulsivity Isolation / lonelinessJealousyLife purposeMidlife crisisMood disordersMulticultural concernsObsessions, compulsions, and OCD Panic disorder and panic attacks Post-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