Victoria Cashio

Respected Hawaii LCSW blending evidence-based care

LCSW Hawaii

Experience: 11 years in practice
Focus areas: Stress, Anxiety, Relationship, Sleeping
Approaches: Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages: English

About Victoria

Victoria Cashio is an LCSW practicing in Hawaii who focuses on helping people navigate stress, anxiety, depression, relationship difficulties, sleep problems, addiction concerns, and career-related challenges. She blends evidence-based therapies with a person-centered stance to create individualized care that honors each client's values and goals.

Background and approach

Drawing on 11 years of clinical experience, she has worked with survivors of trauma and those coping with grief, compassion fatigue, ADHD, and a wide range of life transitions.

Her approach integrates practical strategies and empathic listening: she uses cognitive behavioral techniques to address unhelpful thinking and behavioral patterns while also incorporating mindfulness practices, dialectical skills, and EMDR when appropriate. Victoria emphasizes collaborative treatment planning, asking for client feedback and adjusting the therapeutic direction to ensure sessions feel useful and respectful.

Prospective clients can expect a clinician who prioritizes dignity, sensitivity, and a flexible mix of methods tailored to their unique needs.

Evidence-Informed Approaches for Online Support

Victoria uses cognitive behavioral therapy to help clients identify unhelpful thought patterns and develop practical strategies for changing behaviors and emotional responses; this approach can be helpful for anxiety, depression, sleep difficulties, and stress. She also draws on client-centered therapy principles, providing an empathic and nonjudgmental space where clients' goals and values help shape the pace and focus of treatment. When trauma-related work is indicated, she may incorporate EMDR to process distressing memories in a structured way that can reduce their emotional intensity.

Choosing the right approach is part of collaborative care. Victoria works with clients to explore which methods fit their needs, preferences, and goals, and she adjusts interventions over time based on feedback and progress. That collaboration helps ensure the plan feels relevant and practical for each individual.

Online sessions are offered via video calls, phone, live chat, or text-based messaging to provide flexibility for varied schedules and comfort levels. These options make it easier to maintain continuity of care while balancing work, family, and other responsibilities, and they allow clients to access a licensed professional from locations where she is authorized to practice.

Frequently asked questions

What kinds of problems does Victoria commonly help with?

She works with concerns including stress, anxiety, depression, relationship and intimacy issues, sleep problems, addiction, grief, ADHD, and career or life transition challenges.

What therapeutic style can I expect in sessions?

Sessions emphasize a person-centered stance combined with evidence-based tools like CBT, DBT skills, mindfulness, and EMDR when suited to the issue. The tone is collaborative and adaptive to client needs.

How much clinical experience does this therapist have?

Victoria has 11 years of clinical practice experience working with a broad range of mental health and trauma-related concerns.

What are her credentials and where does she practice?

She is licensed as an LCSW in Hawaii with credential HI LCSW LCSW-4108 and maintains a practice based in that state.

Can I work with her if I live outside the United States?

She does not accept international clients at this time and provides services to clients located within her licensure jurisdiction.

Which session formats are available for online work?

Available formats include video calls, phone sessions, live chat, and text-based messaging to accommodate different communication preferences.

How are fees and payment structured?

Cost varies with location and therapist availability and sessions are provided through a subscription model that can be canceled at any time.

What is the first step to begin therapy?

Begin by selecting the Start Therapy button, completing a short matching questionnaire, and scheduling a session according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesSleeping disordersCareer difficultiesCoping with life changes

Also works with

AddictionsLGBTTrauma and abuse GriefIntimacy-related issuesParenting issuesAnger managementSelf esteem Depression Compassion fatigue ADHD

Additional focus areas

Attachment issuesCaregiver issues and stressChronic pain, illness, and disabilityControl issuesDivorce and separationFamily of origin issuesFamily problemsForgivenessGender dysphoriaGuilt and shame Isolation / lonelinessLife purposeMen's issuesVeteran and Armed Forces IssuesMoney and financial issuesMood disorders Post-traumatic stressPregnancy and childbirthPrejudice and discriminationSeasonal Affective Disorder (SAD)Sexual assault and abuseSexualitySocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Eye Movement Desensitization and Reprocessing (EMDR)Mindfulness TherapyNarrative TherapyPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

11+ years

Licensed

Hawaii

Languages

English