About Tish
Tish Silva is a licensed clinical social worker with 18 years of experience helping people manage stress and anxiety. She works with adults facing grief, depression, trauma and the everyday strain of life changes. Her style centers on respectful listening and practical steps you can use between sessions.
Tish believes each person knows their own story and brings strengths to therapy. She uses that knowledge to help people untangle patterns that keep causing pain.
Background and approach
Conversations focus on what feels most urgent and what can realistically change. Her approach draws on attachment-based ideas to clarify relationship patterns. Cognitive behavioral tools are used to spot unhelpful thoughts and try different responses.
Mindfulness skills and elements of dialectical behavior therapy offer ways to tolerate strong emotions when they arise. Over nearly two decades she has supported people dealing with intimate relationship concerns, identity and LGBT issues, anger and self-esteem, and trauma related themes such as abandonment and attachment wounds.
She also works with people navigating adoption and foster care histories, caregiver stress, chronic illness, and body image difficulties. Tish is licensed in California as an LCSW, and she sees people who are located in that state. Sessions are offered by video or phone, and she combines practical coaching with therapeutic work to help clients reach their goals.
Therapeutic approaches for online anxiety and relationship work
Tish combines attachment-based therapy and cognitive behavioral therapy to address relationship patterns and anxious thinking. Attachment-based therapy helps people see how early bonds affect current relationships and provides ways to change interaction habits. Cognitive behavioral therapy focuses on identifying unhelpful thoughts and testing different behaviors to reduce anxiety and depressive symptoms.She works collaboratively to find the best approach for each person. Early sessions focus on goals and what feels most important, and she adjusts methods as needs and preferences become clearer. Clients are invited to discuss what helps them most so therapy fits their life and aims.
Online formats include video calls, phone sessions, live chat, and text-based messaging to make therapy more flexible. Video sessions allow face-to-face conversation and visual cues. Phone sessions can be easier when bandwidth is limited or for a shorter check-in. Live chat and text messaging work well for ongoing check-ins, coaching-style support, and when writing feels more comfortable than speaking.
These options let people fit therapy around work, caregiving, or other commitments while using familiar techniques from attachment work, CBT, and mindfulness to manage anxiety and relationship struggles.
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What this therapist works with
Most often
Also listed
- Abandonment
- ADHD
- Adoption and foster care
- Anger management
- Attachment issues
- Blended family issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Communication problems
- Coping with life changes
- Depression
- Dissociation
- Emptiness
- Family conflicts
- Family of origin issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Post-traumatic stress
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Somatization
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 18 years
- Licensed
- California
- Languages
- English
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