About Victoria
Victoria Cashio is a licensed clinical social worker with 11 years of clinical experience. She works with people who are feeling overwhelmed by anxiety, stress, depression, sleep problems, or changes in relationships and work. She aims to make starting therapy straightforward and humane for someone who is worried or unsure.
Victoria blends practical therapy methods to match each person's needs. She uses a person-centered approach that keeps the client's goals and comfort first.
Background and approach
Sessions focus on clear, usable steps people can try between meetings as well as space to process feelings. Her background includes helping people after trauma, including combat-related and sexual trauma, and with issues such as addiction, ADHD, grief, and caregiver stress. Victoria also addresses concerns around intimacy, self-esteem, money and career strain, and chronic illness or pain.
She brings calm, respect, and a steady presence to the work. Therapy with her often mixes cognitive tools to change unhelpful thought patterns, mindfulness practices to reduce reactivity, and skills from dialectical approaches to manage strong emotions. She will listen, give feedback, and adjust methods based on what helps most.
Her goal is for clients to leave sessions with clearer next steps and greater confidence. Victoria practices in Hawaii and conducts sessions in English. She uses multiple session formats so people can choose what fits their life.
Getting started involves a short matching questionnaire and scheduling a time to meet.
How therapy approaches translate to online care
Client-Centered Therapy focuses on listening closely and following the client's goals. It’s about building a steady, respectful relationship and shaping each session around what the person wants to work on. Cognitive Behavioral Therapy, or CBT, looks at how thoughts influence feelings and actions and teaches practical skills to change unhelpful patterns; it often helps with anxiety, depression, and sleep issues. Dialectical Behavior Therapy, or DBT, offers concrete skills for managing intense emotions, improving distress tolerance, and strengthening interpersonal effectiveness.Choosing the right approach is a team effort. The therapist will discuss your concerns, goals, and what feels most comfortable, then try methods that fit. Feedback from the client guides adjustments so the plan stays useful and relevant.
Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to increase flexibility. Video is useful for deeper conversation and visible cues. Phone calls can work when bandwidth is limited or when someone prefers not to be on camera. Live chat and text allow brief check-ins or written reflection between sessions. These options make it easier to fit therapy into work, caregiving, or busy schedules while keeping treatment focused and practical.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Sleeping disorders
Also listed
- Addictions
- ADHD
- Anger management
- Attachment issues
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Family of origin issues
- Family problems
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Life purpose
- Men's issues
- Money and financial issues
- Mood disorders
- Parenting issues
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self esteem
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Trauma and abuse
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 11 years
- Licensed
- Hawaii
- Languages
- English
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