How Tish works
Practical facts
- Credentials
- LCSW
- Licensed in
- California
- Years in practice
- 18
- Languages
- English
- Session format
- Online, through our partner platform
About Tish
Tish Silva is a licensed clinical social worker with 18 years of experience. She blends practical skills with a warm, down-to-earth presence to help people facing anger, anxiety, depression, and major life changes. She emphasizes collaboration and respects each person's lived experience.
Tish uses straightforward, goal-focused work in sessions. She listens first, then helps people identify patterns that keep them stuck. From there she offers tools to change thinking, manage intense feelings, and repair important relationships.
Background and approach
Her approach draws on attachment-based ideas to look at how early relationships shape present reactions. She also uses client-centered methods to keep the person’s goals front and center. Cognitive behavioral techniques are used to spot unhelpful thoughts and test new behaviors.
Dialectical behavior strategies support emotion regulation and distress tolerance when feelings feel overwhelming. Mindfulness practices are introduced in short, practical ways to help calm the body and focus attention. These methods are adapted to each person’s pace and priorities.
Tish has worked with people facing trauma, grief, caregiver stress, chronic illness, adoption and foster care concerns, and issues like codependency or body image. She also supports people navigating LGBT identity, relationship and intimacy-related struggles, and ADHD-related challenges. Sessions are offered in English and Tish works with people who are physically located in California.
She prefers video and phone sessions, and offers flexible formats to fit different schedules. If someone wants to begin, the usual first step is a brief matching intake and then scheduling a session.
What Tish works with
Everything Tish lists, in the therapist's own terms. Anger is the reason this directory exists; the rest tells you what usually sits alongside it in Tish's practice.
- Stress, Anxiety
- Trauma and abuse
- Grief
- Depression
- Coping with life changes
- LGBT
- Relationship issues
- Family conflicts
- Intimacy-related issues
- Anger management
- Self esteem
- Coaching
- ADHD
- Abandonment
- Adoption and foster care
- Attachment issues
- Blended family issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Communication problems
- Dissociation
- Emptiness
- Family of origin issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Somatization
- Women's issues
- Workplace issues
- Young adult issues
Approaches Tish lists
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Mindfulness Therapy
- Motivational Interviewing
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.
How treatment approaches work online
Attachment-Based Therapy looks at how early relationships shape current reactions and expectations. Online sessions can examine recurring patterns in relationships and help people try new ways of connecting and responding. Client-Centered Therapy centers the person’s goals and pacing. In remote sessions this means the therapist follows what matters most to the client and adjusts tools to fit their daily life.Finding the right approach is a joint process. The therapist will talk with each person about their goals, history, and what feels most useful. Together they decide which methods to try and make adjustments over time based on what is helping.
Online options include video calls, phone sessions, live chat, and text-based messaging. Video lets people read facial cues and practice skills in real time. Phone sessions can be a good choice when bandwidth is limited or when you prefer not to be on camera. Live chat and text messages work well for brief check-ins, coaching-style notes, or when a shorter touchpoint fits a busy schedule. These formats make therapy more flexible across work, caregiving, and medical obligations.
Questions people ask about Tish
What kinds of concerns does this therapist address?
Tish works with stress, anxiety, anger, depression, trauma and grief. She also helps with relationship strain, intimacy concerns, self-esteem, ADHD-related struggles, and caregiving stress.
How would you describe the therapy style?
She uses a collaborative, straightforward style that mixes listening with practical tools. Sessions focus on spotting patterns, testing new behaviors, and building emotion regulation skills.
What is her background and experience?
She holds a California LCSW and brings 18 years of professional experience supporting people through trauma, loss, chronic illness, and life transitions.
Where is she licensed and based?
She is licensed in California as an LCSW and sees people who are physically located within the state.
Which languages are supported?
Sessions are offered in English only.
What session formats are available?
She offers video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.
How much do sessions cost?
Cost varies with location and therapist availability. Sessions are provided through a subscription model that can be canceled at any time.
What are the first steps to begin?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule according to the therapist's availability.