Victoria Cashio, LCSW

Victoria Cashio is a licensed clinical social worker (LCSW) based in Hawaii who helps people facing stress, anxiety, depression, relationship strain, sleep problems, and career uncertainty. She also supports people dealing with trauma, ADHD, grief, addictions, and issues related to gender and sexual identity. Victoria writes plainly and listens closely to what matters most to each person she meets.

She brings 11 years of clinical experience to her work and blends different therapeutic perspectives to match a person's needs. Her core approach is client-centered, which means conversations and goals are guided by the individual's priorities rather than a fixed script. She adapts techniques from cognitive behavioral therapy, dialectical behavior therapy, EMDR, and mindfulness when those methods fit the goals.

Victoria emphasizes respect, dignity, and sensitivity in sessions. She pays attention to the relationship and checks in about what is and isn't helpful as therapy progresses. This makes it easier for people to shape their treatment and feel heard.

Her practice includes support for caregiver stress, chronic pain or illness, attachment issues, life transitions, and financial or work-related strains. She has work history helping people who experienced combat-related and sexual trauma and other kinds of abuse, using evidence-based methods appropriate to those concerns.

Victoria invites straightforward feedback and collaboration. She encourages people to take small steps toward a more manageable life, and she focuses on practical strategies that fit each person's situation.

How Victoria adapts therapy for online care

Victoria commonly uses client-centered work, cognitive behavioral techniques, and DBT skills in her practice. Client-centered work focuses on what the person wants to change and shapes sessions around their values and goals. Cognitive behavioral therapy helps identify unhelpful thinking and builds practical steps to change behavior. Dialectical behavior therapy offers skills for managing intense emotions, improving relationships, and tolerating distress.

Choosing the right approach is a team process. Victoria will talk with each person about their history, goals, and what feels most useful. Together they decide which methods to try and make adjustments as progress or preferences change.

If you are considering online therapy, confirm the session formats offered before booking. Online work can make it easier to fit therapy into a busy week, reduce travel time, and allow for shorter check-ins when needed. It can also let people use phone-only options if they prefer not to be on camera or need a lower-bandwidth choice. Ask about current session options when you schedule so the format matches your needs.