- Client centered approach
- CBT and DBT skills
- Trauma informed care
About Victoria
Victoria Cashio is a Licensed Clinical Social Worker (LCSW) in Hawaii with 11 years of clinical experience. She works with adults facing stress, anxiety, depression, relationship strain, anger, sleep difficulties, ADHD, career problems, and grief. Sessions address practical problems people bring and the feelings that come with them.
Her approach centers on Client-Centered Therapy, which means conversations are guided by what the client finds most important. She also uses Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) tools when they fit the situation. These methods are used to help people notice patterns, try new behaviors, and manage strong emotions.
Victoria combines evidence-based techniques with a flexible, integrative style. She has experience working with people who have lived through combat-related trauma, sexual trauma, or other forms of abuse, and she applies approaches such as EMDR and mindfulness when clinically appropriate. The work often includes practical skill-building, behavior changes, and paced processing of difficult memories.
She emphasizes clear communication about goals and progress. People are invited to give feedback so sessions stay useful and focused. That can mean adjusting techniques, shifting pacing, or bringing in different strategies over time.
Therapy with her tends to be straightforward and concrete. Expect focused conversation, skill practice, and steps you can try between sessions. The aim is to help people handle anger, stress, and life transitions with more control and less overwhelm.
How therapeutic approaches work in online sessions
Client-Centered Therapy focuses on what the client needs in the moment. In online sessions this looks like the therapist following the client's lead, asking about goals, and shaping sessions around what feels most useful. It helps when someone wants straightforward conversation and guidance. Cognitive Behavioral Therapy, or CBT, teaches practical skills to change unhelpful thinking and behavior. Online CBT sessions often include short exercises, homework, and tracking patterns between meetings. This approach can help with anger triggered at work, sleep problems, or mood shifts. Dialectical Behavior Therapy, DBT, offers skills for managing intense emotions and improving distress tolerance. Online DBT-style work focuses on concrete tools for emotion regulation, mindfulness, and getting through tough moments without acting on impulse. It is helpful for people who want specific strategies to reduce reactivity. Finding the right mix of approaches is part of the process. The therapist will collaborate with the client to decide what methods to try, adjust techniques as needed, and review progress together. That collaborative plan is based on the client's goals, preferences, and how they respond to different techniques. Confirm the current session options before booking, as formats are not specified here. Online work can make it easier to fit therapy into a busy life, allow shorter check-ins when needed, and reduce travel time so a person can schedule sessions around work or family commitments.Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
11+ years
Listed in
Hawaii
Languages
English
Frequently asked questions
What concerns does she address related to anger?
She helps people manage anger alongside stress, relationship strain, grief, depression, and other emotional concerns.
What kind of therapeutic style does she use?
She works in a person-centered way and blends approaches like CBT, DBT, EMDR, and mindfulness based on client needs.
How much clinical experience does she have?
Victoria has 11 years of clinical experience working with adults on a range of concerns including trauma and addiction.
What are her credentials and where is she located?
She is a Licensed Clinical Social Worker (LCSW) licensed in Hawaii and practices from that state.
Which languages are supported for sessions?
Sessions are offered in English.
Does she work with international clients?
International clients are not currently accepted.
How are sessions scheduled and what do they cost?
Costs vary with location and sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.