Victoria Cashio is a licensed clinical social worker (LCSW) based in Hawaii who offers support for people facing stress, anxiety, self esteem concerns, and life transitions. She works with individuals dealing with depression, relationship strain, sleep problems, ADHD, career challenges, and grief. She also meets people recovering from trauma and abuse, including combat-related or sexual trauma.
Her approach mixes practical tools with a focus on your experience. She draws from client-centered methods that keep the conversation anchored to what matters most to you. She also uses techniques from Cognitive Behavioral Therapy and Dialectical Behavior Therapy to help change unhelpful thinking and cope with intense feelings.
Victoria has 11 years of clinical experience in a variety of settings in Hawaii. That background informs her work with people facing caregiver stress, chronic illness and pain, addiction, and relationship struggles. She tailors plans to each person rather than applying one fixed program.
Sessions aim to be collaborative and straightforward. She pays attention to what’s working and asks for feedback so the work stays useful. Expect conversations that balance validation with concrete steps to manage symptoms and daily challenges.
People who choose her often want a therapist who treats them with dignity and compassion. She emphasizes respect, sensitivity, and practical progress while honoring each person's pace and goals.
How therapeutic approaches translate to online care
Client-Centered Therapy focuses on listening and building a respectful connection so the client sets the pace and goals; online sessions keep that same emphasis on your needs and feedback. Cognitive Behavioral Therapy (CBT) involves identifying unhelpful thoughts and testing new ways of thinking and behaving, which can work well through talk and homework assignments done between sessions. Eye Movement Desensitization and Reprocessing (EMDR) is used to process traumatic memories by pairing talk with specific bilateral stimulation techniques; when EMDR is part of care the therapist will explain how those methods fit into online work or in-person options.
Finding the right approach is part of the therapeutic process. The therapist will collaborate with each person to choose methods that match their goals, symptoms, and comfort level. That may mean blending approaches over time and checking in often to see what helps most.
To understand how online sessions might fit into daily life, confirm available session formats before booking. Many people find remote sessions easier to schedule around work or caregiving, and some favor phone over video when they want a shorter check-in or lower bandwidth use. Ask about the specific session options offered so you can pick the arrangement that best suits your routine and needs.
Attachment issuesCaregiver issues and stressChronic pain, illness, and disabilityControl issuesDivorce and separationFamily of origin issuesFamily problemsForgivenessGender dysphoriaGuilt and shameIsolation / lonelinessLife purposeMen's issuesVeteran and Armed Forces IssuesMoney and financial issuesMood disordersPost-traumatic stressPregnancy and childbirthPrejudice and discriminationSeasonal Affective Disorder (SAD)Sexual assault and abuseSexualitySocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues
Therapeutic approaches
Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Eye Movement Desensitization and Reprocessing (EMDR)Mindfulness TherapyNarrative TherapyPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy
Experience
11+ years
Credentials
Hawaii
Languages
English
Frequently asked questions
What concerns does she commonly address?
She helps people with stress, anxiety, depression, self esteem, relationship strain, sleep problems, career issues, grief, addictions, and trauma-related concerns.
How would you describe her therapeutic style?
Her style is integrative and person-centered, combining listening with practical techniques from CBT and DBT to manage thoughts and emotions.
What is her clinical background?
She is a licensed clinical social worker with 11 years of clinical experience working in Hawaii in a range of care settings.
Where is she located and licensed?
She practices in Hawaii and holds a Hawaii LCSW credential.
Which languages are sessions offered in?
Sessions are offered in English.
Does she work with international clients?
She does not accept international clients at this time.
How much do sessions cost and how are they billed?
Cost varies by location and therapist arrangements; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Click the continue button on this profile, complete a short matching questionnaire, and schedule sessions according to the therapist's availability.