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Tish Silva, LCSW

California LCSW focused on trauma and relationships
  • Stress and anxiety
  • Trauma and grief
  • Relationship support

About Tish Silva

Tish Silva is a Licensed Clinical Social Worker (LCSW) practicing in California with 18 years of professional experience supporting people through stress, anxiety, trauma and abuse, grief and loss, and depression. She approaches each person as the expert of their own story, building on existing strengths to address challenges and foster meaningful change. Tish emphasizes a collaborative, respectful process that honors a client's pace and goals while offering practical tools and emotional support.

Beginning therapy can require courage, and Tish acknowledges and affirms that step as part of the healing journey. She prefers to work with clients by video or phone and asks that clients be physically located in California to receive services. Those preferences help shape how she structures sessions and supports people through transitions, relationships, and life stressors.

Tish combines clinical experience with a belief in each person's capacity to grow and adapt, offering compassionate guidance grounded in clinical training and years of practice. Prospective clients can expect a thoughtful, strengths-based approach that centers their needs and priorities.

Areas of Expertise

Also Specializes In

LGBTRelationship issuesFamily conflictsIntimacy-related issuesAnger managementSelf esteemCoachingADHD

Additional Focus Areas

AbandonmentAdoption and foster careAttachment issuesBlended family issuesBody imageCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommunication problemsDissociationEmptinessFamily of origin issuesForgivenessGuilt and shameHospice and end-of-life counselingImpulsivityIsolation / lonelinessJealousyLife purposeMidlife crisisMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksPost-traumatic stressSeasonal Affective Disorder (SAD)Self-loveSexual assault and abuseSocial anxiety and phobiaSomatizationWomen's issuesWorkplace issuesYoung adult issues

Therapeutic Approach

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

Frequently Asked Questions

How much experience does Tish Silva have?

Tish Silva has 18 years of professional experience.

Is Tish Silva a licensed therapist?

Yes. She holds the credential LCSW, which stands for Licensed Clinical Social Worker. License details are CA LCSW 76647.

In which languages does Tish Silva provide therapy?

Tish provides therapy in English.

Where is Tish Silva located?

Tish is located in California.

How can I work with Tish Silva as my therapist?

You can work with Tish through video calls, phone sessions, live chat, or text-based messaging.

Does Tish Silva work with international clients?

Tish Silva does not currently work with international clients.

How much does therapy with Tish Silva cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with a therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Therapeutic approaches and online care options



Tish uses Attachment-Based Therapy to explore patterns in relationships and early bonds that shape current connections - this approach helps when relationship history, abandonment, or attachment issues are contributing to distress. She also uses Client-Centered Therapy, offering a nonjudgmental, empathetic space where a person's own goals and insights guide the work, which can be particularly helpful for building self-esteem and working through life transitions. Cognitive Behavioral Therapy (CBT) is another frequent tool, focusing on identifying and shifting unhelpful thoughts and behaviors to reduce symptoms of anxiety, depression, and stress.

Choosing the right approach is part of the therapeutic process. Tish works collaboratively with each person to determine which methods fit their needs, goals, and preferences, and she adapts the plan as progress unfolds. This collaboration helps ensure therapy feels relevant and practical.

Online sessions are offered primarily by video and phone, and Tish also supports live chat and text-based messaging to provide flexibility. These options make it easier to fit therapy into daily life, reduce travel time, and maintain continuity of care when schedules change, while still allowing meaningful therapeutic connection with licensed professionals.

Ready to start therapy with Tish Silva?

Take the first step toward a better you.