Victoria Cashio , LCSW

Victoria Cashio is a Licensed Clinical Social Worker (LCSW) practicing in Hawaii with 11 years of clinical experience. As a master's-level clinician, she has worked with a broad range of concerns including depression, anxiety, relationship difficulties, sleep problems, ADHD, and career challenges. She also has training and experience in evidence-based methods for treating people who have experienced combat trauma, sexual trauma, or other forms of abuse.

Victoria describes her practice as integrative and person-centered, blending techniques from different therapeutic models to match each person's unique needs. At the heart of her work is a commitment to treating people with dignity, respect, sensitivity, and compassion. Relationships matter in therapy, and she tailors conversations and treatment plans to reflect each individual’s history, goals, and values.

She recognizes that seeking therapy can feel daunting, especially when starting a new therapeutic relationship. Victoria emphasizes collaboration and welcomes client feedback to ensure sessions are useful and aligned with personal goals. She supports clients through life transitions and the work of building a more satisfying, balanced life.

Therapeutic Approaches and Online Care

Victoria uses client-centered therapy to build a respectful, collaborative relationship where the client’s goals and experiences guide the work. This approach prioritizes empathy and active listening to help people explore identity, relationships, self-esteem, and life transitions in a way that feels meaningful to them.

She also employs Cognitive Behavioral Therapy (CBT), which focuses on identifying and adjusting unhelpful thoughts and behaviors through practical strategies and skills. CBT can be useful for addressing anxiety, depression, sleep difficulties, and challenges that interfere with daily functioning.

For clients who have experienced trauma, Victoria draws on trauma-focused methods such as EMDR to support processing distressing memories and reducing their ongoing emotional impact. These approaches are chosen thoughtfully and combined when appropriate to match each person’s needs.

Finding the right approach is part of the therapeutic process and Victoria works collaboratively with clients to determine what fits best based on goals, preferences, and responses to treatment. She adapts methods over time as progress and needs evolve.

Online therapy with licensed professionals offers flexibility for people juggling work, family, or health concerns. Video calls, phone sessions, live chat, and text-based messaging allow clients to access care in formats that suit their schedules and comfort levels, making it easier to maintain continuity and consistency in treatment.