Victoria Cashio, LCSW - Therapist in Hawaii

About Victoria

Victoria Cashio is a licensed clinical social worker who focuses on practical help for people facing stress, anxiety, depression, and everyday parenting challenges. She brings 11 years of clinical experience and works with people dealing with relationship problems, sleep difficulties, ADHD, career stress, grief, and addiction. She practices in Hawaii and offers services in English.

Victoria uses a flexible, person-centered approach. She blends different methods to match each person's needs rather than sticking to a single style.

Background and approach

In sessions she listens closely and tailors the conversation and plan so it feels useful and respectful. Her training includes evidence-based methods for trauma, including care for combat-related and sexual trauma. She also draws on cognitive behavioral techniques to address unhelpful thoughts and behaviors, and mindfulness strategies to help clients manage stress and focus.

Session plans are developed together and adjusted based on client feedback. Victoria aims to create a calm, attentive space where people can speak honestly about what’s hard. She emphasizes dignity, sensitivity, and compassion in every interaction.

That practical, steady support can make it easier to try new coping skills and to tackle difficult life changes. For parents worried about family dynamics or day-to-day stress, she offers straightforward guidance and coping tools. Her focus on family and parenting concerns is part of a broader skill set that also covers addiction, trauma, intimacy issues, and life transitions.

Therapy approaches and how they help online

Victoria commonly uses cognitive behavioral therapy and mindfulness-based strategies. Cognitive behavioral therapy, or CBT, focuses on identifying unhelpful thoughts and changing behaviors that keep problems going. It is often used for anxiety, depression, sleep issues, and stress related to work or parenting. Mindfulness therapy involves simple attention and breathing practices to reduce reactivity and increase focus; it can help with anxiety, emotional overwhelm, and chronic stress.

She also integrates EMDR when trauma memories are a central concern. Eye Movement Desensitization and Reprocessing, or EMDR, helps people process disturbing memories so those memories cause less distress over time. The therapist will discuss whether EMDR or another method seems most helpful and will collaborate with the client to choose a path forward.

Finding the right approach is part of the work. The therapist will listen to goals and preferences, try methods that fit, and adjust based on what is working. This collaborative process helps shape a tailored plan that feels doable for each person.

Online therapy offers flexible ways to connect, including video calls, phone sessions, live chat, and text-based messaging. These options make it easier to fit sessions into busy family schedules, to check in between meetings, and to continue care from home in Hawaii. Many people find this flexibility helps them stay consistent with therapy and practice new skills between sessions.

Client-Centered Therapy

The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.

Cognitive Behavioral Therapy (CBT)

CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.

Dialectical Behavior Therapy (DBT)

Concrete skills for riding out strong emotion, tolerating distress, and handling relationships without things escalating. The skills are practised in daily life, so between-session support by message or phone fits naturally.

Frequently asked questions

What kinds of concerns does she address?

Victoria works with stress, anxiety, depression, relationship struggles, sleep problems, parenting and many related issues listed in her profile.

What is her approach in sessions?

She follows a person-centered style and mixes techniques like CBT, DBT, EMDR, and mindfulness to fit each person's needs.

How much clinical experience does she have?

She has 11 years of clinical experience as a licensed clinical social worker.

Where is she licensed and based?

She is licensed in Hawaii with the credential HI LCSW LCSW-4108.

Which languages are used in sessions?

Sessions are offered in English.

Can international clients work with her?

She does not accept international clients at this time.

What session formats are available?

Victoria offers video calls, phone sessions, live chat, and text-based messaging.

How do I begin working with her?

Use the Start Therapy button, finish a short matching questionnaire, and then schedule sessions according to the therapist's availability.

Specialties and expertise

Top specialties

Stress, Anxiety
Relationship issues
Sleeping disorders

Therapeutic approaches

Experience: 11 years
Licensed: Hawaii
Languages: English

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