Victoria Cashio, LCSW

Victoria Cashio is a licensed clinical social worker (LCSW) in Hawaii with 11 years of clinical experience. She helps people who are feeling overwhelmed by anxiety, depression, sleep problems, relationship strain, career shifts, or ADHD. She also supports those coping with trauma, grief, addictions, and identity concerns including LGBT and gender dysphoria issues.

Victoria uses a blend of approaches that she adapts to each person. She leans on client-centered care to make space for what matters most to the individual. She pairs that with practical methods such as cognitive behavioral techniques and skills-based strategies to manage mood, worry, and daily functioning.

For people with trauma histories, she incorporates approaches aimed at processing distress and reducing its hold on daily life. Mindfulness practices and emotion-regulation skills are common tools she brings into sessions. She describes her work as collaborative and tailored, with an emphasis on respect and clear communication.

Victoria pays attention to relationships and patterns from family of origin and life transitions that contribute to current struggles. She supports clients working through caregiver stress, chronic health issues, and financial or career pressures. She seeks regular feedback so the plan stays relevant and useful.

The first steps are straightforward: complete a brief matching questionnaire and schedule when ready. She frames therapy as a partnership where practical change and better day-to-day coping are the goals.

How her approaches translate to online therapy

Client-Centered Therapy focuses on listening and creating a respectful space. The therapist follows the client’s priorities and adjusts pacing and focus to what feels most helpful. Cognitive Behavioral Therapy (CBT) uses clear, practical steps to change unhelpful thoughts and behaviors; it often includes simple exercises and homework to try between sessions. EMDR is a trauma-focused method that helps people process distressing memories; when used online, the therapist guides processing and pacing so clients can notice changes in how memories feel.

Choosing the right approach is part of the work together. Victoria will assess needs, goals, and preferences and suggest which methods to try first. She invites client feedback and adjusts the plan over time so the approach fits each person’s situation.

Confirm the session formats available before booking, as the biography does not list specific online options. Many people find online therapy easier to fit into busy days, since sessions can be scheduled around work and family routines. Online appointments can make follow-up brief check-ins simpler, allow use of written exercises during the session, and reduce travel time so therapy fits into everyday life.