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Victoria Cashio

Victoria Cashio, LCSW

Hawaii

LCSW - Anxiety and relationship concerns

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  • Family of origin issues
  • CBT and DBT methods
  • Trauma-informed care

About Victoria

Victoria Cashio is a Licensed Clinical Social Worker (LCSW) in Hawaii with 11 years of clinical experience. She works with adults dealing with depression, anxiety, relationship strain, sleep problems, ADHD, and career stress. She also has experience supporting people who have faced combat trauma, sexual trauma, or other forms of abuse.

Victoria uses a person-centered foundation and blends several therapeutic methods to match what each person needs. Sessions focus on practical steps and honest conversation. She listens for patterns that link current problems to early family roles and expectations, and then helps people test new ways of relating and behaving.

Her approach often combines Cognitive Behavioral Therapy to change unhelpful thinking and behavior, Dialectical Behavior Therapy skills for emotional regulation, and mindfulness practices to bring attention into daily life. She may also use Eye Movement Desensitization and Reprocessing when trauma memories are part of the problem.

In sessions, she helps people name repeating family patterns and notice how those patterns affect relationships and self-esteem now. Conversations can include coping strategies, communication skills, and changes to daily routines like sleep and work habits.

Victoria emphasizes clear feedback so therapy stays useful and focused on what the client wants. She supports people making life changes such as separation, career shifts, or caregiving role adjustments. To begin, clients follow the service's matching steps and schedule a first session.

Therapeutic approaches used in remote sessions

Victoria commonly integrates Cognitive Behavioral Therapy and Mindfulness Therapy when working remotely. CBT focuses on identifying and changing unhelpful thoughts and behaviors, which can help with anxiety, depression, sleep, and day-to-day coping. Mindfulness practices train attention and present-moment noticing, supporting stress management and calmer responses to difficult feelings.

She also uses Dialectical Behavior Therapy skills for emotion regulation and distress tolerance when clients need concrete tools to manage strong emotions. Together these approaches give both short-term skills and longer-term changes in how people relate to themselves and others. Choosing which methods to use is part of the work and happens collaboratively with the client based on goals and preference.

Session logistics vary by the service, so confirm the current session formats before booking. Many people find remote sessions easier to fit into a workday, allow shorter check-ins, or make it simpler to keep regular appointments. The therapist will discuss which approaches and scheduling options best fit the client's life and needs during the initial matching and first session.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesSleeping disordersCareer difficultiesCoping with life changes

Additional focus areas

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

Listed in

Hawaii

Languages

English

Frequently asked questions

What concerns does she address?

She works with depression, anxiety, relationship strain, sleep problems, ADHD, career stress, and related issues such as grief, addiction, and family of origin concerns.

What therapy style does she use?

She practices from a person-centered base and blends approaches like CBT, DBT, EMDR, and mindfulness depending on the client's needs.

How much clinical experience does she have?

Victoria has 11 years of clinical experience working in Hawaii with a variety of adult concerns and trauma-related issues.

What are her credentials and where is she based?

She is a Licensed Clinical Social Worker (LCSW) licensed in Hawaii and provides services while based in that state.

Which languages are supported?

Sessions are offered in English.

Can international clients work with her?

She does not accept international clients at this time.

How are sessions scheduled and paid for?

Cost varies by location; sessions use a subscription that can be canceled at any time.

How do I start working with her?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.

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Victoria CashioLCSW

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