Victoria Cashio, LCSW

Victoria Cashio is a licensed clinical social worker with 11 years of practice in Hawaii. She meets people where they are and helps them sort through stress, anxiety, depression, relationship strain, sleep problems, career worries, and issues related to trauma and addiction. Her language is straightforward and practical, aimed at people who are nervous about starting therapy.

She blends several approaches rather than relying on a single method. Cognitive Behavioral Therapy (CBT) is one of the tools she uses to identify unhelpful thoughts and test new behaviors. She also draws from client-centered principles to keep sessions focused on the person's priorities and pace.

Victoria has worked with people affected by combat-related trauma, sexual trauma, and other abuse. That experience informs how she helps people process difficult memories and manage overwhelming feelings. She uses techniques from EMDR and mindfulness when those methods fit a person's needs.

Sessions are collaborative and practical. She listens first, then helps set small, achievable goals. Progress often includes learning coping skills, practicing new ways of relating, and adjusting routines that interfere with sleep or daily functioning.

Her approach respects each person's identity and life story. She pays attention to attachment patterns, caregiver stress, chronic illness, and the practical impacts of money, work, and family issues. People who want a steady, respectful guide through change may find her style helpful.

Practical approaches for online care

Victoria often uses Cognitive Behavioral Therapy to help people notice patterns of thinking that contribute to anxiety, low mood, or sleep problems and then practice small behavioral changes. CBT is action-oriented and useful for day-to-day problems like sleep, worry, and work stress.

She also takes a client-centered approach, which means sessions focus on the person's priorities and pace. This creates room to talk through relationship issues, identity questions, or life transitions without pressure, while the therapist follows the person's lead.

Finding the right approach is part of the work together. Victoria will discuss methods, try techniques, and adapt plans as needs and goals become clearer. That collaborative process helps determine whether to emphasize CBT skills, DBT strategies for emotion regulation, or mindfulness exercises at any stage.

Online sessions are offered by video call, phone, live chat, or text-based messaging to fit different schedules and preferences. Video calls allow face-to-face conversation and skills practice, phone sessions can be easier when bandwidth is limited, live chat can work for quick check-ins, and messaging supports ongoing reflection between sessions. These options make it easier to keep therapy consistent around work, caregiving, and travel.