Tish Silva, LCSW
Therapist in California
Tish Silva is a licensed clinical social worker who uses attachment-based ideas to help people make sense of painful patterns.
- Licensed inCalifornia
- License76647
- NPI 1104001510
- Experience18+ years
- LanguagesEnglish
Details are as listed on the therapist's public professional profile. You can check any license with the state board and any NPI with the national registry.
About Tish
Tish Silva is a licensed clinical social worker who uses attachment-based ideas to help people make sense of painful patterns. She brings 18 years of clinical experience and a calm, straightforward style to sessions. Tish focuses on stress, anxiety, trauma and abuse, grief, depression, and life transitions.
She also supports concerns around identity, intimacy, relationships, self-esteem, and ADHD-related challenges. Her work centers on understanding how early connections shape current relationships and emotional reactions.
Background and approach
She combines attachment-based perspectives with client-centered listening and practical tools from cognitive behavioral therapy and dialectical behavior therapy. Sessions often include grounding and mindfulness practices to reduce overwhelm and build present-moment awareness. Tish helps people unpack family of origin issues, abandonment and foster care histories, and blended family strain.
She also addresses chronic illness and caregiver stress, body image, codependency, dissociation, and the shame or guilt that can follow loss and trauma. The goal is clearer thinking and more manageable day-to-day coping. In sessions she emphasizes collaboration and real skills you can use between meetings.
People can expect straightforward talk, problem-solving, and attention to feelings that get in the way of change. Tish encourages curiosity about patterns rather than self-blame. She practices in California and offers video and phone sessions as the preferred formats.
Her approach is practical and relational, helping people translate insight into small, steady steps forward.
Credentials
- LCSW (California)
- License 76647 · expires September 2026
- NPI
- 1104001510 · national provider identifier
Both are public records. A state board register will confirm a license and its standing, and the national registry will confirm an NPI. This directory copies what the therapist lists and checks neither.
Focus areas and approaches
Everything Tish lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Trauma and abuse
- Grief
- Depression
- Coping with life changes
- LGBT
- Relationship issues
- Family conflicts
- Intimacy-related issues
- Anger management
- Self esteem
- Coaching
- ADHD
- Abandonment
- Adoption and foster care
- Attachment issues
- Blended family issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Communication problems
- Dissociation
- Emptiness
- Family of origin issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Somatization
- Women's issues
- Workplace issues
- Young adult issues
Approaches Tish names
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Mindfulness Therapy
- Motivational Interviewing
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.
Online support
Attachment work and skills-focused care online
Attachment-based ideas look at how early relationships shape current patterns and reactions. This approach helps people notice repeated ways of relating, understand why those patterns feel familiar, and try new responses that feel safer and more effective in relationships.Client-centered therapy emphasizes listening and collaboration. The therapist follows the person's lead, reflects what is happening, and helps build insight and confidence. Cognitive behavioral therapy (CBT) brings a practical focus on thoughts and behaviors, teaching ways to test unhelpful beliefs and change small habits that reduce anxiety and depression.
Finding the right approach is part of the work. The therapist will talk with the client about goals, preferences, and what feels most useful, then shape sessions together. This collaborative stance helps match attachment, client-centered, or CBT methods to real-life needs.
Online options include video calls, phone sessions, live chat, and text-based messaging. Video lets you see facial cues and practice skills in-session. Phone can be easier when bandwidth is limited or you prefer not to be on camera. Live chat and messaging support quick check-ins, coaching between appointments, and brief skill practice. These formats make it easier to fit care into a busy life while working on attachment patterns and everyday coping skills.
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Frequently asked
What concerns does Tish commonly address?
She helps with stress, anxiety, trauma and abuse, grief, depression, and coping with life changes. Other focuses include relationship and intimacy issues, self-esteem, ADHD, and family of origin concerns.
How would you describe her therapeutic style?
She uses an attachment-based lens alongside client-centered listening and practical techniques from CBT and DBT. Sessions blend understanding of patterns with concrete skills and mindfulness practice.
What is her clinical experience?
She has 18 years of professional work experience helping people with trauma, grief, mood concerns, and stress-related problems.
What credentials does she hold and where is she located?
She is a licensed clinical social worker, LCSW, licensed in California and practices within that state.
Which languages are supported and can she see international clients?
Sessions are offered in English. She does not accept international clients and works with people who are physically located in California.
What session formats are available?
She offers video calls and phone sessions and the service also supports live chat and text-based messaging as part of ongoing care.
How is cost handled?
Costs vary by location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Use the Start Therapy button, complete a short matching questionnaire, and schedule sessions based on the therapist's availability.
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