About Tish
Tish Silva is a licensed clinical social worker with 18 years of experience helping people cope with stress, anxiety, trauma, grief, and depression. She meets people where they are and treats them as the experts in their own lives. Her approach is steady and practical, aimed at helping someone take the next manageable step forward.
She uses somatic work to help people notice how their body holds stress and trauma.
Background and approach
That can mean learning simple grounding and breathing techniques and paying attention to physical signals that show up during hard conversations. She also draws on attachment-based ideas to look at how early relationships shape current patterns, especially around closeness and trust. Tish blends client-centered care with cognitive behavioral tools to help people identify unhelpful thoughts and try new ways of coping.
She also uses skills from dialectical behavior therapy for emotion regulation and distress tolerance when needed. Sessions are focused on practical skills and real-life application. Tish helps people facing relationship and intimacy concerns, LGBT issues, parenting and blended family stress, caregiving strain, chronic illness, and body image struggles.
She also supports people dealing with abandonment, adoption and foster care history, dissociation, and feelings of emptiness or shame. She is licensed in California (LCSW) and conducts sessions in English. Video calls and phone sessions are preferred, and she offers a mix of live chat and text-based messaging as part of her online practice.
To begin, clients use a short matching questionnaire and schedule according to therapist availability.
How therapeutic approaches translate to online care
Somatic work focuses on the link between body sensations and emotions. Online sessions can include guided grounding, breath work, and noticing bodily signals during conversation to help reduce tension and reactivity. This approach can be helpful for people dealing with trauma, chronic stress, or somatic symptoms.Attachment-based work looks at patterns of closeness and trust that developed in early relationships. In virtual sessions, this means exploring how those patterns show up now in relationships and practicing new ways of connecting and setting boundaries. Client-centered therapy provides a supportive space where the client’s goals guide the pace and focus of sessions.
Finding the right approach is part of the work. The therapist will collaborate with each person to choose methods that fit their needs, goals, and comfort level. That plan can change over time as progress and priorities shift.
Online formats offer flexibility by combining video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face conversation and somatic guidance, while phone and messaging options suit people who need shorter check-ins or more frequent touchpoints. This range helps people fit therapy into busy lives and try different ways of working together.
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Specialties and expertise
Top specialties
Also works with
- Abandonment
- ADHD
- Adoption and foster care
- Anger management
- Attachment issues
- Blended family issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Communication problems
- Coping with life changes
- Depression
- Dissociation
- Emptiness
- Family conflicts
- Family of origin issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Post-traumatic stress
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Somatization
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 18 years
- Licensed
- California
- Languages
- English