With care and feeling, she can talk to you naturally, and you don’t feel alienated or without any kind of remorse or fear it’s natural and real. Her response is with feeling and compassion and care.
Tish Silva, LCSW
Experienced mental health professional
Provides online counseling through BetterHelp
At a glance
Tish is an experienced, licensed Mental Health Professional who specializes in affordable online therapy offered through our partner, BetterHelp.
- 5.0 stars
- Clients are very satisfied with Tish. View 5 reviews
- Speaks English
- Offers Telehealth visits
- Licensed in California
Recent reviews
Tish is an incredible therapist—kind, compassionate, and deeply knowledgeable. She has a warm and supportive approach that makes every session feel safe and productive. Her expertise truly shines through, and she has been a huge help in guiding me through my journey. I can’t recommend her enough!
More about Tish
- 18 years' experience
- Female
- LCSW
I am licensed in California with 18 years of professional work experience. I have experience in helping clients with stress and anxiety, trauma and abuse, coping with grief and loss, & depression. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. Taking the first step to sign up for therapy can take courage and I am proud of you for getting started!
Please know that I am only licensed in California and you must physically be in the state for me to see you. Video and phone sessions are also strongly preferred.
Specialties
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
Treatment Approaches
- 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
Licenses
Tish Silva's National Provider Identifier (NPI) is 1104001510.
- LCSW · California · 76647 · Expires September 2026
About online counseling
- Affordable.
- Pay a low flat fee.
- Convenient.
- Do it at your own time and at your own pace. Communicate whenever you feel it's needed.
- Available now.
- There is no waiting list and no calls to make. Simply fill out a short questionnaire and send your first message.
Online counseling, also known as teletherapy, is a method of delivering mental health services through digital means such as video conferencing, phone calls, or messaging platforms. It can be an ideal option for individuals who have difficulty accessing traditional therapy due to geographical distance, time constraints, or personal preferences like privacy and comfort. Many people find it easier to open up from the familiarity of their own space.
Teletherapy has been found to be highly effective, with studies showing that it can produce similar outcomes to in-person therapy, particularly for issues like anxiety, depression, and PTSD. The flexibility and accessibility it offers make it a valuable alternative to conventional therapy settings.
Reviews for Tish Silva
All reviews have been submitted by clients after seeing the provider.
Overall rating:
With care and feeling, she can talk to you naturally, and you don’t feel alienated or without any kind of remorse or fear it’s natural and real. Her response is with feeling and compassion and care.
Tish is an incredible therapist—kind, compassionate, and deeply knowledgeable. She has a warm and supportive approach that makes every session feel safe and productive. Her expertise truly shines through, and she has been a huge help in guiding me through my journey. I can’t recommend her enough!
She listens very well and makes me feel heard. I don’t feel judged in any way. I would highly recommend her! I feel like a better version of myself after each session.
Honestly the best therapist I've ever had
Tish is very knowledgeable. I was immediately comfortable to jump right in and discuss personal private things without hesitation. She listens and has great feedback it feels like I’m talking to a friend. Tish is fabulous, thank you!
Frequently asked questions
Does Tish Silva offer telehealth visits?
Yes. Tish Silva works with clients by exchanging messages, chatting live, speaking over the phone, or video conferencing based on what works for the client at that particular time.
What language(s) does Tish Silva speak?
Tish Silva speaks English.
How many years of experience does Tish Silva have?
Tish Silva has 18 years of experience.
Where is Tish Silva licensed to practice?
Tish Silva is licensed to practice in California.
Does Tish Silva accept clients outside of the United States?
No, Tish Silva does not accept clients outside of the United States.
Is online therapy as effective as in-person therapy?
Numerous studies support the effectiveness of online platforms in facilitating life changes. For instance, research published by JMIR Publications, conducted by teams from the University of Berkeley, UCSF, and SF General Hospital, found that "users of BetterHelp experienced significantly reduced depression symptom severity after engaging with the platform."
What treatment approaches does Tish Silva offer?
Tish Silva offers clients Attachment-Based Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Mindfulness Therapy, Motivational Interviewing, Solution-Focused Therapy, Somatic Therapy, and Trauma-Focused Therapy.
How can I communicate with Tish Silva?
Tish Silva can be engaged in any one of four ways: (1) Exchanging messages, (2) chatting live, (3) speaking over the phone, or (4) video conferencing. You can use different ways at different times as you wish, based on your needs, availability, and convenience.
How do I get started with Tish Silva?
Just tap the CHAT NOW button or tap here: A new window will open and you'll be directed to a simple form that will help start the conversation. Please note: It can take up to a few days to be matched to a therapist.
Mental health conditions are real, common, and treatable.
And recovery is possible.
When you tap CHAT NOW a new window will open and you'll be directed to a simple form that will help start the conversation. Please note: It can take up to a few days to be matched to a therapist.