About Patricia
Patricia "Trish" West is a licensed clinical social worker in North Carolina with 19 years of experience. She focuses on helping people manage stress, anxiety, depression, motivation struggles, low self-esteem, and ADHD. Trish aims to make the first step less scary by offering steady support along the way.
She creates a calm, nonjudgmental space where clients can talk about their thoughts and feelings. Sessions are practical and straightforward. Conversations include problem-solving, building small habits, and naming patterns that get in the way.
Background and approach
Trish uses approaches that center the client's perspective. She draws on cognitive techniques to shift unhelpful thinking and on narrative ideas to help people rewrite the stories they tell themselves. Motivational tools are used when someone needs help finding momentum to change.
Her work often addresses life transitions and relationship stresses. She helps people cope with grief, parenting strain, caregiver fatigue, and career or identity questions. Other areas she supports include trauma and abuse recovery, substance concerns, and issues tied to attachment and abandonment.
Trish values clear goals and regular check-ins so progress is visible. She offers video calls, phone sessions, live chat, and text messaging for flexible care. People who want a practical, compassionate partner in making change often find her style easy to follow.
How her approaches shape online care
Client-Centered Therapy places the client's experience at the center of sessions and focuses on listening, empathy, and working at the client’s own pace. This approach helps when someone needs a supportive space to sort feelings and make decisions.Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, feelings, and actions. It uses practical exercises to test unhelpful beliefs and build small skills for managing anxiety, depression, or attention-related challenges.
Motivational Interviewing is a collaborative way to find personal reasons for change. It works well when someone feels stuck or unsure how to begin taking steps toward goals.
Finding the right mix of approaches is part of the work. The therapist will talk with the client about goals, preferences, and what has helped or not helped in the past. Together they decide which methods to try and adjust them over time.
Online sessions can make it easier to fit therapy into a busy life. Video calls allow face-to-face conversation; phone sessions need less bandwidth and work well for shorter check-ins; live chat and text messaging offer quick, ongoing touchpoints between meetings. These options give flexibility for different schedules, energy levels, and day-to-day needs.
Questions people ask
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What this therapist works with
Also listed
- Abandonment
- ADHD
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Body image
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Divorce and separation
- Drug and alcohol addiction
- Family conflicts
- Family of origin issues
- Family problems
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Infidelity
- Isolation / loneliness
- LGBT
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Parenting issues
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 19 years
- Licensed
- North Carolina
- Languages
- English
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