About Trisha
Trisha Merwin is a Licensed Mental Health Counselor (LMHC) with 20 years of clinical experience. She helps people who are struggling with stress, anxiety, depression, trauma, low self-esteem, and ADHD. Trisha aims to make the first steps toward help feel manageable and clear.
Her style is direct and compassionate. She listens for patterns in how daily life, relationships, and health affect mood and functioning. Sessions focus on practical strategies clients can use between meetings as well as chances to make sense of painful memories.
Background and approach
Trisha blends evidence-based therapeutic techniques with attention to each person’s values and personal story. That can mean working on coping skills for panic and anxiety, addressing intrusive thoughts or obsessions, or supporting people through grief, hospice, and end-of-life concerns. She also brings experience helping clients navigate adoption and foster care issues, blended family dynamics, chronic illness, and caregiving stress.
Over two decades she has worked with a wide range of mood and trauma-related concerns, including obsessive-compulsive symptoms, panic disorder, post-traumatic stress, and disruptive mood patterns. She pays attention to how isolation, guilt, and shame affect daily life and relationships. Trisha practices in Washington as a WA LMHC and conducts therapy in English.
Her approach is to help clients build skills, name patterns, and set realistic goals so they can move forward at their own pace.
Therapeutic approaches and online care that fit your life
Trisha uses evidence-based therapeutic techniques to help people reduce symptoms and build coping skills. One common approach focuses on skill teaching for anxiety and mood problems - clients learn step-by-step strategies for managing panic, intrusive thoughts, and day-to-day stress. Another approach centers on trauma-informed work that helps people process painful memories and reduce their impact on current life and relationships.Choosing the right approach is part of the work and will be a collaborative process. The therapist will talk with each person about goals, preferences, and what has helped or not helped in the past, then recommend ways of working that can be adjusted over time based on progress and feedback.
Online therapy is offered via video calls, phone sessions, live chat, or text-based messaging to make care more flexible. Video calls allow face-to-face conversation; phone sessions can be easier when bandwidth or camera time is limited. Live chat or text messaging can be useful for brief check-ins, practicing new skills, or when a shorter touchpoint fits a busy day. These options make it simpler to keep therapy going around work, health needs, or caregiving responsibilities.
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What this therapist works with
Also listed
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Blended family issues
- Chronic pain, illness, and disability
- Communication problems
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Family problems
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Isolation / loneliness
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Social anxiety and phobia
- Women's issues
- Experience
- 20 years
- Licensed
- Washington
- Languages
- English
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