How Patricia works
Practical facts
- Credentials
- LCSW
- Licensed in
- North Carolina
- Years in practice
- 19
- Languages
- English
- Session format
- Online, through our partner platform
About Patricia
Patricia "Trish" West is a licensed clinical social worker in North Carolina with 19 years of experience. She focuses on practical help for people feeling overwhelmed by stress, anger, anxiety, or big life changes. Trish aims to make the first step feel manageable and supportive.
She uses straightforward conversation to help clients sort out what matters most. Sessions often focus on what is happening now and what small steps could make daily life easier.
Background and approach
Trish listens for patterns that keep problems repeating and works with each person to try new options. Her approach draws on several methods, including client-centered techniques that keep the person’s priorities central. She also uses cognitive behavioral ideas to spot unhelpful thinking and to try different behaviors.
Motivational interviewing helps people find their own reasons to change and build momentum. Trish has worked across many concerns over nearly two decades. She helps people dealing with trauma or abuse, depression, low self-esteem, grief, and caregiving strain.
Anger and managing strong emotions are listed among her common focuses. In sessions she keeps language plain and goals concrete. People can expect a calm, nonjudgmental space to talk things through and to practice new ways of coping.
The aim is steady progress rather than quick fixes.
What Patricia works with
Everything Patricia lists, in the therapist's own terms. Anger is the reason this directory exists; the rest tells you what usually sits alongside it in Patricia's practice.
- Stress, Anxiety
- Trauma and abuse
- Self esteem
- Depression
- Coping with life changes
- LGBT
- Relationship issues
- Family conflicts
- Grief
- Parenting issues
- Anger management
- Career difficulties
- Bipolar disorder
- Coaching
- Compassion fatigue
- ADHD
- Abandonment
- Attachment issues
- Blended family issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Commitment issues
- Communication problems
- Coping with natural or human-caused disaster
- Divorce and separation
- Drug and alcohol addiction
- Family of origin issues
- Family problems
- Forgiveness
- Guilt and shame
- Impulsivity
- Infidelity
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Young adult issues
Approaches Patricia lists
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.
How therapeutic approaches translate to online care
Client-centered therapy places the person’s priorities at the center of each session and focuses on listening, reflecting, and letting the client guide the work. This approach helps when someone needs a safe space to sort feelings, set goals, and decide what change looks like for them.Cognitive behavioral therapy, or CBT, looks at how thoughts, feelings, and actions connect. Sessions use clear steps to notice unhelpful thinking and try different behaviors, which can help with anxiety, depression, anger, and stress management.
Motivational interviewing helps people find their own reasons to change. It is useful when someone feels stuck or unsure about taking steps toward new habits or choices.
Finding the right mix of approaches is a shared process. The therapist works together with each person to pick methods that match their needs, goals, and comfort level. Plans can change over time as progress is made or priorities shift.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is good for face-to-face conversation and nonverbal cues. Phone sessions can be easier when bandwidth is limited or someone prefers audio only. Live chat and messaging allow short check-ins, written reflection, and flexible timing. These options make it easier to fit therapy into work, caregiving, or other daily routines.
Questions people ask about Patricia
What concerns does this therapist address?
Trish helps with stress, anxiety, depression, trauma and abuse, grief, parenting strain, anger, and related issues such as self-esteem and caregiving stress.
How would you describe the therapy style here?
Sessions focus on clear, practical conversation. The style is client-centered with goal-focused tools from cognitive behavioral work and motivational interviewing.
What is her professional background?
She has 19 years of professional experience and has worked with a wide range of life and emotional challenges.
What credentials and location are listed?
She holds an LCSW license and is licensed in North Carolina.
In which languages are sessions offered?
Sessions are offered in English. International clients are not currently accepted.
What session formats are available?
Sessions may be held by video call, phone, live chat, or text-based messaging to fit different needs and schedules.
How does cost and payment work?
Cost varies with location and therapist availability. Sessions use a subscription model that can be canceled at any time.
What steps are needed to begin therapy?
Click the Start Therapy button, complete a short matching questionnaire, then schedule sessions according to the therapist's availability.