About Patricia
Patricia "Trish" McMillan is a Licensed Clinical Social Worker (LCSW) based in Arizona. She focuses on helping people manage stress and anxiety and supports those coping with grief and loss. Trish uses clear, practical approaches in sessions.
She draws on Cognitive Behavioral Therapy and brief solution-focused techniques to help clients notice patterns and try new ways of responding. She also brings client-centered care and mindfulness practices into conversations when they fit a person’s needs.
Background and approach
Her approach is down-to-earth. Trish aims to listen first, then work with each person to set doable goals. Treatment plans are shaped to match what matters most to the individual rather than following a fixed script.
She emphasizes respect, sensitivity, and compassion in sessions, and will use light humor when it seems helpful. Trish believes change begins with small steps, and she supports people through those early moves toward feeling better.
With seven years focused on brief solution-focused and cognitive behavioral work, Trish brings practical experience to common concerns like sleep trouble, low mood, relationship strain, and work stress. She helps people build coping skills for life changes, caregiving burden, and compassion fatigue. People meet her for straightforward, goal-oriented sessions that aim to reduce distress and increase day-to-day functioning.
She encourages clients to define what a more fulfilling life looks like and helps with the steps to get there.
Approach-driven online care for stress and anxiety
Client-centered therapy focuses on the person and their priorities. The therapist listens closely and shapes sessions around what the client says matters most, helping people feel heard and steering toward realistic goals. Cognitive Behavioral Therapy (CBT) looks at how thoughts and behaviors interact. It helps people spot unhelpful thinking patterns and practice new responses for anxiety, low mood, and sleep problems. Mindfulness therapy adds simple attention and breathing exercises to reduce reactivity and improve focus during stressful moments.Choosing an approach is a collaborative step. The therapist will talk with the client about goals, preferences, and what has or hasn’t worked in the past. Together they decide whether CBT, client-centered work, mindfulness, or a mix of these methods makes the most sense and then adjust as progress is made.
Online sessions offer practical flexibility. Video calls let the therapist and client maintain a face-to-face connection when that is preferred. Phone sessions can be easier when bandwidth is limited or for a shorter check-in. Live chat and text-based messaging provide quick ways to touch base, practice skills between appointments, or check in when scheduling is tight. These options make it easier to fit therapy into work, caregiving, or other busy routines while keeping the focus on measurable steps toward feeling better.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Grief
Also listed
- Aging and geriatric issues
- Anger management
- Blended family issues
- Cancer
- Career difficulties
- Caregiver issues and stress
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Family conflicts
- Family problems
- First responder issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sleeping disorders
- Social anxiety and phobia
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 7 years
- Licensed
- Arizona
- Languages
- English
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