About Patricia
Patricia (Trish) Nichols offers a warm, person-centered approach to anxiety and related concerns. She is a Licensed Clinical Social Worker (LCSW) based in Wyoming who helps people facing stress, depression, grief, and trauma. Trish focuses on practical skills and steady support so people can feel more grounded in day-to-day life.
Trish uses clear, goal-focused methods drawn from cognitive behavioral therapy and acceptance and commitment therapy to help people change unhelpful patterns.
Background and approach
She also draws on attachment-based and client-centered ways of working to make space for each person’s story and emotional needs. Sessions tend to be conversational and task-oriented, with attention to what people want to change most. Her practice serves people dealing with relationship strain, self-esteem struggles, eating and sleeping concerns, career stress, and compassion fatigue.
She also supports those coping with chronic illness, caregiving challenges, bereavement, and feelings of emptiness or abandonment. Trish pays attention to identity concerns including LGBT issues as they relate to mental health. With seven years of clinical experience, Trish blends practical coping tools with reflective discussion.
That means clients often leave sessions with specific steps to try between meetings. She aims to help people build resilience and clearer priorities over time. Trish offers sessions using video calls, phone, live chat, or text-based messaging.
She works in English and practices under her Wyoming LCSW credential.
How therapy approaches translate to online care
Acceptance and Commitment Therapy, or ACT, helps people notice painful thoughts and feelings without getting stuck in them, then choose actions that reflect their values. It can be useful for anxiety, avoidance, and making steady life changes. Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thinking and changing behaviors that keep problems going. It often includes practical exercises to reduce anxiety and improve sleep or mood.Finding the right approach is part of the work. Trish will collaborate with each person to decide which methods fit their goals and preferences. That means trying techniques, checking what helps, and adjusting the plan together rather than sticking to one method rigidly.
Online sessions are available by video calls, phone, live chat, or text-based messaging to match different needs. Video lets people work face-to-face when that feels helpful. Phone sessions can be a better fit when bandwidth is limited or when someone wants a less visual check-in. Live chat and text messaging can provide quick check-ins or shorter skill practice between meetings. These options make scheduling easier and let people maintain therapy through life transitions or busy routines.
Questions people ask
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What this therapist works with
Most often
Also listed
- Abandonment
- Aging and geriatric issues
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Family problems
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Intellectual disability
- Isolation / loneliness
- LGBT
- Life purpose
- Money and financial issues
- Mood disorders
- Panic disorder and panic attacks
- Post-traumatic stress
- Postpartum depression
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Traumatic brain injury
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
- Internal Family Systems
- Experience
- 7 years
- Licensed
- Wyoming
- Languages
- English
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