About Patricia
Patricia "Trish" West is a licensed clinical social worker who helps people feeling overwhelmed by stress and anxiety. She speaks plainly and listens first, so parents and individuals can name what feels hardest and take the next step. Her style aims to make talking about difficult things feel manageable.
Trish draws on 19 years of experience working with trauma, abuse, depression, and self-esteem struggles. She also supports people facing life transitions, parenting strain, caregiving stress, grief, and challenges tied to identity and relationships.
Background and approach
She helps people sort priorities and find practical steps forward. In sessions she creates an open, nonjudgmental space for people to share thoughts and feelings. Conversations focus on what matters most to each person and on small changes that add up.
She combines listening with clear, goal-focused work so progress is concrete. Her work includes approaches like client-centered methods and cognitive behavioral techniques to shift unhelpful thinking. She also uses narrative and psychodynamic ideas to help people understand patterns rooted in past experiences.
Motivational interviewing helps when someone wants support to change habits or build new routines. Trish practices in North Carolina as an LCSW. She offers a range of formats including video, phone, live chat, and text messaging to fit busy schedules.
The aim is steady, collaborative support so people move from coping to making meaningful progress.
Approaches that translate to online care
Client-centered therapy focuses on listening and building a trusting relationship, so the person feels heard and can set their own goals. This approach is useful for anxiety, low self-esteem, and life transitions where someone needs validation and guidance.Cognitive behavioral therapy (CBT) helps identify and change unhelpful thoughts and behaviors by practicing new skills between sessions. It often helps with anxiety, depression, and stress by giving clear, practical tools people can use during daily life.
Motivational interviewing is a collaborative way to explore readiness for change and boost motivation. It works well when someone wants help building new habits or addressing substance use or other patterns they want to shift.
Finding the right approach is part of the work together. The therapist will try methods, check what feels useful, and adjust based on goals and preferences. Clients are invited to speak up about what helps and what doesn’t so the plan stays practical and personalized.
Online sessions are offered by video call, phone, live chat, or text-based messaging to fit different schedules and needs. Video lets people work face to face, phone can be a quieter option with lower bandwidth, and messaging supports brief check-ins or ongoing notes between sessions. These options make it easier to keep therapy consistent while balancing school, work, and family life.
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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