About Trisha
Trisha Merwin is a licensed mental health counselor with 20 years of experience helping people navigate stress, anxiety, depression, trauma, and self-esteem concerns. She works with individuals dealing with panic attacks, obsessive thoughts, and mood challenges. Trisha brings a calm, straightforward presence to sessions and listens for practical ways to reduce daily distress.
Her work covers many life challenges, including adoption and foster care issues, blended family dynamics, chronic illness and pain, hospice and end-of-life concerns, and feelings of isolation or loneliness.
Background and approach
She also addresses communication problems, guilt and shame, and concerns tied to attention and regulation. These topics often show up together, and she helps people sort them into manageable steps. Trisha uses evidence-based therapeutic techniques alongside attention to a client’s spiritual and emotional story.
Sessions focus on building skills you can use between meetings, such as coping strategies for panic or routines that help mood and attention. She favors clear, practical tools rather than long explanations. Her background includes two decades of clinical work in Washington as an LMHC - Licensed Mental Health Counselor.
That experience informs how she structures support for stress, trauma, and mood-related concerns. She aims to help clients feel steadier and more capable over time. People who choose her often want a therapist who balances structure and empathy.
Conversations tend to include goal-setting, skill-building, and checking how tools are working in daily life. The approach is collaborative and paced to fit each person’s needs.
Evidence-based approaches for online anxiety care
Trisha works with established, evidence-based techniques that focus on practical change. One approach emphasizes skill-building for anxiety and panic - teaching breathing and grounding techniques, breaking down fearful thoughts, and rehearsing calmer responses. This helps reduce the intensity of panic and interrupt cycles of worry.Another approach targets mood and trauma-related symptoms by helping people make small routine changes and process difficult memories safely. This often includes pacing activities that lift mood, improving sleep and daily structure, and talking through traumatic experiences in a contained way so they cause less disruption in day-to-day life.
Choosing the right approach is part of the process. The therapist and client work together to match methods to the person’s concerns, goals, and preferences. Plans are adjusted as progress is reviewed so treatment fits real life.
Online sessions are offered via video calls, phone, live chat, or text-based messaging to make therapy more flexible. Video is useful for deeper conversational work, phone sessions can be easier when bandwidth is limited, and messaging or live chat can fit quick check-ins or ongoing support between sessions. These options help people fit care into busy schedules and different routines.
Questions people ask
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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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