Patricia "Trish" West, LCSW

Patricia "Trish" West is a licensed clinical social worker who helps people facing stress, anxiety, depression, and major life changes. She writes plainly and listens closely so people feel heard. Trish uses practical, goal-focused work to support changes people want to make in their daily lives.

Trish brings 19 years of experience from her practice in North Carolina. She often helps people cope after trauma or abuse, and she supports those managing low self-esteem, motivation struggles, or mood shifts. Her background includes work with grief, relationship and family concerns, parenting strain, and issues related to ADHD and compassion fatigue.

In sessions she creates a calm, nonjudgmental space where thoughts and feelings can be talked about openly. She draws on cognitive behavioral methods to spot patterns that keep problems going and to try new, healthier responses. Client-centered and motivational techniques are used to clarify goals and build momentum toward them.

Trish also uses narrative and psychodynamic ideas to look at the stories people tell about themselves and where those stories came from. That can help make sense of long-standing patterns like attachment or abandonment fears, codependency, or commitment worries. She supports practical coping for chronic illness, pain, or life stressors.

People who choose Trish can expect straightforward conversation, concrete strategies, and a collaborative plan aimed at meaningful change. She focuses on what will move daily life forward and tailors her approach to each person's needs.

How therapeutic approaches translate to online care

Patricia often uses cognitive behavioral therapy, which focuses on identifying unhelpful thoughts and testing new behaviors to reduce anxiety, improve mood, and handle stress. She also works from a client-centered stance that emphasizes listening, empathy, and helping people set their own pace and goals. Motivational interviewing is used when people feel stuck or ambivalent about change, helping clarify values and build readiness for action.

Choosing the right approach is a collaborative process. The therapist will discuss goals, preferences, and past attempts at change, then tailor methods that fit the person. That conversation continues as progress is tracked and plans are adjusted together.

Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to increase flexibility. Video calls are useful for fuller conversation and visual cues. Phone sessions can work well when bandwidth is limited or a quicker check-in is needed. Live chat or messaging lets people share in shorter bursts and keep momentum between longer sessions. These options help make scheduling easier and let therapy fit into busy lives.