- Client-Centered Therapy
- Cognitive Behavioral Therapy
- Motivational Interviewing
About Patricia
Patricia "Trish" West is a Licensed Clinical Social Worker (LCSW) practicing in North Carolina with 19 years of professional experience. She works with people who are dealing with stress, anxiety, trauma and abuse, low self-esteem, depression, anger, and life transitions. Trish also supports clients facing issues related to relationships, parenting, grief, career concerns, ADHD, and LGBT matters.
Her approach is straightforward and conversational. Sessions focus on talking through what is happening now and identifying steps that feel doable. She draws on client-centered methods to follow the person's lead and on cognitive behavioral techniques to spot patterns that keep problems going.
Trish also uses motivational interviewing to help people find the reasons they want change, and narrative therapy to look at how life stories shape reactions. Psychodynamic ideas are used when past experiences are useful to understanding current patterns. She mixes approaches so work in sessions matches a person's goals and pace.
Expect practical conversation about day-to-day problems, clearer options to try between sessions, and a focus on skills that reduce reactivity and increase control. Trish helps people practice new responses and notice what works in real life.
People who value direct, respectful talk about difficult emotions often choose to work with her. The first sessions typically focus on immediate concerns and the next steps a person wants to try.
How therapeutic approaches translate to online work
Client-Centered Therapy focuses on following the person's concerns and helping them speak about what matters most. Online sessions using this approach let the therapist reflect back what the person says and help prioritize the most pressing problems. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and actions and gives clear exercises to practice. In online sessions CBT can be used to identify unhelpful thinking patterns and set small changes to try between meetings.Choosing the right approach is something the therapist and client figure out together. Trish will discuss goals, preferences, and what has helped or not helped before. That collaborative conversation guides which methods are emphasized over time rather than imposing a single way of working.
The practical upside of meeting online is fitting sessions into everyday life. Confirm current session options before booking since formats are not listed here. Once formats are confirmed, online sessions can make it easier to schedule shorter check-ins, avoid travel time, or choose options that suit quieter surroundings or lower bandwidth needs. The focus remains on useful skills and steps that can be practiced between meetings.
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
19+ years
Listed in
North Carolina
Languages
English
Frequently asked questions
What kinds of concerns does she work with?
She works with stress, anxiety, trauma and abuse, self esteem, depression, anger, and coping with life changes among other issues.
What is her style in therapy?
She uses a direct, conversational style that focuses on practical steps and clearer options to try between sessions.
How much clinical experience does she have?
She has 19 years of professional work experience in clinical settings.
What credentials and location are listed?
She is an LCSW licensed in North Carolina.
Which languages are sessions offered in?
Sessions are offered in English.
Can international clients work with her?
International clients are not currently accepted.
What can you expect about cost and billing?
Cost varies by location and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.