Patricia "Trish" West, LCSW
Experienced LCSW guiding personal story change
Details
| Name | Patricia "Trish" West |
|---|---|
| Credentials | LCSW |
| Based in | North Carolina |
| Licensed in | North Carolina |
| Session format | Online |
| Languages | English |
| Years in practice | 19 |
About Patricia
Patricia "Trish" West is a licensed clinical social worker in North Carolina with 19 years of experience. She helps people who are feeling overwhelmed by stress, anxiety, low self-esteem, depression, or big life changes. Trish aims to make first steps easier and less scary for those looking for more balance and hope.
Her sessions focus on giving people space to share thoughts and feelings without judgment. She listens closely and helps clients name what matters most to them.
Background and approach
Conversations look at patterns in relationships, work, and family life to find practical ways forward. Trish uses different approaches to fit each person. She draws on Narrative Therapy to help people reframe painful stories.
She uses Client-Centered techniques to follow the client’s lead and build trust. Cognitive Behavioral Therapy tools support concrete changes in thinking and behavior. Over nearly two decades she has worked with concerns that include trauma and abuse, grief, parenting strains, ADHD, substance challenges, and caregiving stress.
She also supports people facing identity and relationship questions, including LGBT concerns and blended family issues. Sessions are offered by video, phone, live chat, or text messaging to make care easier to fit into busy lives. Trish encourages a collaborative process that centers on each person’s goals and pace.
What this therapist works with
Her listing names Stress, Anxiety, Trauma and abuse, Self esteem among the things Patricia works with, alongside the areas below.
- Stress, Anxiety
- Trauma and abuse
- Self esteem
- Depression
- Coping with life changes
- LGBT
- Relationship issues
- Family conflicts
- Grief
- Parenting issues
- Anger management
- Career difficulties
- Bipolar disorder
- Coaching
- Compassion fatigue
- ADHD
- Abandonment
- Attachment issues
- Blended family issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Commitment issues
- Communication problems
- Coping with natural or human-caused disaster
- Divorce and separation
- Drug and alcohol addiction
- Family of origin issues
- Family problems
- Forgiveness
- Guilt and shame
- Impulsivity
- Infidelity
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Young adult issues
Approaches listed
- Narrative Therapy: Named in her listing among her approaches.
- Client-Centered Therapy: Listed by Patricia among the ways she works.
- Cognitive Behavioral Therapy (CBT): Listed by Patricia among the ways she works.
- Motivational Interviewing: Listed by Patricia among the ways she works.
- Psychodynamic Therapy: Listed by Patricia among the ways she works.
- Solution-Focused Therapy: Listed by Patricia among the ways she works.
- Trauma-Focused Therapy: Listed by Patricia among the ways she works.
- Training stated: This directory copies the approaches a therapist names and does not check training records. Ask Patricia directly how much of the work is narrative and what a session usually looks like.
Narrative Therapy in this listing
Narrative Therapy appears in this therapist's own list of approaches. That tells you it is part of how she works. It does not tell you how much of a session it shapes, and this directory does not check or rate training.
If a narrative approach is what you are looking for, it is worth asking Patricia directly how she uses it and what a session usually looks like.
Online session options
How Trish Uses Different Approaches Online
Trish often blends Narrative Therapy and Client-Centered work with Cognitive Behavioral Therapy tools. Narrative Therapy helps people separate themselves from painful stories and rewrite how they view difficult events. Client-Centered Therapy focuses on listening, reflecting, and following whatever the person brings to the session. Cognitive Behavioral Therapy offers straightforward strategies to change unhelpful thoughts and behaviors, which can help with anxiety, mood, and coping skills.Finding the right approach is part of the work together. She will talk with clients about goals and preferences and try methods that match their needs. This is a collaborative process where the therapist checks in and adjusts the plan as progress or new concerns arise.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to make therapy flexible. Video is useful for more in-depth conversations and visual cues. Phone sessions can work when internet quality is low or for shorter check-ins. Live chat or text messaging can be helpful for brief updates, homework check-ins, or when writing feels easier than speaking. These options make it simpler to fit therapy into a busy life while keeping focus on the work that matters.
Common questions about this listing
What kinds of problems can I bring to therapy?
She works with stress, anxiety, depression, trauma and abuse, self-esteem, grief, parenting pressures, relationship and family concerns, ADHD, bipolar challenges, caregiving stress, and substance or addiction issues.
What is her therapy style like?
Sessions are collaborative and person-focused. She creates a nonjudgmental space, listens closely, and helps clients name practical steps they can try between meetings.
How long has she been practicing?
She has 19 years of professional work experience helping people with a wide range of emotional and life challenges.
Where is the therapist licensed and located?
She is a licensed clinical social worker (LCSW) practicing in North Carolina and holds an NC LCSW credential.
Which languages are supported during sessions?
Sessions are offered in English.
Can I meet by video or message instead of in person?
Yes. Sessions are available by video calls, phone sessions, live chat, or text-based messaging to fit different schedules and needs.
How does payment and cost work?
Cost varies with location and therapist-specific factors and sessions use a subscription that can be canceled at any time.
What are the first steps to begin therapy?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.
Contacting this therapist
Sessions with Patricia are arranged through our partner platform. It asks a few questions about what you are looking for, then shows you the therapists available to you, including Patricia where she has space. Ask about fees, and whether she holds a licence or registration where you live.
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