About Patricia
Patricia Nelson combines a client-centered way of working with practical therapies to help people who feel stuck by anxiety, depression, addiction, or life transitions. She is a Licensed Clinical Social Worker, LCSW, with 25 years of experience and practices from New York. Her style is warm and down-to-earth, with short-term and longer-term approaches depending on what each person needs.
Clients often come for help with stress, relationship and intimacy concerns, grief, parenting strain, or struggles with sleep and eating.
Background and approach
She also addresses issues such as trauma and abuse, ADHD, bipolar mood challenges, and compassion fatigue. Patricia meets people where they are and focuses on clear, step-by-step changes. Her work draws on client-centered listening together with cognitive-behavioral tools and elements of dialectical behavior and mindfulness.
She uses motivational interviewing to help people find internal reasons to change. Sessions usually include goal-setting, skill practice, and gentle reflection on patterns that keep problems going. Patricia adapts the pace to each person.
Some people want focused coaching for a specific goal. Others explore deeper patterns and history over time. She helps clients decide which path fits their needs and life demands.
She offers therapy from New York and conducts sessions in English. Her approach aims to be respectful and practical, helping people build useful tools and clearer plans for the next steps in their life.
Practical approaches for online therapy and skills work
Patricia blends client-centered listening with cognitive-behavioral and dialectical behavior tools to help people manage symptoms and make concrete changes. Client-Centered Therapy focuses on empathetic listening and understanding a person’s goals so the work fits their values and pace. Cognitive Behavioral Therapy (CBT) teaches simple, evidence-based skills to change unhelpful thoughts and behaviors, which is useful for anxiety, depression, and sleep or eating problems. Dialectical Behavior Therapy (DBT) provides practical skills for emotion regulation, distress tolerance, and improving communication in stressful moments.Choosing the right approach is part of the work. Patricia collaborates with each person to decide which methods suit their concerns and life. That might mean short-term skill building with CBT, learning DBT skills for intense emotions, or a client-centered plan that mixes coaching and deeper exploration over time.
Online formats include video calls, phone sessions, live chat, and text-based messaging to provide flexibility. Video is helpful for a face-to-face conversation and skill demonstration. Phone sessions can be a simpler option when bandwidth is limited. Live chat and text messaging allow for shorter check-ins, written reflections, and coaching prompts between sessions. These options make it easier to fit therapy into busy schedules and varied routines.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Addictions
- Relationship issues
Also works with
- Abandonment
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Bipolar disorder
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fertility issues
- First responder issues
- Forgiveness
- Grief
- Guilt and shame
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Trauma and abuse
- Trichotillomania
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 25 years
- Licensed
- New York, California
- Languages
- English