About Patricia
Patricia Green-Metz offers support for stress, anxiety, depression, trauma, relationship strain, parenting challenges, addiction concerns, and identity-related issues. She is a licensed clinical social worker with 30 years of practice and works from Louisiana. Patricia aims to make the first steps feel manageable and clear for people who are worried or overwhelmed.
She creates an affirming space that pays attention to culture and identity. People come to her for help after experiences of prejudice, discrimination, sexual assault, or other traumatic events.
Background and approach
She also supports those dealing with grief, bipolar mood shifts, ADHD, and compassion fatigue. Patricia uses practical therapies that focus on real-life changes. She draws on client-centered methods to listen and set goals together.
She also uses cognitive behavioral techniques to identify unhelpful thoughts and DBT skills for emotional regulation. Sessions mix direct problem-solving with changes in daily habits. Patricia emphasizes clear steps clients can try between meetings.
She also includes mindfulness and motivational interviewing to strengthen motivation and coping skills. Her work is collaborative and down-to-earth. Patricia guides people through small, steady changes rather than quick fixes.
She brings long experience and a focus on respect, dignity, and cultural awareness to every session.
Practical approaches for online therapy
Client-centered therapy focuses on understanding the person first. The therapist listens closely, reflects what she hears, and helps people set goals that matter to them. This approach is useful when someone needs a supportive space to sort out feelings and decide on next steps.Cognitive behavioral therapy, or CBT, looks at the link between thoughts, feelings, and actions. Patricia helps clients spot thinking patterns that cause stress and then tests new ways of thinking and behaving. CBT is often used for anxiety, depression, sleep issues, and problems with motivation.
Dialectical behavior therapy, DBT, teaches practical skills for managing intense emotions and improving relationships. It includes techniques for regulating feelings, tolerating distress, and communicating clearly, which can help with anger, self-harm urges, and emotional overwhelm.
Finding the right approach is part of the work together. Patricia will discuss options and help decide which methods fit best based on a person’s needs, goals, and preferences. This is a collaborative process and plans can change as progress is made.
Online formats make it easier to fit therapy into busy lives. Video calls allow face-to-face conversation when bandwidth and a quiet space are available. Phone sessions can work when a camera is not needed or bandwidth is limited. Text-based messaging and live chat offer shorter, flexible check-ins and written reflections between sessions. These options support continuity of care and make it simpler to keep up with sessions despite work, caregiving, or travel commitments.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Family conflicts
- Trauma and abuse
Also works with
- Addictions
- ADHD
- Anger management
- Bipolar disorder
- Career difficulties
- Coaching
- Compassion fatigue
- Coping with life changes
- Depression
- Eating disorders
- Gender dysphoria
- Grief
- Intimacy-related issues
- LGBT
- Multicultural concerns
- Paranoia
- Parenting issues
- Post-traumatic stress
- Prejudice and discrimination
- Relationship issues
- Self esteem
- Self-harm
- Sexual assault and abuse
- Sleeping disorders
Therapeutic approaches
- Experience
- 30 years
- Licensed
- Louisiana
- Languages
- English