About Patricia
Patricia (Trish) Nichols is a licensed clinical social worker in Wyoming who uses person-centered and evidence-informed approaches to help people manage stress, anxiety, depression, grief, and related concerns. She focuses on practical tools and steady support so clients can feel more capable day to day. Trish aims to make sessions straightforward and compassionate for people who are worried or overwhelmed.
Trish draws on methods such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Attachment-Based Therapy to shape her work.
Background and approach
She helps people notice unhelpful patterns, name painful feelings, and try small changes that fit their life. Sessions often include simple exercises, skill-building, and chances to talk through what matters most. Her experience includes addressing trauma and abuse, self-esteem, eating and sleeping struggles, anger, caregiver stress, and burnout.
She also supports people facing career strain, life transitions, chronic health issues, and questions about identity and relationships. Communication problems, control issues, and feelings of emptiness are other areas she addresses. Trish brings seven years of clinical experience and holds the Wyoming LCSW credential, WY LCSW LCSW-1419.
She offers care in English and works with adults on a range of life and emotional challenges. Her style is calm and direct, aiming to help people build useful habits and clearer perspective. People who choose her can expect collaborative planning, practical homework when helpful, and steady attention to safety and pacing.
The work is paced to each person’s comfort and goals, with attention to small gains that add up over time.
Therapeutic approaches adapted for online care
Acceptance and Commitment Therapy (ACT) encourages people to notice difficult thoughts and feelings and take committed steps toward what matters. It is often helpful for anxiety, depression, and life transitions because it focuses on values and small action-based changes. Cognitive Behavioral Therapy (CBT) looks at the connection between thoughts, feelings, and behaviors and teaches concrete skills to shift unhelpful patterns. It is useful for worry, low mood, and problems like sleep or eating difficulties. Attachment-Based Therapy pays attention to how early relationships shape current patterns and helps people develop safer ways of relating and feeling close to others.Finding the right approach is part of the work. The therapist will collaborate with each person to choose methods that match their goals and comfort level. Together they’ll try techniques, review what helps, and adjust the plan as needed so the work fits daily life.
Online therapy offers flexibility through video calls, phone sessions, live chat, or text-based messaging. Video lets people work face to face when helpful. Phone sessions can be easier when bandwidth or camera use is a problem. Live chat and text messaging allow for brief check-ins or ongoing support without scheduling a full session. These options make it simpler to fit therapy around work, caregiving, health needs, and busy schedules while using approaches like ACT and CBT in a practical way.
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Specialties and expertise
Top specialties
Also works with
- Abandonment
- Aging and geriatric issues
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Family problems
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Intellectual disability
- Isolation / loneliness
- LGBT
- Life purpose
- Money and financial issues
- Mood disorders
- Panic disorder and panic attacks
- Post-traumatic stress
- Postpartum depression
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Traumatic brain injury
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
- Internal Family Systems
- Experience
- 7 years
- Licensed
- Wyoming
- Languages
- English