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 mood, trauma, or life changes. Trish aims to create an open space where people can speak honestly and be heard without judgment.
Trish uses practical conversation to help clients sort through difficult thoughts and feelings. She draws on approaches such as client-centered work and cognitive behavioral techniques to help people notice unhelpful patterns and try small, realistic changes.
Background and approach
Motivational interviewing is part of her style when someone needs help finding reasons to try something different. Her background includes nearly two decades of work supporting people through grief, relationship strain, caregiver stress, and concerns like ADHD and bipolar disorder. She also helps with issues tied to identity, body image, addiction, and forgiveness.
This breadth of experience means she can pull from different ways of working depending on the situation. Sessions focus on clear goals and usable steps. Conversations are straightforward and paced to each person’s needs.
Trish supports people who want practical coping skills as well as those who want to reflect on deeper patterns that get in the way of feeling better. People who choose her often want a blend of empathic listening and hands-on strategies. Trish explains options, checks what feels right, and adjusts the plan as progress happens.
Her approach centers on helping people move toward more manageable days and clearer decisions.
Therapeutic approaches and online sessions
Client-centered therapy focuses on listening closely and following each person’s lead. The therapist offers empathic support and helps clients find their own solutions, which is useful for building confidence and sorting through strong emotions.Cognitive behavioral therapy (CBT) looks at the link between thoughts, feelings, and actions. It helps people identify unhelpful thinking, test new ideas, and try small behavioral changes to reduce anxiety or low mood.
Motivational interviewing is used when someone feels stuck or uncertain about change. It involves respectful conversation to uncover personal reasons for choosing a new direction or making healthier choices.
Finding the right mix of approaches is part of the work. The therapist will talk with each person about goals and preferences, then adapt methods to fit what feels most useful. This shared decision-making helps keep the plan practical and relevant.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video lets people use visual cues and longer conversation. Phone sessions can be good when internet is limited or a quieter setting is easier. Live chat and messaging are useful for shorter check-ins, ongoing support between sessions, or when writing helps clarify thoughts. These options make it easier to fit therapy into a busy life.
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Specialties and expertise
Top specialties
Also works with
- Abandonment
- ADHD
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Body image
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Divorce and separation
- Drug and alcohol addiction
- Family conflicts
- Family of origin issues
- Family problems
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Infidelity
- Isolation / loneliness
- LGBT
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Parenting issues
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 19 years
- Licensed
- North Carolina
- Languages
- English