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LCSW

Patricia "Trish" West, LCSW

  • Experience19 years
  • LocationNorth Carolina
  • Focus areasADHD, Stress and Anxiety, and Trauma and abuse
  • Therapy approachesClient-Centered Therapy and Cognitive Behavioral Therapy (CBT)
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About Patricia

Patricia "Trish" West welcomes people seeking support for stress, anxiety, depression, ADHD, trauma and related life changes. She centers care on helping clients build confidence, increase motivation, and navigate difficult transitions by offering steady, nonjudgmental support.

Background and approach

With nearly two decades of clinical practice, she draws on a range of therapeutic tools to tailor work to each person’s needs. Trish is a licensed clinical social worker (LCSW) practicing in North Carolina with 19 years of experience.

Her approach emphasizes open communication and emotional safety so clients can explore concerns such as grief, relationship and family difficulties, career strain, compassion fatigue, and substance-related challenges. She blends client-centered listening with evidence-informed techniques to address patterns of thinking, attachment themes, and the stories people tell about themselves.

The tone of her work is practical and compassionate, aimed at helping individuals move toward clearer priorities and healthier coping strategies.

Approaches That Guide Online Care

Client-centered therapy places the client’s experience at the center of the work, emphasizing empathic listening and collaboration so people feel heard and respected while they explore goals and emotions. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking and behavior patterns and teaching practical skills to manage symptoms like anxiety, low mood, and stress. Motivational Interviewing helps people clarify their own motivations and build readiness for change, which can be useful for issues involving motivation, substance use, or lifestyle shifts.

Choosing the right approach is part of the therapeutic process, and Trish works collaboratively with each person to determine what methods best match their needs, goals, and preferences. Together they may blend elements from different approaches to create a plan that feels sensible and achievable rather than rigid.

Online therapy with Trish offers flexibility through video calls, phone sessions, live chat, or text-based messaging, making it easier to fit care into busy schedules or manage energy during difficult periods. These formats support ongoing collaboration and skill practice between sessions while allowing clients to access licensed professional care from where they are.

Frequently asked questions

What kinds of concerns does Trish commonly address?
She works with a wide range of issues including stress, anxiety, trauma and abuse, depression, self-esteem, grief, relationship and family problems, ADHD, and career or caregiving stress.
How would you describe her therapeutic style?
Her style combines client-centered listening with practical interventions from approaches like CBT and motivational interviewing to help clients identify goals and develop coping strategies.
What is her professional background and experience?
Trish has 19 years of professional experience in clinical social work and brings long-term practice helping people navigate life transitions and emotional challenges.
What credentials does she hold and where is she located?
She is a licensed clinical social worker (NC LCSW C014654) practicing in North Carolina.
Does she provide services in other languages or to clients abroad?
Sessions are conducted in English and she is not currently accepting international clients.
Which session formats are offered for connecting with her?
She sees clients through video calls, phone sessions, live chat, and text-based messaging to provide flexible options for care.
How are fees and scheduling handled?
Cost varies with location and therapist availability, and sessions are provided through a subscription that can be canceled at any time.
What are the steps to begin working together?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule a session based on therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyTrauma and abuseSelf esteemDepressionCoping with life changes

Also works with

LGBTRelationship issuesFamily conflictsGriefParenting issuesAnger managementCareer difficultiesBipolar disorderCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAttachment issuesBlended family issuesBody imageCaregiver issues and stressChronic pain, illness, and disabilityCodependencyCommitment issuesCommunication problemsCoping with natural or human-caused disasterDivorce and separationDrug and alcohol addictionFamily of origin issuesFamily problemsForgivenessGuilt and shameImpulsivityInfidelityIsolation / lonelinessLife purposeMidlife crisisMood disordersMulticultural concernsPanic disorder and panic attacksPost-traumatic stressProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Motivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

19+ years

Licensed

North Carolina

Languages

English