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LMHC

Trisha Merwin, LMHC

  • Experience20 years
  • LocationWashington
  • Focus areasADHD, Stress and Anxiety, and Trauma and abuse
  • LanguagesEnglish
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About Trisha

Trisha Merwin brings 20 years of clinical experience to her practice in Washington, focusing on stress, anxiety, trauma and abuse, self-esteem, depression, and ADHD. She blends evidence-based methods with attention to the whole person, addressing how life transitions, health challenges, and social dynamics affect emotional wellbeing.

Background and approach

Her work also encompasses concerns such as mood disorders, panic attacks, obsessive-compulsive symptoms, post-traumatic stress, and issues tied to adoption, foster care, and blended families. Clients encounter a practitioner who values each individual's spiritual and emotional context while relying on proven therapeutic techniques.

Sessions explore patterns in relationships, communication difficulties, chronic pain and illness, and feelings of isolation, with an emphasis on building resilience and practical coping strategies. Trisha maintains a supportive, nonjudgmental stance that encourages growth and increased self-understanding.

Therapy with Trisha aims to help people manage immediate symptoms and develop longer-term tools for emotional regulation and improved daily functioning. With a Washington LMHC credential, she offers care informed by years of diverse practice and a commitment to meeting clients where they are.

Evidence-Informed Approaches for Online Care



Trisha uses evidence-based therapeutic techniques to guide her work in areas like anxiety, trauma, depression, and ADHD-related concerns. One approach emphasizes practical skills for managing anxiety and panic - teaching breathing, grounding, and behavioral strategies to reduce symptom intensity and increase day-to-day functioning. Another core element involves trauma-informed interventions that help clients process distressing experiences safely while building emotional regulation and resilience.

Finding the right therapeutic approach is a collaborative process. Trisha works with each person to assess needs, goals, and preferences, and she adapts techniques over time so the plan fits the individual rather than forcing a single method on every situation.

Online therapy is offered through multiple formats including video calls, phone sessions, live chat, and text-based messaging to provide flexibility for differing schedules and comfort levels. These options make it easier to attend consistent sessions, practice new skills between appointments, and maintain continuity of care even when life is busy or travel is difficult. Licensed professionals can tailor session frequency and format to support practical progress toward clients' goals.

Frequently asked questions

What concerns does this therapist address?
She works with stress, anxiety, trauma and abuse, self-esteem, depression, and ADHD, along with related areas such as mood disorders, panic attacks, OCD symptoms, and post-traumatic stress.
What is her general therapeutic style?
Her style combines evidence-based techniques with attention to each person's spiritual and emotional context, offering a compassionate and nonjudgmental space for exploration and growth.
How much clinical experience does she have?
She has 20 years of experience working with a range of mental health concerns and life transition issues.
What credentials and location are on record?
She is listed as an LMHC with the designation WA LMHC MHC.LH.61207419 and practices in Washington.
Which languages are available for sessions?
Sessions are conducted in English, and she is not accepting international clients at this time.
In what session formats can clients meet with her?
Available formats include video calls, phone sessions, live chat, and text-based messaging to accommodate different needs and preferences.
How are costs and payments handled?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the steps to begin therapy?
To start, select the Start Therapy button, complete a short matching questionnaire, and schedule a session based on the therapist's availability.

Areas of expertise

Additional focus areas

Adoption and foster careAging and geriatric issuesBlended family issuesChronic pain, illness, and disabilityCommunication problemsDisruptive Mood Dysregulation Disorder (DMDD)Family problemsForgivenessGuilt and shameHospice and end-of-life counselingIsolation / lonelinessMood disordersObsessions, compulsions, and OCDPanic disorder and panic attacksPost-traumatic stressSeasonal Affective Disorder (SAD)Social anxiety and phobiaWomen's issues

Experience

20+ years

Licensed

Washington

Languages

English