About Patricia
Patricia Nelson uses a warm, client-centered approach to help people facing stress, anxiety, addiction, depression, and trauma. She introduces practical strategies and clear conversation to make therapy feel understandable. Patricia is a licensed clinical social worker with long experience and a down-to-earth style.
Patricia brings 25 years of clinical work in New York to each session. She focuses on what a person is living with now and helps build skills to manage emotions, cravings, and difficult thoughts.
How Patricia works
Her background includes work with grief, intimacy-related issues, eating and sleeping problems, attention differences, and compassion fatigue. Her sessions often blend Cognitive Behavioral Therapy with Dialectical Behavior Therapy and mindfulness techniques. Those tools help people recognize unhelpful thinking, practice new behaviors, and calm intense feelings.
Patricia adapts the pace and exercises to fit each person’s needs and goals. She also uses motivational interviewing and a narrative stance to support change and make sense of personal stories. That mix is useful for career transitions, relationship struggles, and coping with chronic illness or caregiver stress.
Patricia pays attention to patterns like attachment concerns, abandonment, codependency, and communication problems. Practical problem solving is central to her work. Sessions can include goal setting, skill practice, and brief coaching to move toward clearer decisions.
Patricia aims to encourage steady progress while respecting where someone is starting from.
Patricia lists 8 ways of working on the entry:
What Patricia works with
The areas below are the ones Patricia selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Addictions
- Relationship issues
Also listed
- Abandonment
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Bipolar disorder
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fertility issues
- First responder issues
- Forgiveness
- Grief
- Guilt and shame
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Trauma and abuse
- Trichotillomania
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Registers | LCSW, LCSW-R |
|---|---|
| Years in practice | 25 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | New York |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches that translate well to online therapy
Patricia commonly uses Cognitive Behavioral Therapy to help people spot unhelpful thoughts and try different behaviors. CBT sessions often include simple exercises and practice tasks that work well over video or messaging. She also uses Dialectical Behavior Therapy skills to teach emotion regulation, distress tolerance, and interpersonal effectiveness, which can be practiced between sessions and reviewed remotely.Finding the right approach is collaborative. Patricia will talk through goals and preferences and recommend a mix of techniques to match those needs. Clients and the therapist adjust methods over time so the plan stays useful and realistic.
Online therapy offers practical flexibility. Video calls allow face-to-face conversation and visual cues, phone sessions are good when bandwidth or a hands-free option is needed, and live chat or text-based messaging suits brief check-ins or ongoing coaching. These formats make it easier to fit therapy into busy schedules, follow up on skill practice, and maintain continuity between appointments.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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