About Patricia
Patricia "Trish" McMillan uses a practical therapy style that centers on the person's experience. She is a Licensed Clinical Social Worker, LCSW, based in Arizona. Trish focuses on helping people manage stress, anxiety, grief, low self-esteem, and depression.
She works to make conversations direct and respectful so a parent under pressure can follow along easily. Trish combines client-centered work with cognitive behavioral techniques. That means sessions start by listening closely and then move to skills and small changes that can help day-to-day life.
How Patricia works
She often uses solution-focused ideas to set clear, achievable goals for the coming weeks. Her approach is straightforward and collaborative. She tailors conversations and plans to each person's needs rather than using one fixed method.
Humor and warmth are used when it feels appropriate to ease tense moments. Trish has seven years providing brief solution-focused and cognitive behavioral therapy. That experience informs practical strategies for sleep problems, anger, relationship stress, caregiving strain, and coping with life changes.
She also addresses issues like compassion fatigue and caregiver stress. Sessions are offered in English and arranged through online formats. The intake starts with a short matching questionnaire and scheduling based on therapist availability.
Trish supports people taking the first step toward clearer goals and better daily coping.
Patricia lists 4 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
- Relationship issues
- Grief
Also listed
- Aging and geriatric issues
- Anger management
- Blended family issues
- Cancer
- Career difficulties
- Caregiver issues and stress
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Family conflicts
- Family problems
- First responder issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sleeping disorders
- Social anxiety and phobia
- Women's issues
- Workplace issues
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 7 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Arizona |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How these approaches work in online sessions
Client-centered therapy starts with listening in a way that makes your goals clear. The therapist follows your lead, asks questions, and shapes sessions around what matters most to you. This approach helps with concerns like grief, relationship tension, and low self-esteem.Cognitive behavioral therapy, or CBT, focuses on practical tools to change unhelpful thoughts and habits. It is used to address anxiety, depression, sleep problems, and anger by teaching specific skills you can practice between sessions.
Solution-focused therapy helps you set small, measurable goals and notice what works. It keeps conversations short and action-oriented, which can be helpful when coping with life changes, caregiver stress, or compassion fatigue.
Choosing the right approach is part of the work. The therapist will collaborate with each person to find what fits best based on needs, goals, and personal preferences. That may mean combining approaches or shifting direction as progress is made.
Online sessions by video calls, phone, live chat, or text-based messaging offer flexibility. Video is useful for face-to-face conversation, phone works when bandwidth is limited, live chat and texting can fit quick check-ins or when writing feels easier. These options make it simpler to schedule sessions around work, caregiving, and day-to-day life.
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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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