About Patricia
Patricia (Trish) Nichols is a licensed clinical social worker who helps people facing anxiety, depression, grief, trauma, and major life transitions. She works with individuals to build coping skills and find clearer direction during stressful times. Trish blends several practical therapy approaches to match each person's needs.
She draws on cognitive behavioral techniques to spot and change unhelpful thinking and uses acceptance-based tools to help people live by their values.
How Patricia works
Attachment-focused ideas are also part of her work when relationship patterns come up. Sessions are straightforward and collaborative. Trish listens closely, helps name what is happening, and practices steps that make daily life easier.
She focuses on small, manageable changes rather than big theory talks. Her practice includes support for issues such as self-esteem, career stress, eating and sleep concerns, anger, compassion fatigue, and identity questions including LGBT matters. She also addresses problems linked to chronic illness, caregiving strain, grief, and feelings of emptiness.
Trish has seven years of experience as an LCSW in Wyoming. She offers a calm, affirming space for exploration and problem solving. Her approach aims to increase resilience and help people carry what they learn into everyday life.
Patricia lists 12 ways of working on the entry:
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
- Internal Family Systems
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.
Also listed
- Abandonment
- Aging and geriatric issues
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Family problems
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Intellectual disability
- Isolation / loneliness
- LGBT
- Life purpose
- Money and financial issues
- Mood disorders
- Panic disorder and panic attacks
- Post-traumatic stress
- Postpartum depression
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Traumatic brain injury
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 7 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Wyoming |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Using Evidence-Based Approaches in Online Sessions
Acceptance and Commitment Therapy (ACT) focuses on helping people notice thoughts and feelings without getting tangled in them, and then choose actions that align with their values. This can be useful for anxiety, low mood, and life transitions. Cognitive Behavioral Therapy (CBT) looks at patterns of thinking and behavior, and teaches concrete steps to break cycles that feed depression or anxiety. This approach often includes homework between sessions to practice new skills. Attachment-Based Therapy pays attention to how early relationships shape expectations and responses in current relationships, and it helps people build more supported ways of relating when connection issues arise.Finding the right approach is part of the process. The therapist will talk with the person about goals, history, and preferences, and they will decide together which methods to use. That collaborative process helps tailor sessions to what actually helps the individual make progress.
Online therapy offers several practical benefits. Video calls allow for face-to-face conversation when meeting in person is not possible. Phone sessions are useful when a lower-bandwidth option or a shorter check-in is needed. Live chat and text-based messaging can make it easier to keep momentum between sessions and to check in quickly during a busy week. These options create flexibility so people can fit therapy into work, caregiving, or health-related schedules.
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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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