About Patricia
Patricia "Trish" West helps people who are feeling overwhelmed, stuck, or unsure where to begin. She combines steady listening with practical steps so clients can make small changes that add up. Trish is a Licensed Clinical Social Worker with 19 years of experience in North Carolina and she focuses on clear, everyday language in sessions.
Trish works with stress, anxiety, depression, and trauma and abuse. She also supports people dealing with self-esteem, motivation, grief, parenting challenges, career strain, ADHD, and compassion fatigue.
How Patricia works
She helps people navigate life changes and relationship and family concerns. Her practice also addresses issues such as attachment and abandonment, blended family challenges, body image, chronic illness or pain, addiction, and forgiveness. In sessions she builds an open, nonjudgmental atmosphere where clients can talk honestly.
Conversations aim to identify patterns that cause pain and to try realistic strategies that fit each person's life. Trish uses several approaches, including client-centered and cognitive behavioral techniques, motivational interviewing, narrative ideas, and psychodynamic perspectives to shape work together. She emphasizes collaboration and practical tools, not jargon.
Goals are set with the client's input and adjusted as progress is made. Trish supports people who want straightforward guidance and a steady partner while they work toward change. Her office is in North Carolina and she conducts sessions in English.
With nearly two decades of practice, she draws on varied clinical experience while keeping the work focused on what helps now.
Patricia lists 7 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.
Also listed
- Abandonment
- ADHD
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Body image
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Divorce and separation
- Drug and alcohol addiction
- Family conflicts
- Family of origin issues
- Family problems
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Infidelity
- Isolation / loneliness
- LGBT
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Parenting issues
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 19 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | North Carolina |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches for online care and what to expect
Trish often uses Client-Centered Therapy, which focuses on listening closely and helping clients set their own goals. This approach works well for people who want a space to be heard and to gradually build confidence. She also uses Cognitive Behavioral Therapy, which looks at how thoughts and actions influence mood and teaches concrete skills to change unhelpful patterns.The right approach is something she decides together with each client. Early sessions are used to talk about goals, try a few approaches, and see what fits best. She adapts techniques based on the person’s needs and preferences so the work feels practical and relevant.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging. Video calls allow face-to-face conversation and visual cues. Phone sessions can work when bandwidth is limited or a quieter check-in is needed. Live chat and text-based messaging are useful for shorter check-ins, ongoing support between sessions, or when writing out thoughts feels easier. These options make it simpler to fit therapy into a busy day while keeping the focus on meaningful progress.
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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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