About Trisha
Trisha Merwin is a licensed mental health counselor with 20 years of experience helping people cope with stress, anxiety, trauma, depression, low self-esteem, and ADHD. She offers calm, practical support for people who feel overwhelmed or stuck. Trisha writes and talks plainly and focuses on what helps day to day.
Her work pays attention to life changes and the everyday pressures that make emotions feel raw. She also supports people facing adoption and foster care concerns, blended family issues, chronic illness or pain, hospice and end-of-life matters, and aging challenges.
How Trisha works
Communication problems, isolation and mood disorders are among other areas she addresses. Trisha uses evidence-based therapeutic techniques and also honors each person's spiritual and emotional background when that matters to them. Sessions are collaborative and focused on building coping skills, improving communication, and managing symptoms like panic attacks or obsessive worries.
She aims to help people develop stronger routines and clearer choices. Her practice style is steady and respectful. Trisha listens first, then helps people try practical steps and small changes they can use between sessions.
She explains options in everyday language so decisions feel manageable. Based in Washington as a WA LMHC - Licensed Mental Health Counselor, she offers care in English and does not take international clients. The approach fits people who want direct, experienced guidance for complex emotional problems.
What Trisha works with
The areas below are the ones Trisha selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Blended family issues
- Chronic pain, illness, and disability
- Communication problems
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Family problems
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Isolation / loneliness
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Social anxiety and phobia
- Women's issues
Training and background
| Register | LMHC |
|---|---|
| Years in practice | 20 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Washington |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches that guide online care
Trisha uses evidence-based therapeutic techniques that focus on practical skill building and symptom management. One approach emphasizes teaching coping skills and behavioral strategies to reduce anxiety and panic symptoms; it involves practicing new habits and short exercises that lower distress and improve day-to-day functioning. Another approach concentrates on understanding and processing trauma and abuse through paced, structured work so people can reduce reactivity and reclaim routines that feel safe and manageable.Choosing the right approach is part of the work together. The therapist will listen to your goals, review what has helped before, and suggest techniques that fit your needs and preferences. This collaborative process may shift over time as you try strategies and see what helps most.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to make therapy fit into busy lives. Video is useful for full sessions that feel most like in-person meetings. Phone calls can be easier when bandwidth is limited or when a shorter check-in is needed. Live chat and text messaging work well for quick updates, brief coaching between visits, or people who prefer writing to talking.
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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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