Patricia "Trish" West

Patricia "Trish" West is a licensed clinical social worker with 19 years of experience. She helps people facing stress, anxiety, depression, and career concerns. She aims to make beginning therapy feel manageable and straightforward for those who are nervous about taking the first step.

Trish creates an open, nonjudgmental space where clients can talk through difficult feelings. She focuses on building trust and listening closely to each person’s story before suggesting ways to move forward. Sessions emphasize practical steps and clearer thinking so people can regain momentum in daily life.

Her work includes support for trauma and abuse, self-esteem and confidence issues, and coping with life changes. She also helps people dealing with grief, parenting strain, compassion fatigue, and ADHD-related challenges. Trish pays attention to how relationships and family history shape current patterns.

Trish uses a mix of approaches to match each person’s needs. She draws on client-centered methods to center the client’s own goals, and she uses cognitive behavioral strategies to identify unhelpful thoughts and try new behaviors. Motivational interviewing and narrative ideas help when people feel stuck and want to build motivation and clearer meaning.

This clinician is licensed in North Carolina as an LCSW. Sessions are offered in English. To begin, readers should use the site's Start Therapy flow to complete a short matching questionnaire and schedule according to availability.

How therapeutic approaches guide online care

Client-centered therapy focuses on the person's own goals and values. The therapist listens closely and helps the client steer sessions toward what feels most important, which is useful for work stress, self-esteem, and life changes.

Cognitive behavioral therapy, or CBT, looks at how thoughts affect feelings and actions. It breaks problems into small parts and tests practical changes, which can help with anxiety, depression, and career-related decision making.

Motivational interviewing helps when someone feels stuck or unsure about change. It uses questions and reflection to build a person’s own reasons for taking steps forward, useful for addiction, motivation, or big life transitions.

Finding the right approach is part of the work together. The therapist will talk with each person about their goals and try methods that fit those needs. If an approach needs adjustment, she changes course with the client so the work stays useful and realistic.

Confirm the current session options before booking so you know how meetings are arranged. Online therapy can make it easier to fit sessions into a busy schedule, reduce travel time, and allow shorter check-ins when that suits a workday. It can also let people join from a quieter space or choose phone-based contact when less bandwidth is available.