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Patricia "Trish" West

Patricia "Trish" West, LCSW

Therapist in North Carolina

Calm, practical support for life changes

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Areas of expertise

Also works with

LGBTRelationship issuesFamily conflictsGriefParenting issuesAnger managementCareer difficultiesBipolar disorderCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAttachment issuesBlended family issuesBody imageCaregiver issues and stressChronic pain, illness, and disabilityCodependencyCommitment issuesCommunication problemsCoping with natural or human-caused disasterDivorce and separationDrug and alcohol addictionFamily of origin issuesFamily problemsForgivenessGuilt and shameImpulsivityInfidelityIsolation / lonelinessLife purposeMidlife crisisMood disordersMulticultural concernsPanic disorder and panic attacksPost-traumatic stressProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Motivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

19+ years

Credentials

North Carolina

Languages

English

  • Trauma informed approach
  • 19 years experience
  • North Carolina LCSW

About Patricia

Patricia "Trish" West helps people facing stress, anxiety, trauma and abuse, low self-esteem, and depression. She aims to make the first reach out feel manageable and steady. Trish emphasizes a calm, nonjudgmental space where someone can name what they are feeling and think about next steps.

She is a licensed clinical social worker - LCSW - practicing in North Carolina with 19 years of professional experience. Trish focuses on practical ways to cope with life changes, build confidence, and steady mood and motivation. Sessions are conversational and goal oriented, not lecture based.

Trish uses a mix of approaches tailored to each person. She draws from client-centered work that follows a person’s lead, cognitive behavioral ideas that look at thinking and behavior patterns, and narrative techniques that help people reframe their story. She also brings in motivational interviewing to help with readiness to change and psychodynamic ideas about how past relationships influence current feelings.

Her background includes many years helping people manage grief, relationship strain, parenting stress, caregiver burnout, and issues around identity and belonging. She also works with people dealing with addiction, chronic illness, and attachment concerns. Trish helps craft concrete steps clients can try between sessions.

If you are weighing therapy, she will help you set clear goals and check progress along the way. To start, use the site matching tools to schedule an initial appointment and see if her style fits your needs.

How her approaches translate to online work

Trish commonly uses client-centered methods and cognitive behavioral ideas in her work. Client-centered therapy focuses on listening closely and following what matters most to the person, which helps when sorting feelings and priorities. Cognitive behavioral therapy looks at how thoughts and actions interact and suggests small experiments to change unhelpful patterns.

Finding the right approach is part of the process. She will work with each person to pick methods that match their goals, needs, and comfort level. That choice is collaborative and may shift as progress is made.

Session options are not specified in the biography, so confirm current session formats before booking. Online therapy can make it easier to fit sessions into a busy life by reducing travel, allowing shorter check-ins when needed, and letting someone attend from a convenient location. Licensed professionals can adapt the same therapeutic techniques used in person to remote sessions, focusing on clear goals, practical homework, and steady progress without promising a specific outcome.

Frequently asked questions

What concerns does she help with?

She works with stress, anxiety, trauma and abuse, depression, self-esteem, and coping with life changes, among other concerns listed in her profile.

What is her therapeutic style like?

Her style is conversational and person-focused, using practical steps and collaborative goal setting rather than lengthy lectures.

How much experience does she have?

She has 19 years of professional work experience and practices as a licensed clinical social worker in North Carolina.

What credentials and location should I know about?

She holds an LCSW and is licensed in North Carolina.

Which languages are supported for sessions?

Sessions are offered in English.

Can people outside the U.S. work with her?

She does not accept international clients at this time.

How are costs and billing handled?

Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.

What are the steps to begin therapy?

Click the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

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