Patricia "Trish" West, LCSW

Patricia "Trish" West is a licensed clinical social worker in North Carolina with 19 years of experience. She helps people who feel overwhelmed by stress, anxiety, depression, or big life changes. Trish offers a calm, nonjudgmental space to talk through difficult feelings and figure out practical next steps.

Trish focuses on everyday struggles like low self-esteem, motivation, grief, and relationship concerns. She also supports people facing trauma, caregiving strain, chronic illness, and challenges related to identity and sexuality. Her work includes attention to ADHD, bipolar concerns, and the emotional fallout from separation or blended family issues.

Her approach centers on listening first and tailoring work to each person. Trish draws on client-centered methods to follow a person's lead and on cognitive behavioral techniques to shift patterns that cause distress. She also uses motivational interviewing to strengthen readiness for change and narrative ideas to reframe difficult life stories.

Sessions with Trish typically begin by identifying a few clear goals. She then helps people try small, manageable steps between meetings and notices what helps. This keeps progress focused and practical while still making room for deeper reflection.

People who choose Trish often want steady support during transitions or help repairing important relationships. She aims to be a steady partner in the work to feel more capable, connected, and hopeful about the future.

How Trish’s Approaches Work Online

Client-Centered Therapy focuses on listening and following a person's concerns. The therapist offers a warm, respectful space and helps people identify what matters most to them and what they want to change. Cognitive Behavioral Therapy, or CBT, looks at how thoughts and behaviors keep problems going and teaches specific tools to reduce symptoms and build healthier habits. Motivational Interviewing helps people resolve doubts about change by exploring values and boosting their own reasons to act.

Finding the right approach is part of the work. Trish will collaborate with each person to choose and adjust methods based on goals, needs, and pace. This means trying practical tools first, checking what helps, and shifting course if something doesn't fit.

Confirm current session options before booking, as formats are not listed here. Online sessions can make it easier to fit therapy into a busy day, allow shorter check-ins when time is limited, and reduce travel time. Many people find that remote meetings help them keep momentum between appointments and practice new skills in everyday life.