Patricia "Trish" West , LCSW

Patricia "Trish" West is a Licensed Clinical Social Worker (LCSW) licensed in North Carolina with 19 years of professional experience. She brings a grounded, compassionate approach to helping people manage stress, anxiety, trauma and abuse, and depression, while supporting growth in self-esteem, confidence, and motivation. Her work also focuses on navigating life transitions, relationship and family concerns, grief and loss, parenting challenges, and a wide range of emotional and behavioral issues including ADHD, bipolar concerns, and substance-related difficulties.

Patricia emphasizes creating an open, nonjudgmental space where thoughts and feelings can be expressed and explored. She draws on client-centered principles to honor each person’s perspective, and integrates practical strategies to address patterns of thinking and behavior that contribute to distress. Patricia also incorporates motivational techniques and narrative elements to help clients clarify goals, build resilience, and rewrite unhelpful stories about themselves.

Clients can expect a collaborative stance from Patricia that balances empathy with goal-oriented work. Her clinical experience includes helping people cope with caregiver stress, attachment and abandonment issues, blended family dynamics, and the ripple effects of chronic illness or trauma. She supports individuals in developing coping skills, improving communication, and making meaningful changes toward a more fulfilling life.

Therapeutic Approaches and Online Care

Patricia "Trish" West uses a blend of practical and empathic methods suited to online work. Client-Centered Therapy focuses on creating an accepting, nonjudgmental environment in which clients are encouraged to lead the conversation and explore their feelings; this approach helps with self-esteem, relationship issues, and navigating life changes. Cognitive Behavioral Therapy (CBT) offers structured techniques to identify and change unhelpful thought patterns and behaviors, often helping with anxiety, depression, stress, and coping skills. Motivational Interviewing supports clients who are ambivalent about change by strengthening personal motivation and clarifying goals, which can be useful for addiction, health behavior changes, and achieving sustained progress.

Finding the right approach is part of the therapeutic process. Patricia collaborates with each person to determine which methods fit their needs, goals, and preferences, adjusting the work over time to stay aligned with what is most helpful. This collaborative stance helps clients feel involved and empowered in planning their care.

Online therapy with Patricia can take place by video calls, phone sessions, live chat, or text-based messaging. These options provide flexibility for scheduling, shorter check-ins or longer sessions, and the ability to engage from home or other convenient locations, making it easier to maintain continuity of care and integrate therapy into daily life.