Patricia Nelson , LCSW, LCSW-R

Patricia Nelson is a licensed clinical social worker with 25 years of practice. She brings a calm, compassionate approach to sessions and helps people who are coping with stress, anxiety, depression, addiction, and relationship concerns. Patricia works with adults on issues related to parenting, career changes, grief, and intimacy. She also supports those facing trauma, abuse, ADHD, and LGBT-related concerns.

Patricia uses a client-centered style that focuses on each person's goals and strengths. She blends cognitive behavioral techniques to tackle unhelpful thoughts and DBT skills for managing strong emotions. Mindfulness and motivational interviewing are added when useful to build awareness and boost motivation for change.

In a session Patricia talks through problems clearly and practically. She helps people identify patterns, try new behaviors, and set small realistic steps. Sessions can include coaching elements when clients want specific plans for work, parenting, or daily routines.

Patricia has worked for many years in New York and holds both LCSW and LCSW-R credentials. Her background includes supporting people through major life changes such as adoption, caregiving stress, chronic illness, and bereavement. This experience shapes a steady, patient approach in therapeutic conversations.

People who prefer a respectful, interactive style often find her approach comfortable. She frames therapy as a collaborative process and encourages clients to move at a pace that feels manageable. If someone is ready to begin, she guides them toward practical next steps and ongoing support.

Therapeutic approaches and online care

Patricia commonly uses client-centered work and cognitive behavioral techniques in online sessions. Client-centered therapy focuses on listening, empathy, and building on your strengths to set goals and guide change. Cognitive behavioral therapy helps identify unhelpful thinking patterns and tests small behavioral changes to improve mood and functioning.

She also incorporates dialectical behavior therapy skills when emotion regulation or intense stress are central concerns. DBT skills teach practical tools for managing overwhelming feelings, improving interpersonal effectiveness, and tolerating distress without acting impulsively. Together these approaches can address anxiety, depression, relationship strain, and coping with life changes.

Patricia treats the choice of approach as collaborative. She will work with each person to figure out what fits their needs, goals, and preferences, and adjust methods as progress is made. Clients are invited to give feedback so sessions stay relevant and useful.

Online therapy lets people meet by video, phone, live chat, or text-based messaging, which adds flexibility. Video calls resemble an in-person conversation, phone sessions work well when bandwidth is limited, chat or text can be used for brief check-ins or ongoing support, and different formats can be mixed to fit a schedule. These options make it easier to keep therapy consistent around work, family, and daily demands.