Patricia "Trish" West , LCSW

Patricia "Trish" West is a licensed clinical social worker who helps people facing stress, anxiety, depression, and life changes. She focuses on building a calm, accepting space where clients can talk through painful experiences and find practical ways forward.

Trish brings 19 years of professional experience in North Carolina to her work. She supports people dealing with trauma and abuse, low self-esteem, grief, and challenges related to parenting, caregiving, or chronic illness. She also addresses concerns such as ADHD, substance issues, career stress, and relationship or communication problems.

In sessions she listens closely and follows each person's lead. She uses tools drawn from client-centered methods and cognitive behavioral approaches to help people identify unhelpful thinking and try small behavior changes. Motivational interviewing and narrative techniques are used when people want to change habits or reframe difficult life stories.

Her style is straightforward and compassionate. Trish helps clients set clear goals and works with them to test strategies in everyday life. She aims for steady, achievable progress rather than quick fixes.

Many clients seek support for transitions such as separation, blended family issues, or job changes. Trish also assists people coping with compassion fatigue, abandonment or attachment concerns, and body image struggles. She encourages practical steps and honest conversation to rebuild confidence and move toward a more manageable life.

Therapeutic approaches for online care

Client-centered therapy focuses on listening and responding to each person's experience. The therapist follows the client's lead, reflects feelings, and helps people clarify what they want to change, which can be useful for stress, low self-esteem, grief, and relationship challenges.

Cognitive behavioral therapy, or CBT, looks at the links between thoughts, feelings, and actions. It uses practical exercises and small behavior experiments to change patterns that keep problems like anxiety or depression stuck in place.

Motivational interviewing is a short-term, goal-focused style that helps people find their own reasons to make a change. It can help with habits, substance concerns, or finding direction during life transitions.

Finding the right approach is part of the work. The therapist will talk with each client about goals, preferences, and what has or hasn't helped in the past. Together they will try strategies and adjust the plan as needed so therapy matches the client's needs.

Online therapy offers flexibility through video calls, phone sessions, live chat, or text-based messaging. Video lets people see facial cues and do deeper conversations. Phone sessions use less bandwidth and can fit into a shorter break. Live chat or messaging can work for quick check-ins, homework, or people who prefer writing. These options make it easier to fit therapy into a busy life and keep progress moving between sessions.