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 making the first step feel doable and supports clients as they work toward clearer thinking and better coping. Trish builds a calm space where people can say what they are feeling without fear of judgment.

With 19 years of professional experience in North Carolina, she brings steady practical support for concerns like trauma and abuse, low self-esteem, motivation, and relationship strain. She also assists people living with chronic pain, illness, or disability who need ways to manage daily challenges.

In sessions she uses conversational, goal-focused methods to break problems into manageable steps. She listens for each person's priorities and helps set small, realistic goals to test new ways of responding. Trish draws on approaches that encourage self-reflection and practical change rather than long lists of techniques.

People who are dealing with grief, caregiving stress, anger, or career transitions often seek her guidance. She also supports those navigating ADHD, bipolar mood challenges, addiction recovery, and issues tied to family history and attachment.

Her style is steady and respectful, aiming to help clients feel heard and clearer about what to try next. To begin, she encourages a simple first step: describing what is most urgent and what would feel different if things improved.

Using therapy approaches that fit your life online

Client-Centered Therapy focuses on listening closely and following the person's lead to build trust and clarity. It helps when someone needs a supportive place to talk and to figure out what matters most to them.

Cognitive Behavioral Therapy, or CBT, looks at how thoughts, feelings, and actions connect and teaches practical steps to change unhelpful patterns. It is often useful for anxiety, depression, and managing stress in day-to-day life.

Finding the right approach is part of the work. The therapist will collaborate with each person to decide which methods feel most useful, and will adjust the plan based on goals and progress. That partnership helps make sure sessions match practical needs and personal preferences.

Confirm current session options before booking so you know what formats are available. Online therapy can make it easier to fit appointments into a busy schedule, reduce travel time, and allow for shorter or more frequent check-ins when needed. It can also let someone join from a quieter location or avoid camera use if that helps them focus. Talk with the therapist about what will work best for scheduling and the style of sessions desired.