Patricia "Trish" West, LCSW
Practical support for overwhelmed parents and caregivers
Book with Patricia- Years in practice
- 19
- Credentials
- LCSW
- Licensed in
- North Carolina
- Languages
- English
- Focus
- Stress, Anxiety
- Focus
- Trauma and abuse
- Focus
- Self esteem
About Patricia
Patricia "Trish" West offers straightforward, practical support for people feeling overwhelmed by parenting demands and life change. She aims to make the first step feel manageable and clear. Trish speaks plainly and helps clients sort through immediate worries so they can take small, steady steps forward.
Trish is a licensed clinical social worker - LCSW - practicing in North Carolina with 19 years of experience. She has helped people manage stress, anxiety, depression, and issues tied to trauma and abuse.
Background and approach
Parents and caregivers often come with questions about boundaries, communication, and how to balance personal needs with family life. Her approach is conversational and focused on what will help in day-to-day life. She uses client-centered work to listen and follow each person's priorities.
She also draws on cognitive behavioral therapy to spot unhelpful thought patterns and try new behaviors. Trish adds tools from motivational interviewing and narrative therapy to clarify values and the stories people tell about themselves. That mix helps clients find motivation and reframe setbacks into learning steps.
Sessions often involve simple experiments to test different ways of responding at home. Many people say they want practical change rather than long explanations. Trish aims to keep sessions clear, outcome-focused, and respectful of each persons pace.
She supports people through transitions like grief, divorce, blended family concerns, burnout, or career shifts.
What Patricia works with
Everything Patricia lists, in the therapist's own terms. Parenting is the reason this directory exists; the rest shows what else Patricia helps people with.
- Stress, Anxiety
- Trauma and abuse
- Self esteem
- Depression
- Coping with life changes
- LGBT
- Relationship issues
- Family conflicts
- Grief
- Parenting issues
- Anger management
- Career difficulties
- Bipolar disorder
- Coaching
- Compassion fatigue
- ADHD
- Abandonment
- Attachment issues
- Blended family issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Commitment issues
- Communication problems
- Coping with natural or human-caused disaster
- Divorce and separation
- Drug and alcohol addiction
- Family of origin issues
- Family problems
- Forgiveness
- Guilt and shame
- Impulsivity
- Infidelity
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Young adult issues
Approaches Patricia lists
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.
How therapy approaches translate to online care
Client-centered therapy focuses on listening and following the client's priorities. Online sessions allow a therapist to reflect what matters most and help clients set small, usable goals for parenting, stress, or life changes. Cognitive behavioral therapy, or CBT, looks at the link between thoughts, feelings, and actions and helps people try new behaviors through short experiments and skill practice. That approach works well in video or phone sessions where homework and in-the-moment problem solving are discussed. Motivational interviewing helps people strengthen their own reasons for change. It uses open questions and reflective listening to boost motivation for things like setting boundaries, addressing substance use, or shifting routines.Finding the right approach is part of the work. The therapist will collaborate with each person to decide which methods to use based on their goals and preferences. That means goals are revisited, methods adjusted, and progress checked together rather than following a fixed plan.
Online formats offer practical benefits. Video calls make it possible to see expressions and practice role-play. Phone sessions work well when internet bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging fit people who prefer writing, want quick problem solving, or need flexible timing. These options make it easier to fit therapy into busy family and work routines.
Questions people ask about Patricia
What concerns does Trish help with?
She works with stress, anxiety, depression, trauma and abuse, parenting challenges, grief, relationship and family problems, ADHD, and related issues such as attachment or abandonment concerns.
How would you describe her therapeutic style?
Her style is conversational and practical. She listens first, then uses client-centered methods plus CBT and motivational interviewing to try manageable changes.
What is her professional background?
She is a licensed clinical social worker with 19 years of professional experience working with a range of emotional and life challenges.
Where is she based and licensed?
She is licensed as an LCSW in North Carolina and practices there.
Which languages are sessions offered in?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
What session formats are available?
She meets by video calls, phone sessions, live chat, and text-based messaging to fit different schedules and needs.
How does cost and getting started work?
Cost varies with location and therapist availability and uses a subscription that can be canceled at any time; to begin, select Start Therapy, complete the short matching questionnaire, and schedule according to therapist availability.
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