Patricia Nelson
Change-focused licensed social worker
- Credentials
- LCSW, LCSW-R
- Experience
- 25 years
- Licensed in
- New York, California
- Languages
- English
- Format
- Online sessions
About Patricia
Patricia Nelson uses a client-centered approach that emphasizes respectful listening and practical tools. She is a Licensed Clinical Social Worker - LCSW and LCSW-R based in New York with 25 years of experience. Her style is warm and interactive and she focuses on clear steps a person can use between sessions.
Patricia writes plans to suit each person’s needs and goals. She helps people manage stress, anxiety, depression, and addictions using short, manageable strategies.
Background and approach
She also addresses relationship challenges, grief, intimacy-related concerns, eating and sleep problems, parenting issues, and coping with life changes. She draws on cognitive behavioral techniques to challenge unhelpful thoughts and on mindfulness to build calm and presence. Patricia’s background includes work with trauma and abuse as well as long-term experience supporting people with ADHD, bipolar disorder, and compassion fatigue.
She also has experience around aging and caregiver stress, adoption and foster care topics, chronic illness and pain, and body image and self-esteem difficulties. Motivational interviewing is part of how she helps people find what matters to them and make steady changes. Sessions are conversational and focused.
Patricia aims to move from understanding to action so people leave with specific steps. She respects each person’s pace and adapts methods as needed. Seeking help is a meaningful step and Patricia offers steady support and practical coaching through the process.
Practical therapy approaches that work online
Patricia uses Cognitive Behavioral Therapy to help identify unhelpful thinking patterns and replace them with clearer, more useful thoughts. CBT is often used for anxiety, depression, and helping people change behaviors that get in the way of daily life.She also draws on Mindfulness Therapy to teach simple attention and breathing practices. Those skills can reduce reactivity and support better sleep, emotional regulation, and stress management.
Finding the right approach is part of the work. Patricia treats therapy as a collaborative process and will help figure out which techniques fit a person’s goals and preferences. She adjusts the plan over time based on what is or isn’t helping.
Online formats include video calls, phone sessions, live chat, and text-based messaging. These options make it easier to fit sessions into a busy life and to use short check-ins when useful. Many people find that practicing skills between sessions by message or phone helps progress feel steady and practical.
Client-Centered Therapy
The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.
Cognitive Behavioral Therapy (CBT)
CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.
Dialectical Behavior Therapy (DBT)
Concrete skills for riding out strong emotion, tolerating distress, and handling relationships without things escalating. The skills are practised in daily life, so between-session support by message or phone fits naturally.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Addictions
- Relationship issues
Also works with
- Abandonment
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Bipolar disorder
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fertility issues
- First responder issues
- Forgiveness
- Grief
- Guilt and shame
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Trauma and abuse
- Trichotillomania
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 25 years
- Licensed
- New York, California
- Languages
- English
Next step
Talk to Patricia
- Takes a few minutes
- Nothing to set up just to look
- Stop at any point