Patricia "Trish" McMillan
Calm, practical therapy for life changes
- Credentials
- LCSW
- Experience
- 7 years
- Licensed in
- Arizona
- Languages
- English
- Format
- Online sessions
About Patricia
Patricia "Trish" McMillan is a Licensed Clinical Social Worker who uses brief solution-focused and cognitive behavioral techniques in her sessions. She brings a direct, respectful style and a steady presence to conversations about stress, anxiety, grief, depression, and self-esteem. Trish aims to create a practical, compassionate space where parents and adults can talk through problems and find clearer next steps.
Trish tailors discussions and plans to each person’s situation. She listens for what’s working and what isn’t, then helps identify small, doable changes.
Background and approach
Her approach mixes problem-solving with attention to thoughts and behaviors that keep stress and low mood going. She draws on seven years of focused work using these brief and structured methods, combined with a lifetime of practice as a social worker. That background informs how she helps people cope with relationship strain, sleep problems, anger, career shifts, and major life changes.
Trish also addresses caregiving stress, blended family concerns, issues that come with aging, and the emotional effects of illness or loss. She uses mindfulness exercises when helpful to calm strong emotions and to bring attention back to the present moment. Sessions are offered in English and conducted from Arizona.
Trish emphasizes respect, sensitivity, and compassion in every conversation. She encourages those ready to try therapy to take the first step and reach out for support.
How specific approaches are used online
Client-Centered Therapy focuses on listening and meeting you where you are. The therapist offers empathy and supports your own goals while helping you find personal solutions. Cognitive Behavioral Therapy, or CBT, looks at the link between thoughts, feelings, and actions and teaches practical skills to change unhelpful patterns. It is useful for anxiety, depression, sleep issues, and stress.Finding the right approach is part of the work together. The therapist will discuss goals and preferences and recommend methods that fit your situation. That collaborative process can shift over time as needs change and progress is made.
Online sessions use video calls, phone sessions, live chat, or text-based messaging to make therapy easier to fit into daily life. These options let people connect from home, manage appointments around caregiving or work, and pick the format that feels most comfortable. The variety of formats supports flexible participation and helps people stay consistent with their plan.
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.
Mindfulness Therapy
Attention training: noticing thoughts and physical feelings as they arrive without being carried off by them. Much of it is practice you do yourself, so guidance over video or audio works much as it would in person.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Relationship issues
- Grief
Also works with
- Aging and geriatric issues
- Anger management
- Blended family issues
- Cancer
- Career difficulties
- Caregiver issues and stress
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Family conflicts
- Family problems
- First responder issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sleeping disorders
- Social anxiety and phobia
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 7 years
- Licensed
- Arizona
- Languages
- English
Next step
Talk to Patricia
- Takes a few minutes
- Nothing to set up just to look
- Stop at any point