Patricia (Trish) Nichols, LCSW - Therapist in Wyoming

About Patricia

Patricia (Trish) Nichols uses person-centered and evidence-based therapies to help people manage stress, anxiety, depression, grief, and identity concerns. She is a licensed clinical social worker in Wyoming with seven years of experience. Trish focuses on real problems that affect daily life and aims to make therapy understandable and practical for busy people.

In sessions she draws from Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Dialectical Behavior Therapy, Attachment-Based Therapy, and client-centered techniques.

Background and approach

She helps clients notice unhelpful patterns, try small changes, and build skills for coping with strong emotions. Conversations move at a steady pace and focus on what matters most to the client. Trish often addresses issues such as trauma, compassion fatigue, sleep and eating concerns, anger, career stress, and coping with life changes.

She also supports people working through family problems, attachment struggles, and challenges related to illness or caregiving. Sessions emphasize practical tools alongside personal reflection. Therapy is offered through a mix of video calls, phone sessions, live chat, and text messaging to fit different schedules.

Sessions use a subscription that can be canceled at any time and costs vary with location and therapist availability. Communication is in English and international clients are not currently accepted. To begin, a person selects the Start Therapy button, completes a short matching questionnaire, and schedules according to therapist availability.

Trish aims to make the first steps straightforward and to work collaboratively on goals that matter to each person.

Therapeutic approaches and how they work online

Acceptance and Commitment Therapy, or ACT, helps people notice painful thoughts without getting stuck in them and commit to actions that match their values. It can be useful for anxiety, depression, and coping with life transitions. Cognitive Behavioral Therapy, or CBT, focuses on spotting and changing unhelpful thoughts and behaviors through practical exercises and skill-building. CBT is often used for anxiety, depression, sleep and eating concerns, and stress management. Attachment-Based Therapy looks at early connection patterns and how they show up in current relationships; it can help with family problems, attachment issues, and identity-related struggles.

Choosing the right approach is part of the work. Trish will talk with each person about goals, preferences, and what feels most helpful. Together they decide which methods to try and adjust the plan as needed in regular check-ins.

Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging. These options let someone fit sessions around work, caregiving, or health needs and use different formats for teaching skills, checking in between sessions, or handling brief concerns. Licensed professionals can adapt exercises and tools to each online format so people can practice skills at home and continue progress between meetings.

Acceptance and Commitment Therapy (ACT)

Less about arguing with difficult thoughts, more about loosening their grip and acting on what matters to you anyway. Values and committed action carry the work, which suits conversation at a distance.

Attachment-Based Therapy

Looks at how early bonds shaped what you expect from closeness, and how that plays out now with a partner, a parent, or your own children.

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.

Frequently asked questions

What kinds of problems does Trish help with?

She works with stress, anxiety, depression, trauma and abuse, grief, self-esteem concerns, LGBT identity matters, family problems, eating and sleeping issues, anger, career stress, and coping with life changes, among other concerns.

What is her general therapeutic style?

Her style is person-centered and practical. She uses CBT, ACT, DBT, Attachment-Based, and client-centered approaches to teach skills and support emotional processing.

How much clinical experience does she have?

She has seven years of experience as a licensed clinician working with a variety of emotional and life challenges.

What are her credentials and where is she licensed?

She holds the credential LCSW, licensed in Wyoming as WY LCSW LCSW-1419.

Which languages are sessions offered in?

Sessions are offered in English.

What session formats does she use?

She offers video calls, phone sessions, live chat, and text-based messaging to suit different needs and schedules.

How does her pricing work?

Cost varies with location and therapist availability; sessions are billed through a subscription that can be canceled at any time.

How do I start a session with her?

Begin by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule a session according to therapist availability.

Specialties and expertise

Top specialties

Also works with

Therapeutic approaches

Experience: 7 years
Licensed: Wyoming
Languages: English

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