Patricia "Trish" West
Support for parents navigating family stress
- Credentials
- LCSW
- Experience
- 19 years
- Licensed in
- North Carolina
- Languages
- English
- Format
- Online sessions
About Patricia
Patricia "Trish" West is a licensed clinical social worker with 19 years of experience who focuses on family and parenting concerns among other life stresses. She creates a calm, nonjudgmental space where parents and caregivers can talk through worries about relationships, grief, anxiety, and changes in family life.
Trish emphasizes practical steps and steady support so people can try things that help at home and work. Her approach is straightforward and collaborative.
Background and approach
She listens first, then helps clients set clear, manageable goals. Sessions often include problem-solving, skill building, and checking what is and isn’t working in day-to-day routines. Trish uses different methods depending on the need.
She draws on client-centered work to make room for each person’s voice, and cognitive behavioral tools to spot and shift unhelpful thinking. When motivation is low, she brings in motivational interviewing to help people find their own reasons to change. Over nearly two decades in North Carolina, Trish has helped people facing trauma, chronic stress, depression, parenting challenges, and relationship strains.
She also has experience with grief, addiction, bipolar disorder, ADHD, and caregiver fatigue. Her background supports practical strategies tailored to each client’s situation. Sessions are offered in English and are available through video, phone, live chat, or text-based messaging.
Trish holds an LCSW - Licensed Clinical Social Worker - under North Carolina license number NC LCSW C014654.
How therapeutic approaches translate to online care
Client-centered therapy focuses on listening and making space for each person to share their experience in their own words. Online sessions can recreate that open space so clients feel heard and respected while they talk about parenting, family stresses, or loss.Cognitive Behavioral Therapy, or CBT, helps people notice thoughts that make problems worse and try small behavior changes to test new ideas. In remote sessions this often means setting brief at-home tasks, tracking how they go, and reviewing results together on video or by message.
Motivational Interviewing helps people find their own reasons to change and builds motivation step by step. That collaborative, question-and-reflect style works well over phone or chat when a client needs help deciding what change matters most to them.
Finding the right approach is part of the work. The therapist will talk with each person about goals, preferences, and daily life, then recommend methods to try. Clients and therapist adjust the plan together as progress unfolds.
Online therapy offers flexibility for busy families and people with limited travel options. Video calls allow face-to-face conversation, phone sessions fit short windows of time, and live chat or text-based messaging help continue work between sessions. These options make it easier to keep therapy consistent while juggling parenting and other responsibilities.
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.
Motivational Interviewing
A way of working through mixed feelings about change without being pushed. The therapist helps you weigh things up and find your own reasons, which often makes a difficult decision feel less stuck.
Frequently asked questions
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Specialties and expertise
Top specialties
Also works with
- Abandonment
- ADHD
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Body image
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Divorce and separation
- Drug and alcohol addiction
- Family conflicts
- Family of origin issues
- Family problems
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Infidelity
- Isolation / loneliness
- LGBT
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Parenting issues
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 19 years
- Licensed
- North Carolina
- Languages
- English
Next step
Talk to Patricia
- Takes a few minutes
- Nothing to set up just to look
- Stop at any point