Patricia "Trish" West, LCSW

Patricia "Trish" West is a licensed clinical social worker in North Carolina with 19 years of experience. She helps people facing stress, anxiety, low self-esteem, depression, and major life changes. Trish aims to make the first step toward change feel less overwhelming by offering steady support and practical direction.

Trish creates a calm, nonjudgmental space where clients can talk openly about hard feelings. She focuses on listening first, then working with each person to set realistic goals. Conversations are rooted in respect and collaboration rather than quick fixes.

Her approach draws from several schools of thought to fit each person’s needs. She uses client-centered methods that emphasize the person’s perspective, cognitive behavioral ideas to address unhelpful thoughts and behaviors, and motivational interviewing to build readiness for change. These tools are chosen to help with everyday challenges like coping, mood, and confidence.

Trish has supported people through trauma, grief, relationship strain, parenting stress, and challenges related to ADHD and chronic illness. She also helps clients facing career questions, commitment concerns, or issues tied to family of origin. Her work often includes practical steps people can try between sessions.

People seeking help with a midlife shift, career transition, or renewed sense of purpose may find her approach useful. She encourages questions about how therapy would fit into daily life and what realistic progress might look like.

How therapy approaches guide online care

Client-centered work focuses on understanding the person’s experience and priorities. It helps people feel heard and guides the pace of change to what feels manageable for them.

Cognitive Behavioral Therapy, or CBT, looks at the links between thoughts, feelings, and actions. It helps people test and change unhelpful thinking patterns and build practical coping skills for anxiety, depression, and stress.

Motivational Interviewing is a collaborative conversation style that helps people find internal motivation to make changes. It is especially useful when someone feels stuck or uncertain about taking the next step.

Finding the right approach is part of therapy. The therapist will work together with the client to decide which methods fit the person’s goals, needs, and preferences. That collaborative process may blend different approaches over time as priorities shift.

Confirm current session options before booking so you know what formats are offered. Online therapy can make it easier to fit sessions into a busy schedule, reduce travel time, and allow shorter check-ins when needed. It also lets people continue work through transitions like moving or job changes. Licensed professionals can adapt homework, exercises, and pacing so therapy fits into everyday life.