Patricia "Trish" West , LCSW

Patricia "Trish" West is a Licensed Clinical Social Worker (LCSW) based in North Carolina with 19 years of professional experience. She supports people facing stress, anxiety, trauma and abuse, challenges with motivation, low self-esteem and confidence, depression, and the often-difficult process of coping with life changes. Her practice emphasizes practical support alongside emotional understanding, helping clients develop clearer thinking and greater resilience over time.

West prioritizes an open, nonjudgmental environment where thoughts and feelings can be expressed honestly. She encourages those taking the first step toward a more satisfying life, recognizing that such a step requires courage and strength. Throughout the work she offers steady guidance, helping individuals explore their concerns, identify goals, and build strategies to move forward.

With a client-centered approach, Patricia aims to meet each person where they are and tailor support to their needs. Her experience across a range of emotional and life challenges allows her to combine empathy with practical tools, fostering growth, renewed confidence, and better coping as clients navigate change.

Approaches That Guide Online Therapy

Patricia "Trish" West draws on client-centered therapy to create a collaborative and respectful space where the person s needs and values guide the work. This approach focuses on building trust, listening deeply, and supporting clients as they identify their own goals and strengths.

She also integrates Cognitive Behavioral Therapy (CBT), which helps people spot unhelpful thinking patterns and develop practical skills to reduce symptoms of anxiety and depression and improve day-to-day coping. Motivational Interviewing is used when clients face ambivalence about change - it helps clarify personal motivations and encourages gradual, sustainable steps toward goals.

Deciding which approach fits best is part of the therapeutic process. Patricia works collaboratively with each person to assess needs, preferences, and goals, and she adapts methods over time so the work remains relevant and effective for that individual.

Online therapy with Patricia is available via video calls, phone sessions, live chat, or text-based messaging. These options provide flexibility for scheduling, make it easier to maintain continuity during busy periods or life transitions, and allow clients to choose the format that feels most comfortable for them.