Therapist profile
Patricia (Trish) Nichols, LCSW
LCSW - Stress and life changes
Continue with PatriciaAbout
- Acceptance and Commitment Therapy
- Cognitive Behavioral Therapy
- Attachment focus
About Patricia
Patricia (Trish) Nichols is a Licensed Clinical Social Worker (LCSW) practicing in Wyoming with seven years of experience. She focuses on common struggles such as depression, anxiety, trauma and abuse, grief, self-esteem, and the stresses that come with life changes. Trish also lists concerns related to family, LGBT matters, eating and sleeping problems, anger, career stress, and compassion fatigue.
Trish uses a person-centered stance that keeps the individual at the center of sessions. She draws on several evidence-based approaches to help people notice patterns, try new skills, and make small changes that fit daily life. Sessions tend to focus on practical tools as well as understanding how past relationships affect current feelings.
Work often begins by clarifying what matters most to the client and what feels most pressing right now. From there Trish and the person she sees look at thinking patterns, emotional reactions, and behavioral habits. Together they experiment with ways to respond differently to stress, painful memories, or difficult decisions.
She also attends to health-related and caregiving challenges, such as chronic illness, cancer, and caregiver stress. Topics like abandonment, attachment issues, codependency, and communication problems are common in her caseload.
Trish invites adults who are managing change, loss, or relational strain to consider focused, practical work on what they want to be different. To begin, users follow the site process to match and schedule an initial session.
How sessions work
Approaches used in online sessions
Acceptance and Commitment Therapy (ACT) focuses on clarifying personal values and learning practical ways to act on them despite difficult thoughts or feelings. It can help when stress, depression, or avoidance get in the way of daily life.Cognitive Behavioral Therapy (CBT) helps people spot unhelpful thinking patterns and test different behaviors to reduce anxiety or low mood. It is often used for worry, sleep difficulties, and changing repetitive reactions that cause trouble.
Attachment-Based Therapy looks at how early relationship patterns influence current responses to partners, family, and stress. This approach can be useful when people notice recurring relationship conflicts or strong emotional reactions tied to past bonds.
Finding the right approach is part of the work. The therapist collaborates with each person to choose methods that fit their goals, preferences, and what feels manageable. Sessions may combine elements from different approaches as needed so clients learn skills and also understand why patterns repeat.
Confirm the specific online session options before booking, since formats are not listed here. Online work can make it easier to fit therapy into a busy home or workday, allow shorter check-in appointments when useful, and remove travel time so sessions are simpler to keep on a regular schedule. Licensed professionals guide decisions about pacing and which methods to use in remote sessions.
Areas of focus
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
7+ years
Listed in
Wyoming
Languages
English
Questions
Frequently asked questions
What kinds of concerns does she help with?
She works with adults facing stress, anxiety, depression, trauma and grief, as well as family-related strain, eating and sleeping issues, and career or caregiver stress.
What is her therapeutic style like?
Her style is person-centered and practical, drawing on approaches such as ACT, CBT, DBT, attachment-based work, and client-centered therapy to address thoughts, feelings, and behaviors.
How much experience does she have?
She has seven years of clinical experience as a Licensed Clinical Social Worker.
Where is she licensed to practice?
She is a Wyoming LCSW and practices from that state.
Does she offer sessions in other languages?
Sessions are offered in English.
Can I book sessions if I live outside the United States?
International clients are not currently accepted; choose a provider licensed for your region instead.
How are sessions scheduled and paid for?
Costs vary with location and sessions use a subscription model that can be canceled at any time.
How do I get started with her practice?
Click the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If anyone is in danger, use the crisis numbers.