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Patricia "Trish" West

Therapist profile

Patricia "Trish" West, LCSW

North Carolina

LCSW - Stress, parenting and family concerns

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About

  • Stress and anxiety
  • Parenting challenges
  • CBT and narrative

About Patricia

Patricia "Trish" West is a Licensed Clinical Social Worker (LCSW) practicing in North Carolina with 19 years of experience. She helps adults who are managing stress, anxiety, trauma and abuse, depression, self-esteem struggles, and life transitions. She also focuses on parenting concerns, relationship and family difficulties, grief, ADHD, bipolar disorder, and issues related to caregiving and compassion fatigue.

Trish uses straightforward conversation to map what’s most urgent and what can wait. Sessions often begin with what’s bothering a person right now and a practical look at small changes that can reduce stress. She draws on client-centered methods to listen closely and on cognitive behavioral techniques to try out different ways of thinking and acting.

Her work also includes motivational interviewing to clarify goals and narrative therapy to reframe the stories people tell about themselves. Psychodynamic ideas are used when exploring how past relationships shape current patterns. These approaches are applied in clear, concrete ways rather than abstract theory.

Clients can expect direct questions, room to tell their story, and collaborative goal-setting. Trish pays attention to family of origin and blended family issues, communication problems, abandonment and attachment concerns, and challenges that arise during divorce or separation. She also addresses addiction, chronic illness or pain, and body image difficulties.

Her practice recognizes the practical side of parenting and household life. She helps with coping strategies for caregivers, managing anger, improving communication, and planning next steps for work and relationships. To begin, readers are invited to use the online matching tools and schedule a first session.

How sessions work

How therapeutic approaches guide online sessions

Client-centered therapy focuses on listening and understanding a person's perspective. In practice this means sessions begin by hearing what matters most and shaping the work around the client's priorities. Cognitive Behavioral Therapy, or CBT, looks at the links between thoughts, feelings, and actions and uses short exercises to try different responses. It is often used for anxiety, depression, and stress management.

Choosing the right approach is part of the work. The therapist and client review goals together and try methods that match those goals. This happens collaboratively over a few sessions, with adjustments made as progress and needs become clearer.

The biography does not list specific session formats, so confirm current options before booking. Online sessions can help fit therapy into a busy home life by avoiding travel, making it easier to schedule around childcare or work, and allowing shorter check-ins when needed. Some clients prefer fewer visual demands and opt for audio-only conversations; others like video for face-to-face interaction. The therapist will discuss what works best for timing, length, and the ways of meeting that suit daily routines.

Areas of focus

Areas of expertise

Also works with

LGBTRelationship issuesFamily conflictsGriefParenting issuesAnger managementCareer difficultiesBipolar disorderCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAttachment issuesBlended family issuesBody imageCaregiver issues and stressChronic pain, illness, and disabilityCodependencyCommitment issuesCommunication problemsCoping with natural or human-caused disasterDivorce and separationDrug and alcohol addictionFamily of origin issuesFamily problemsForgivenessGuilt and shameImpulsivityInfidelityIsolation / lonelinessLife purposeMidlife crisisMood disordersMulticultural concernsPanic disorder and panic attacksPost-traumatic stressProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Motivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

19+ years

Listed in

North Carolina

Languages

English

Questions

Frequently asked questions

What kinds of family or parenting concerns does she help with?

She helps people with parenting strain, blended family issues, communication problems, and family of origin difficulties.

How would she describe her therapeutic style?

Her style is conversational and practical, combining client-centered listening with cognitive behavioral techniques and motivational interviewing.

How long has she been practicing?

She has 19 years of professional experience as a Licensed Clinical Social Worker.

Where is she licensed and based?

She is a North Carolina LCSW and practices in North Carolina.

Does she offer sessions in other languages or to international clients?

Sessions are offered in English and she does not accept international clients at this time.

What session formats are available?

Please confirm current session options before booking, as the biography does not list specific formats.

How does pricing work?

Cost varies with location and sessions use a subscription that can be canceled at any time.

How do I begin a first session?

Select the See online therapy options button, complete a 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.

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Patricia "Trish" West

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