Patricia "Trish" West, LCSW

Licensed in North Carolina · 19 years in practice

Patricia "Trish" West helps people who are dealing with stress, anxiety, depression, and life changes.

License and registration

LCSW, North Carolina: C014654 · expires January 2028
NPI: 1851695522 · national provider identifier
Years in practice: 19
Languages: English

Details are as listed on the therapist's public professional profile. You can check any license with the state board and any NPI with the national registry.

About Patricia

Patricia "Trish" West helps people who are dealing with stress, anxiety, depression, and life changes. She practices in North Carolina and brings 19 years of experience as a licensed clinical social worker (LCSW). Trish aims to make the first step toward change feel manageable and supported.

She creates a calm, nonjudgmental space where clients can speak about hard things. Sessions focus on understanding what matters to the person and finding steps that fit their daily life.

Background and approach

She listens for patterns that keep problems stuck and helps people try small changes to test what works. Trish draws on several ways of working, including client-centered conversation, practical cognitive-behavioral techniques, and motivational interviewing to boost movement toward goals. She also uses narrative and psychodynamic ideas to help clients make sense of recurring themes and relationship patterns.

Her practice includes support for relationship challenges, parenting stress, grief, burnout, substance concerns, and struggles with self-esteem or body image. She also supports people navigating chronic illness, caregiving strain, attachment or abandonment worries, and career stress. People who come to her can expect clear discussion of goals and options.

Trish works with each person to build steps forward, adjust plans as needed, and strengthen coping skills for everyday life.

Focus areas and approaches

Everything Patricia lists on their public professional profile, in their own terms.

Stress, Anxiety
Trauma and abuse
Self esteem
Depression
Coping with life changes
LGBT
Relationship issues
Family conflicts
Grief
Parenting issues
Anger management
Career difficulties
Bipolar disorder
Coaching
Compassion fatigue
ADHD
Abandonment
Attachment issues
Blended family issues
Body image
Caregiver issues and stress
Chronic pain, illness, and disability
Codependency
Commitment issues
Communication problems
Coping with natural or human-caused disaster
Divorce and separation
Drug and alcohol addiction
Family of origin issues
Family problems
Forgiveness
Guilt and shame
Impulsivity
Infidelity
Isolation / loneliness
Life purpose
Midlife crisis
Mood disorders
Multicultural concerns
Panic disorder and panic attacks
Post-traumatic stress
Process addiction (porn, exercise, gambling)
Seasonal Affective Disorder (SAD)
Self-harm
Self-love
Social anxiety and phobia
Women's issues
Workplace issues
Young adult issues

Approaches Patricia names

Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.

Online support

Approaches that translate well to online therapy

Client-centered therapy focuses on listening and understanding a person's priorities. The therapist reflects what matters most to the client and helps them shape goals that feel realistic. Cognitive behavioral therapy, or CBT, breaks down problems into thoughts, feelings, and actions and teaches practical skills people can use between sessions. Motivational interviewing helps people resolve mixed feelings about change and build motivation for steps they want to try.

Choosing the right approach is a team effort. The therapist will talk with the client about their needs, goals, and preferences. Together they try strategies, review what helps, and adjust the plan over time so it fits the person's life.

Online sessions are offered by video calls, phone, live chat, or text-based messaging to make care easier to fit into busy schedules. Video is useful for deeper conversations and skill practice. Phone sessions can work when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging are convenient for brief updates, check-ins, or ongoing support between sessions. These options give flexibility while keeping the focus on progress and practical steps.

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Questions people ask

What concerns does she address?

She helps people with stress, anxiety, depression, trauma and abuse, self-esteem, relationship and family issues, grief, parenting strain, anger, career stress, bipolar concerns, ADHD, and related topics.

What is her therapeutic style like?

Her style is warm and client-centered, combining practical tools from cognitive behavioral therapy with motivational interviewing and narrative or psychodynamic perspectives when helpful.

How much experience does she have?

She has 19 years of professional experience working with a range of emotional and life challenges.

Where is she licensed and based?

She is a licensed clinical social worker (LCSW) practicing in North Carolina and holds a North Carolina LCSW credential.

Which languages are supported?

Sessions are offered in English.

What session formats are offered?

She offers video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.

How does cost and billing work?

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

How do I begin working with her?

Choose the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.

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