Patricia "Trish" West, LCSW

North Carolina · 19 years in practice

Patricia "Trish" West is a licensed clinical social worker who helps people facing stress, anxiety, depression, trauma, 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 the license with the issuing state board, and the NPI with the national registry.

About Patricia

Patricia "Trish" West is a licensed clinical social worker who helps people facing stress, anxiety, depression, trauma, and life changes. She speaks plainly and offers a steady presence while clients talk through difficult feelings and decisions. Trish practices in North Carolina and draws on nearly two decades of experience to guide conversations that matter.

She focuses on creating an open and nonjudgmental space where thoughts and emotions can be expressed.

Background and approach

Sessions often begin with what feels most urgent to the client and then move toward practical steps people can try between meetings. Trish aims to boost motivation and confidence while addressing issues like self-esteem, relationship strain, grief, and parenting stress. Her work includes attention to trauma and abuse, compassion fatigue, and challenges tied to ADHD and bipolar mood concerns.

She also helps people navigate job stress, career transitions, and the ripple effects of family of origin problems. When relevant, she brings in ideas about attachment and abandonment to make sense of recurring patterns. Trish uses several therapy approaches to tailor care to each person.

She combines client-centered listening with techniques that focus on thoughts, stories, and motivation. That mix lets her support both short-term problem solving and deeper exploration over time. People who choose her can expect clear language, practical suggestions, and regular check-ins about progress.

The goal is steady movement toward choices that feel more manageable and more in line with a person’s values.

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

Therapeutic approaches for online care

Client-centered therapy focuses on listening closely and helping people set the pace for their work. It is useful when someone needs a supportive, validating space to sort feelings and priorities. Cognitive behavioral therapy, or CBT, looks at the link between thoughts, behaviors, and mood and offers practical tools to change unhelpful patterns, which can help with anxiety, depression, and stress. Motivational interviewing uses open questions and reflective listening to help clarify goals and strengthen the will to change, often helpful when motivation feels stuck.

Choosing the best approach is a collaborative process. The therapist will discuss options, try techniques that fit the client’s goals, and adjust the plan as progress is made. That means therapy can begin with short-term problem solving and evolve into deeper work when needed.

Online sessions use video calls, phone sessions, live chat, or text-based messaging to increase flexibility. Video lets people read facial cues and hold longer conversations. Phone sessions can be less bandwidth intensive and easier to fit into a work break. Live chat and text messaging work well for quick check-ins, brief coaching, or when writing helps someone organize thoughts. These options make it easier to maintain regular contact and keep therapy consistent with daily life.

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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, career stress, bipolar concerns, ADHD, and related challenges.

What is her therapeutic style?

Her approach centers on client-centered listening paired with techniques from cognitive behavioral therapy, motivational interviewing, narrative and psychodynamic ideas to fit each person’s needs.

How long has she practiced?

She has 19 years of professional experience working with people across 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.

Which languages are supported for sessions?

Sessions are offered in English.

Can people outside the U.S. work with her?

She does not accept international clients at this time.

What session formats are available?

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

How are costs and scheduling handled?

Costs vary with location and therapist availability and use a subscription that can be canceled at any time; to begin, select Start Therapy, complete a short matching questionnaire, and schedule based on availability.

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