Part 1 of 4
- Evidence-based methods
- Affirming and practical
- Focus on daily life
About Patricia
Patricia (Trish) Nichols is a licensed clinical social worker who helps people facing depression, anxiety, trauma, and life changes. She works with adults who are navigating grief, identity questions, stress at work, and difficulties with self-esteem. Her approach aims to make therapy feel practical and grounded.
Trish draws on several evidence-based methods to tailor sessions to each person. She uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to help clients notice unhelpful thoughts and build values-driven action. Attachment-informed ideas guide conversations about close relationships and communication patterns.
Sessions are conversational and collaborative. Trish listens for what matters most to each person and then tries small, doable steps that fit real life. She focuses on skills that help manage intense emotions, improve sleep and eating habits, and reduce everyday stress.
Her practice includes support for people dealing with chronic illness, caregiving strain, and compassion fatigue. She also helps with body image, codependency, and problems that come from aging or life transitions. Traumatic brain injury is among the areas listed in her practice context.
With seven years of clinical experience, Trish brings steady, practical care to sessions. She offers an affirming space for LGBT people and others exploring identity. People who work with her can expect straightforward feedback, brainstorming of coping strategies, and a focus on small changes that add up.
Trish draws on several evidence-based methods to tailor sessions to each person. She uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to help clients notice unhelpful thoughts and build values-driven action. Attachment-informed ideas guide conversations about close relationships and communication patterns.
Sessions are conversational and collaborative. Trish listens for what matters most to each person and then tries small, doable steps that fit real life. She focuses on skills that help manage intense emotions, improve sleep and eating habits, and reduce everyday stress.
Her practice includes support for people dealing with chronic illness, caregiving strain, and compassion fatigue. She also helps with body image, codependency, and problems that come from aging or life transitions. Traumatic brain injury is among the areas listed in her practice context.
With seven years of clinical experience, Trish brings steady, practical care to sessions. She offers an affirming space for LGBT people and others exploring identity. People who work with her can expect straightforward feedback, brainstorming of coping strategies, and a focus on small changes that add up.
Part 2 of 4
How these approaches translate to online care
Acceptance and Commitment Therapy (ACT) helps people name their values and take small actions that match those values even when feelings are difficult. It can be useful for anxiety, depression, and coping with life changes. Cognitive Behavioral Therapy (CBT) focuses on spotting unhelpful thinking patterns and trying different behaviors to reduce distress and improve daily routines like sleep and eating. Attachment-Based Therapy looks at patterns in close relationships and helps people change how they communicate and connect with others.Choosing the right approach is part of the work together. The therapist will discuss goals, preferences, and what has or hasn't helped before to decide which methods to emphasize. That choice is collaborative and can shift as needs change.
Confirm the current online session options before booking so you know what formats are offered. Online sessions can make it easier to fit therapy into a busy day, allow shorter check-ins when needed, and remove travel time. They also let people use video or audio in ways that suit their comfort and bandwidth. Licensed professionals adapt exercises and homework to work well over distance, focusing on skills you can practice between meetings.
Part 3 of 4
Areas of expertise
Also works with
LGBTFamily conflictsEating disordersSleeping disordersAnger managementCareer difficultiesCoping with life changesCompassion fatigue
Additional focus areas
AbandonmentAging and geriatric issuesAttachment issuesAutism and Asperger SyndromeBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCodependencyCommunication problemsControl issuesDivorce and separationEating and food-related issuesEmptinessFamily problemsForgivenessGuilt and shameHospice and end-of-life counselingIntellectual disabilityIsolation / lonelinessLife purposeMoney and financial issuesMood disordersPanic disorder and panic attacksPostpartum depressionPost-traumatic stressSeasonal Affective Disorder (SAD)Self-harmSelf-loveSexual assault and abuseSexualitySocial anxiety and phobiaTraumatic brain injuryWomen's issuesWorkplace issuesYoung adult issues
Therapeutic approaches
Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Mindfulness TherapyMotivational InterviewingNarrative TherapySolution-Focused TherapyTrauma-Focused TherapyInternal Family Systems
Experience
7+ years
Credentials
Wyoming
Languages
English
Part 4 of 4
Frequently asked questions
What concerns does Trish commonly help with?
She works with stress, anxiety, depression, trauma and abuse, grief, self-esteem, and related issues such as sleep and eating problems.
What is her general therapy style?
Her sessions are person-centered and collaborative, focusing on practical strategies and skills you can use between meetings.
How much experience does she bring?
She has seven years of clinical experience as a licensed social worker in Wyoming.
What credential does she hold and where is she located?
She holds a LCSW license in Wyoming and practices from that state.
Which languages are supported in sessions?
Sessions are offered in English.
Can people from other countries work with her?
International clients are not accepted at this time.
How are sessions scheduled and what about formats?
Please confirm current session formats before booking; schedule is set through the platform's matching and calendar tools.
How does billing and getting started work?
Cost varies by location and the service uses a cancellable subscription. To begin, select Start Therapy, complete the short matching questionnaire, and schedule based on availability.