Patricia (Trish) Nichols

Practical, person-centered therapy with CBT elements

LCSW Wyoming

Experience: 7 years in practice
Focus areas: Stress, Anxiety, Trauma and abuse, Grief
Approaches: Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages: English

About Patricia

Patricia (Trish) Nichols is a Wyoming-based licensed clinical social worker who centers her work on practical, evidence-informed strategies.

Background and approach

She integrates cognitive behavioral techniques with other proven approaches to help people manage depression, anxiety, trauma, grief, and major life changes while attending to issues such as self-esteem, eating and sleeping difficulties, workplace stress, and compassion fatigue. Trish builds a person-focused, affirming space where clients can explore identity, relationships, and emotional patterns.

Her practice also addresses a broad range of related concerns including attachment wounds, caregiver stress, chronic illness and pain, codependency, body image, and communication problems. With seven years of clinical experience, she combines acceptance and commitment ideas, attachment-based perspectives, and client-centered listening to support clearer coping strategies and stronger everyday functioning.

Work with Trish typically emphasizes collaborative goal-setting and skill practice tailored to each person's needs. She helps clients translate insights into practical steps, whether the aim is to process loss, reduce anxiety, improve relationships, or build resilience through transitions and health challenges.

Approach-Focused Online Therapy with Practical Skills

Patricia (Trish) Nichols often uses Cognitive Behavioral Therapy to help clients identify unhelpful thinking patterns and develop concrete skills for managing anxiety, depression, and daily stressors. She also draws on Acceptance and Commitment Therapy to support people in clarifying values, practicing acceptance of difficult emotions, and committing to actions that align with what matters most.

Choosing the right approach usually happens collaboratively. Trish listens to each person's concerns, goals, and preferences and then recommends techniques or blends of methods that fit the situation. This collaborative process helps tailor work to issues like trauma recovery, grief processing, relationship challenges, or coping with chronic health problems.

Online sessions make it possible to engage through video calls, phone sessions, live chat, or text-based messaging, offering flexibility for different schedules and comfort levels. These formats allow clients to practice skills between meetings and maintain continuity of care while balancing work, caregiving, or mobility needs.

Frequently asked questions

What concerns does this therapist commonly address?

Areas of focus include stress, anxiety, trauma and abuse, grief, depression, self esteem, and compassion fatigue along with related issues like eating and sleeping problems and family difficulties.

What therapeutic style can I expect in sessions?

The practice blends cognitive behavioral techniques with acceptance and commitment therapy, attachment-based methods, client-centered listening, and elements of DBT to suit individual needs.

How much clinical experience does the therapist have?

The therapist has seven years of experience working with a range of emotional and life challenges and applies that background to collaborative treatment planning.

What are the therapist's credentials and where are they based?

She is an LCSW licensed in Wyoming with licence number WY LCSW LCSW-1419 and maintains practice in that state.

Which languages are available for sessions and are international clients accepted?

Sessions are offered in English and international clients are not currently accepted.

In what formats are sessions offered?

Therapy is available by video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences.

How is cost handled for therapy sessions?

Cost varies with location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.

What are the first steps to begin working together?

Start by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling a session based on the therapist's availability.

Areas of expertise

Primary focus

Stress, Anxiety Trauma and abuse Grief Self esteem Depression

Also works with

LGBTFamily conflictsEating disordersSleeping disordersAnger managementCareer difficultiesCoping with life changes Compassion 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 disorders Panic 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

Licensed

Wyoming

Languages

English