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Patricia (Trish) Nichols

Profile / United States

Patricia (Trish) Nichols, LCSW

Wyoming

LCSW in Wyoming - mood and anxiety concerns

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  • CBT methods
  • ACT and DBT skills
  • Attachment focus

About Patricia

Patricia (Trish) Nichols is a Licensed Clinical Social Worker, LCSW, practicing in Wyoming with seven years of clinical experience. She focuses on common concerns such as depression, anxiety, trauma, grief, self-esteem struggles, and stress. Trish also supports people facing issues around identity, eating and sleeping problems, anger, career stress, and compassion fatigue.

Her approach centers on clear, practical therapy methods. She uses Cognitive Behavioral Therapy to help people notice unhelpful thoughts and change unhelpful habits. She also draws on Acceptance and Commitment Therapy, Attachment-Based work, Client-Centered approaches, and Dialectical Behavior Therapy to address emotion regulation and relationship patterns.

In sessions she helps people break problems into manageable steps. That can mean tracking thought patterns, trying new behaviors between meetings, or practicing emotion-regulation skills. She helps clients sort priorities and set realistic goals for change.

Trish has worked with a wide range of concerns beyond core mood and anxiety issues. These include abandonment and attachment difficulties, caregiver stress, chronic illness or pain, body image, codependency, communication problems, divorce and separation, and aging-related worries.

She offers care in English and practices from Wyoming. Her counseling uses practical tools and discussion to help people make concrete changes. To start, prospective clients follow the site process to match and schedule an initial session.

How her approaches translate to online work

Trish uses Cognitive Behavioral Therapy to identify unhelpful thoughts and test small behavior changes. CBT sessions typically focus on skill practice, homework tasks, and step-by-step goal setting to reduce distress and increase functioning.

She also uses Acceptance and Commitment Therapy, which helps people notice difficult thoughts and feelings while choosing actions based on personal values. Attachment-Based Therapy is used to look at relationship patterns and how early connections affect current relationships and trust.

Choosing the right approach is collaborative. She will discuss options and adapt methods to fit a client's goals and preferences. That discussion helps decide which techniques to emphasize and how to structure sessions over time.

Session formats are not listed in the biography, so confirm the current options before booking. Online sessions can make it easier to fit therapy into a busy day, allow a shorter check-in when time is limited, or remove the need to travel. The practical aim is to make consistent work on skills and goals easier to maintain within everyday life.

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

Listed in

Wyoming

Languages

English

Frequently asked questions

What kinds of concerns does she address?

She works with depression, anxiety, trauma and abuse, grief, self-esteem, eating and sleeping problems, anger, career stress, and compassion fatigue, among other issues.

How does she use Cognitive Behavioral Therapy?

She uses CBT to help people notice unhelpful thoughts and test new behaviors. Sessions often include tracking thoughts and trying concrete techniques between meetings.

What is her professional background and experience?

She is a Licensed Clinical Social Worker with seven years of experience working with a range of emotional and life concerns.

Where is she based and what credential does she hold?

She practices in Wyoming and holds the credential LCSW as issued in that state.

Which languages are supported in sessions?

Sessions are offered in English.

Can people outside the US work with her?

She does not accept international clients at this time.

What formats are used for sessions and how much do they cost?

Session formats are not specified here; confirm current session options before booking. Cost varies with location and uses a subscription that can be canceled at any time.

How do I begin the process to meet with her?

Use the site button to view online therapy options, 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 you are not safe, use the crisis numbers.

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Patricia (Trish) Nichols

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