Patricia "Trish" McMillan, LCSW

Patricia "Trish" McMillan practices a straightforward, problem-focused style of therapy that leans on Cognitive Behavioral Therapy. She aims to help people change unhelpful thoughts and habits so they can feel better and manage daily stressors. Trish is a licensed clinical social worker - LCSW - based in Arizona and has seven years of recent experience using brief solution-focused and CBT approaches.

She commonly helps with stress, anxiety, depression, grief, low self-esteem, and sleep problems. She also supports people facing relationship struggles, career stress, caregiver burdens, and major life changes. Additional areas she addresses include compassion fatigue, codependency, and issues related to aging, blended families, cancer, and divorce.

Sessions focus on practical steps and clear goals. Trish adapts conversations and plans to each person's needs and pace. She uses client-centered listening so people feel heard while working on concrete behavior and thought changes.

Her style blends mindfulness and solution-focused techniques with CBT tools. That means short-term strategies for coping, plus mindfulness practices to reduce reactivity. People can expect concise, goal-oriented sessions with room for warmth and occasional gentle humor.

Trish works with individuals by video calls, phone sessions, live chat, or text-based messaging. Sessions are arranged through a subscription model that can be canceled at any time, and she offers services in English in Arizona.

Online therapy using CBT and solution-focused methods

Trish often uses Cognitive Behavioral Therapy to help people identify unhelpful thought patterns and try different behaviors. CBT is useful for anxiety, depression, sleep problems, and stress because it breaks problems into manageable steps and tests small changes.

She also uses Solution-Focused Therapy to set clear, short-term goals and find practical ways forward. That approach focuses on strengths and what works now, which can be helpful for career decisions, relationship concerns, or coping with life transitions.

Finding the right approach is part of the work. Trish collaborates with each person to choose methods that match their goals, pace, and preferences. Together they try strategies, see what helps, and adjust the plan as needed.

Online sessions are offered by video call, phone, live chat, or text-based messaging to fit different routines. Video calls let people work face-to-face when bandwidth allows. Phone sessions can be simpler when a shorter check-in is needed. Live chat or text messaging can fit a busy day and support brief, frequent contact between longer sessions. These options make it easier to schedule therapy around work, caregiving, or health needs while keeping a clear focus on practical change.