Patricia (Trish) Nichols, LCSW

Patricia (Trish) Nichols uses cognitive behavioral therapy as a core part of her work. She pairs practical tools with a warm, person-centered approach. Trish helps people sort through anxiety, depression, grief, and stress in clear, step-by-step ways. She offers a steady presence for people facing big life changes and emotional pain.

Trish is a licensed clinical social worker - LCSW - based in Wyoming with seven years of experience. She draws on CBT alongside acceptance and commitment therapy and elements of attachment-focused and client-centered care. In sessions she helps people spot unhelpful thoughts, try small behavior changes, and practice new ways to cope.

Her practice also addresses trauma and abuse, compassion fatigue, sleep and eating concerns, self-esteem struggles, and challenges related to identity. Trish works with people dealing with chronic illness, caregiver stress, codependency, and relationship problems. She aims to make goals concrete and achievable so progress feels real.

Trish keeps sessions straightforward and practical. She uses skills from dialectical behavior therapy when emotions run high and leans on attachment ideas to improve closeness and communication. The focus is on what helps someone function better day to day and feel more in control of their choices.

For people who prefer remote options, Trish offers video, phone, chat, and text-based formats. She guides each person through a short matching and scheduling process to begin working on the issues that matter most.

How CBT, ACT, and Attachment Ideas Work Online

Trish commonly uses cognitive behavioral therapy to help people notice unhelpful thoughts and try practical behavior changes. CBT is often used for anxiety, depression, and sleep or eating concerns and teaches clear, step-by-step skills.

She also draws on acceptance and commitment therapy which focuses on clarifying values and taking actions that matter even when emotions are strong. Attachment-based ideas are used to look at patterns in relationships and improve communication and closeness.

Finding the right approach is a collaborative process. Trish will talk with each person about goals, preferences, and what has or hasn’t worked in the past. Together they choose which strategies to try and adjust the plan as progress is made.

Online formats include video calls, phone sessions, live chat, and text-based messaging to fit different needs. Video works well for longer therapy sessions and visual cues, phone sessions are helpful when bandwidth is limited or for brief check-ins, and chat or text can support short updates or skill practice between sessions. These options give flexibility for scheduling and make it easier to keep consistent work on goals.