Patricia (Trish) Nichols, LCSW | Therapist in Wyoming

Person-centered care
Values-focused work
Skill building

About Patricia

Patricia (Trish) Nichols is a licensed clinical social worker who focuses on helping people manage stress, anxiety, depression, and codependency. She creates a calm, nonjudgmental space where people can talk through painful experiences. Trish aims to help clients regain steadiness and build everyday coping skills.

Trish uses a person-centered approach that centers the client's experience. She draws on cognitive behavioral tools to address unhelpful thinking patterns. She also uses acceptance and commitment ideas to help people clarify values and take committed steps toward them.

Attachment-based work appears in sessions when relationship patterns are relevant. That helps people notice how early bonds shape current choices and responses. Dialectical behavior strategies are used for emotion regulation and building practical skills when feelings feel overwhelming.

Clients bring a wide range of concerns, including grief, trauma and abuse, self-esteem, eating and sleeping problems, caregiver stress, chronic illness, and career strain. Trish also supports people working through identity questions and LGBT-related concerns. She pays attention to how family and communication patterns affect wellbeing.

With seven years of clinical experience in Wyoming, Trish blends practical tools with attentive listening. She helps people develop clearer goals and small steps they can try between sessions. To start, she asks questions about current challenges and what people want to change.

How these approaches guide online work

Acceptance and Commitment Therapy helps people notice painful thoughts without getting stuck in them and then commit to small actions that match their values. It is often used for anxiety, depression, and life transitions. Cognitive Behavioral Therapy looks at the link between thoughts, feelings, and behaviors and teaches practical steps to change unhelpful patterns. It is commonly used for anxiety, stress, and mood challenges. Attachment-Based Therapy pays attention to how early relationship patterns affect current connections and self-view, which can help with codependency, communication problems, and relationship struggles.

Finding the right approach is a joint effort. The therapist will listen to what matters most to the client and suggest ways of working that fit their goals and daily life. Together they review what is helpful and adjust methods as therapy progresses, keeping the plan practical and focused on steps the person can try between sessions.

Session formats are not listed in the biography, so confirm current options before booking. Online therapy can make it easier to fit meetings into a busy schedule, avoid travel time, and use brief check-ins when needed. Some formats can reduce time away from work or lower the need for high-bandwidth connections. Licensed professionals aim to match format and approach so sessions fit into each person’s routine and goals.

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 changesCompassion fatigue

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesAutism and Asperger SyndromeBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCodependency Communication problems Control issues Divorce and separationEating and food-related issuesEmptinessFamily problemsForgiveness Guilt 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

Frequently asked questions

What kinds of problems does Trish help with?

She works with stress, anxiety, depression, trauma and abuse, grief, self-esteem, sleeping and eating issues, career strain, compassion fatigue, and related concerns such as codependency and attachment issues.

What is her general therapy style?

Her style is person-centered and practical, combining listening with cognitive and behavioral tools, acceptance-based ideas, and skills training to manage strong emotions.

How long has she been practicing?

She has seven years of clinical experience working with people on a range of emotional and life challenges in Wyoming.

What are her credentials and where is she located?

She holds the credential LCSW, which is a Licensed Clinical Social Worker, and practices in Wyoming.

What languages are supported during sessions?

Sessions are offered in English.

Can people outside the U.S. work with her?

She is not accepting international clients at this time.

How are sessions arranged and how much do they cost?

Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.

How do I begin working with her?

Select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Profile details come from information the therapist supplied to BetterHelp. Credential and registration rules differ between the United States, the United Kingdom and Australia.