Patricia "Trish" McMillan

Patricia "Trish" McMillan practices a mindfulness-informed way of working that helps people slow down and notice what matters most. She is a Licensed Clinical Social Worker (LCSW) based in Arizona with seven years focused on brief, solution-focused work and cognitive behavioral approaches. Trish keeps sessions practical and grounded, aiming to make skills usable in daily life.

She has experience helping people manage stress, anxiety, grief, and depression. She also supports those coping with relationship strain, sleep problems, anger, and life transitions. Additional areas she addresses include caregiver stress, aging and geriatric concerns, blended family issues, cancer-related challenges, and first responder issues.

Trish adapts conversations and plans to each person’s needs. She emphasizes respect, sensitivity, and compassion, and sometimes uses light humor when it fits. Her goal is to help people identify small, doable changes that improve daily functioning and mood.

In sessions she uses cognitive behavioral techniques to notice unhelpful thinking and solution-focused methods to set short-term goals. Mindfulness practices are woven in to help with regulation and presence. Trish encourages hands-on tools people can try between meetings.

Taking the first step toward change can feel hard. She frames therapy as a partnership: people bring their experience and she offers structure and techniques. Together they make a plan that fits what the person wants to accomplish.

How her approaches work in online therapy

Patricia uses mindfulness practices to help people build awareness of thoughts, breath, and body sensations, which can reduce reactivity and support emotional regulation. She pairs this with cognitive behavioral techniques that help identify and shift unhelpful thinking patterns, useful for anxiety, depression, and sleep problems.

She also uses solution-focused methods that break larger problems into short, practical goals. These techniques help people make concrete changes between sessions and track progress in small steps. Choosing the right mix of approaches is part of the process and will be decided together based on each person’s needs and goals.

If you prefer online work, confirm the current session options before booking so you know what formats are available. Online sessions can make it easier to fit meetings into a busy day, allow for shorter check-ins when needed, and reduce travel time. The therapist will collaborate with clients to adapt mindfulness exercises, cognitive tools, and short-term goal planning so they work well in the chosen session format.