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Patricia (Trish) Nichols

Patricia (Trish) Nichols

LCSW

Mindfulness-based, practical support

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

Credentials

Wyoming

Languages

English

Licenses listed

As listed on the therapist's profile. You can check a license with the state licensing board and an NPI in the national registry.

  • Mindfulness focus
  • Practical tools
  • Person-centered care

About Patricia

Patricia (Trish) Nichols is a licensed clinical social worker who centers mindfulness and practical skills in her work. She guides people through anxiety, depression, grief, and the fallout from trauma while keeping conversations clear and down-to-earth. Trish emphasizes small, doable steps that fit into daily life rather than abstract theory.

With seven years of experience as an LCSW in Wyoming, she draws on several approaches to meet each person where they are. Sessions may include Mindfulness Therapy exercises to calm overwhelming feelings, Acceptance and Commitment Therapy strategies for shifting toward valued living, and Cognitive Behavioral Therapy techniques to change unhelpful thinking patterns. Trish also uses attachment-aware perspectives when relationship history shows up in current struggles.

People come to her for many concerns: stress, sleep problems, body image and eating struggles, compassion fatigue, career strain, and identity questions including LGBT issues. She also supports those facing chronic illness, caregiver stress, aging-related worries, and difficult family dynamics.

Her style is person-centered and collaborative. Trish listens for what matters most, then helps choose practical tools to try between sessions. Sessions are paced to respect each person’s rhythm and readiness for change.

To begin, prospective clients follow the site’s Start Therapy process and complete a short matching questionnaire. That helps pair needs and goals with scheduling so work can begin in a focused way.

Mindfulness and evidence-based approaches for online care

Mindfulness Therapy focuses on present-moment awareness and simple exercises that help people notice thoughts and feelings without getting swept away. It is often used to reduce stress, improve sleep, and manage anxiety by strengthening attention and calmness.

Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small actions in those directions, even when hard emotions are present. This approach is useful for coping with depression, grief, and life transitions. Attachment-Based Therapy looks at how early relationship patterns shape current ways of relating and can help when relationship history influences trust, communication, or emotional reactions.

Finding the right approach is part of the work. The therapist collaborates with each person to choose which methods to try based on their goals, needs, and comfort level. The plan can change as progress and priorities emerge so the work stays relevant.

Confirm the specific session options before booking so you know how sessions will be run. Online therapy can make it easier to fit sessions into a busy life, reduce travel time, and allow shorter check-ins when schedules are tight. It can also let people use quieter surroundings or lower-bandwidth connections depending on what works best for them.

These summaries are based on the profile information listed on BetterHelp. Listing mindfulness as an approach does not mean a therapist holds a formal mindfulness training or certificate.

Frequently asked questions

What kinds of concerns can be addressed?

She helps with stress, anxiety, depression, grief, trauma and abuse, and related issues such as sleep and eating struggles, anger, and career stress.

How would you describe the therapy style?

Trish uses a person-centered, practical style that blends mindfulness, ACT, CBT, and attachment-informed ideas to build tools that fit daily life.

What experience does the therapist bring?

She has seven years of clinical experience working as an LCSW in Wyoming with a range of emotional and life challenges.

What credentials and location are listed?

She is a Wyoming LCSW and provides services based in Wyoming.

Which languages are supported and are international clients accepted?

Sessions are offered in English and international clients are not currently accepted.

What session formats are available?

Confirm the current session formats before booking so you know how sessions will be delivered.

How does billing and cost work?

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

How do I get started?

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

Therapists on BetterHelp do not prescribe medication. A doctor can talk with you about medical options. If you are thinking about suicide, call or text 988; in an emergency, call 911.

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