- Brief solution-focused work
- Cognitive behavioral tools
- Mindfulness-based approach
About Patricia
Patricia "Trish" McMillan is a Licensed Clinical Social Worker (LCSW) based in Arizona. She focuses on short-term, practical therapies and offers straightforward support for stress, anxiety, grief, and everyday struggles. Trish aims to treat people with respect, sensitivity, compassion, and when appropriate, humor.
Trish uses conversation and structured exercises to help people manage difficult feelings and make small changes that add up. She draws on cognitive behavioral techniques to identify unhelpful thinking patterns and on solution-focused work to set clear, achievable goals. Mindfulness and client-centered ideas guide how she listens and responds in sessions.
Her practice emphasizes tailoring sessions to each person’s needs. She works to create a plan that fits daily life and the problem at hand. That can mean short-term goals for a clear issue or a longer conversation for ongoing concerns.
Trish has seven years of recent experience providing brief solution-focused and cognitive behavioral therapy, and over two decades as a social worker. She has helped people facing relationship stress, caregiving strain, career shifts, and loss. She also supports people coping with natural or human-caused disaster and first responder issues.
People can expect practical tools, clear steps, and calm conversation when working with Trish. She encourages small experiments between sessions and checks progress regularly. The overall aim is to reduce immediate distress and build skills for daily life.
How Trish Uses CBT, Solution-Focused, and Client-Centered Work Online
Client-centered therapy means listening first and shaping the conversation around the person’s priorities. It helps when someone needs a calm space to talk, to feel heard, and to decide what matters most. Cognitive behavioral therapy (CBT) focuses on identifying unhelpful thoughts and testing new behaviors to reduce distress. CBT is useful for anxiety, low mood, sleep problems, and stress that comes from repeated thinking patterns.Solution-focused therapy concentrates on small, doable steps and measurable progress. It helps when someone wants short-term change or a clear plan to move forward. Trish combines these approaches so sessions stay practical while still honoring each person’s experience. She works with clients to choose which tools fit their goals rather than using a one-size-fits-all method.
Finding the right approach is a collaborative process. Trish will talk with clients about what they hope to change, try techniques together, and adjust the plan based on what helps most. That means goals, pacing, and exercises are decided together and reviewed over time.
Confirm current session options before booking so you know what formats are offered. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and reduce travel time. It can also make it simpler to use homework exercises between meetings and to practice skills in day-to-day settings.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
7+ years
Credentials
Arizona
Languages
English
Frequently asked questions
What concerns does Trish commonly address?
She helps people with stress, anxiety, depression, grief, sleep problems, anger, self-esteem, relationship and family issues, career changes, and compassion fatigue.
How would you describe her therapy style?
Her style is practical and person-centered, combining client-centered listening with cognitive behavioral and solution-focused techniques to set clear goals.
What experience does she bring to sessions?
Trish has seven years providing brief solution-focused and cognitive behavioral therapy and more than 25 years working as a Licensed Clinical Social Worker.
Where is she licensed and practicing?
She is licensed as an LCSW in Arizona and practices with that credential in the state.
Which languages are supported for sessions?
Sessions are offered in English.
Are international clients accepted?
International clients are not currently accepted for sessions.
How are fees and payment handled?
Costs vary with location and therapist availability, and sessions use a subscription that can be canceled at any time.
What is the first step to begin working together?
Select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.