Therapist profile
Patricia "Trish" McMillan, LCSW
LCSW - Stress and family concerns
Continue with PatriciaAbout
- CBT strategies
- Solution-focused work
- Mindfulness techniques
About Patricia
Patricia "Trish" McMillan is a Licensed Clinical Social Worker (LCSW) licensed in Arizona with seven years focused on brief solution-focused work and cognitive behavioral approaches. She helps people who are dealing with stress and anxiety, grief and loss, low self-esteem, depression, and family concerns. Her practice also addresses caregiving strain, blended family issues, anger, sleep problems, and challenges that come with life changes.
Trish uses straightforward conversation to identify what's getting in the way day to day. She draws on Client-Centered methods to listen and reflect, and on Cognitive Behavioral Therapy to pinpoint thoughts and behaviors that keep problems going. Solution-Focused techniques help set small, practical goals that can change routines and reduce overwhelm.
Her work also covers issues that often sit beside the presenting problem. That includes caregiver stress, challenges related to aging, cancer-related concerns, codependency, communication and control issues, and coping after disaster. She has experience with forgiveness work, guilt and shame, and supports people facing divorce or separation.
Sessions emphasize clear steps and short-term strategies when appropriate. Trish balances practical tools with a calm, respectful manner and uses humor when it helps to ease tension. She asks about daily routines, sleep, and support systems to shape realistic plans for change.
People who come to her can expect to focus on manageable changes. Early sessions clarify goals, then move toward skills and small experiments to try between meetings. Progress is tracked and plans are adjusted as needed.
How sessions work
Approaches used in online sessions
Trish blends Client-Centered Therapy with Cognitive Behavioral Therapy (CBT) to address everyday problems. Client-Centered work means the therapist listens closely and reflects what matters to the client so goals are clear. CBT involves identifying unhelpful thoughts and testing small behavior changes to reduce anxiety, low mood, and sleep problems.She also uses Solution-Focused Therapy to set short-term, practical goals. That approach focuses on small steps that can be tried between meetings and on noticing what improves. Choosing the right mix of methods is part of the work. The therapist and client decide together which approaches fit the person’s goals, needs, and preferences, and they adjust the plan as things change.
Session formats are not listed in the biography, so confirm current online options before booking. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins, and reduce travel time. It also supports continuing care when life events or caregiving responsibilities make in-person visits difficult. Licensed professionals tailor session pacing and tasks to home life and daily routines, helping people test new strategies where they actually live and care for others.
Areas of focus
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
7+ years
Listed in
Arizona
Languages
English
Questions
Frequently asked questions
What kinds of problems does she help with?
She works with stress, anxiety, grief, depression, self-esteem struggles, family concerns, sleep problems, anger, career stress, and coping with life changes.
What is her therapy style like?
Her style combines Client-Centered listening with Cognitive Behavioral and Solution-Focused methods, using practical goals and skills-based work.
How much clinical experience does she have?
She has seven years of focused practice using brief solution-focused and cognitive behavioral approaches, and earlier social work experience prior to that.
What credential does she hold and where is she based?
She is an LCSW licensed in Arizona.
Are sessions available in other languages?
Sessions are offered in English.
Can people outside the United States work with her?
She is not accepting international clients at this time.
How are sessions paid for?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If anyone is in danger, use the crisis numbers.