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- Stress and anxiety
- Trauma and PTSD
- Self esteem and mood
About Trisha
Trisha Merwin, Licensed Mental Health Counselor (LMHC) in Washington, has 20 years of clinical experience. She helps people manage stress, anxiety, depression, trauma, low self-esteem, and ADHD using practical, evidence-based methods and a faith-informed perspective.
She focuses on day-to-day problems that make life harder. That includes adoption and foster care concerns, blended family issues, family conflict, communication problems, and mood disorders. She also addresses chronic pain, illness, disability, obsessive-compulsive concerns, panic attacks, and post-traumatic stress.
Her work combines structured therapeutic techniques with attention to the role of spirituality when clients want that. Sessions typically look at current triggers, coping skills, and steps to reduce symptoms. She also helps people sort out guilt, shame, forgiveness, isolation, and the stresses around aging and end-of-life decisions.
Trisha aims for clear goals and measurable progress. She uses short-term tasks, practical skill-building, and regular review of what is or is not helping. Progress is tracked through changes in daily routines, relationships, and symptom levels rather than abstract promises.
People who value faith as part of their healing process can include that in sessions. Trisha works with individual adults to address these issues. She practices in Washington as a Washington LMHC and conducts sessions in English.
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Approaches used and what online work looks like
Trisha uses evidence-based therapeutic techniques in her work. One common approach is cognitive-style work that looks at thoughts and behaviors and teaches practical skills to reduce anxiety and depressive symptoms. Another frequent focus is trauma-informed methods that help people process difficult events and reduce reactivity over time.Finding the right approach is part of the process. The therapist and client review goals, symptoms, and preferences together and pick methods that fit those needs. Treatment plans are adjusted based on what helps in weekly work and between-session practice.
Session formats are not specified in the biography, so confirm current session options before booking. Online sessions can make it easier to fit therapy into a busy schedule, shorten check-ins on a hectic day, or avoid travel time. Licensed professionals can also use remote work to continue care when life changes make in-person appointments difficult.
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Areas of expertise
Additional focus areas
Experience
20+ years
Listed in
Washington
Languages
English
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Frequently asked questions
What concerns does she address?
She works with stress, anxiety, depression, trauma, self-esteem issues, and ADHD. Additional focuses include family problems, chronic illness, grief and end-of-life concerns, obsessions and panic.
What is her therapeutic style?
She uses evidence-based techniques with practical skill-building and goal review. Faith can be included in sessions when the client prefers it.
How long has she practiced?
She has 20 years of experience in clinical work.
What credential and location does she hold?
She is a Licensed Mental Health Counselor (LMHC) licensed in Washington.
Which languages are supported?
Sessions are offered in English.
Can international clients work with her?
International clients are not currently accepted.
How are sessions paid for?
Cost varies by 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.
Online talk therapy is not emergency care. If you are in danger, call 911, or call or text 988.