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PM Portrait of Patricia "Trish" McMillan

Patricia "Trish" McMillan

Practical CBT and solution-focused care

LCSW Arizona

Experience
7 years in practice
Focus areas
Stress, Anxiety, Relationship, Grief
Approaches
Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages
English
Continue with Patricia

About Patricia

Patricia "Trish" McMillan centers her work on practical, goal-oriented methods that help clients change unhelpful thoughts and behaviors. As an LCSW practicing in Arizona, she draws heavily on Cognitive Behavioral Therapy alongside brief solution-focused techniques to address stress, anxiety, grief, and related concerns.

Background and approach

Trish emphasizes a collaborative process where clients and therapist shape a tailored plan that fits each person’s circumstances and goals. With seven years focused on brief solution-focused and CBT work, she brings experience supporting people through depression, relationship and family difficulties, sleep struggles, anger, and major life transitions.

Trish also attends to issues such as compassion fatigue, caregiver stress, aging and geriatric concerns, blended family dynamics, and challenges tied to illness or caregiving. Her approach is grounded in respect, sensitivity, and compassion, and she adapts tone and interventions to the needs of each client.

Clients can expect a pragmatic but warm style that may include problem-solving, skills training, and mindfulness-informed strategies when appropriate. Trish encourages taking the first step toward change and positions herself as a steady, supportive partner in the process.

Structured approaches for online change



Cognitive Behavioral Therapy helps people identify and shift thought and behavior patterns that contribute to distress. It often involves setting concrete goals, practicing new skills between sessions, and developing practical strategies for anxiety, depression, sleep problems, and anger. Solution-Focused Therapy centers on identifying strengths and small, attainable steps toward preferred outcomes; it is forward-looking and useful for clients who want targeted, time-limited progress.

Choosing the right approach is collaborative, and the therapist will work with each person to determine which methods suit their needs, goals, and preferences. Sessions may blend client-centered listening with CBT techniques or solution-focused planning depending on what emerges in early sessions, and adjustments are made as work evolves.

Online therapy in this practice is available by video calls, phone sessions, live chat, or text-based messaging, which can make scheduling more flexible and reduce travel time. These options support continuity of care and allow individuals to access therapeutic guidance from wherever they are located in Arizona while fitting work, caregiving, and other commitments into their routine.

Frequently asked questions

What concerns does this therapist commonly address?
She works with stress, anxiety, grief, depression, self-esteem challenges, relationship and family problems, sleep difficulties, anger, career issues, coping with life changes, and compassion fatigue.
What is her therapeutic style like?
Her work combines client-centered warmth with practical interventions such as CBT and brief solution-focused techniques, aiming to be respectful, sensitive, and at times gently humorous.
What background and experience does she bring?
Trish has seven years focused on brief solution-focused and cognitive behavioral therapy and a longer history as a Licensed Clinical Social Worker practicing in Arizona.
What credentials and location are listed?
She holds the credential LCSW with license AZ LCSW LCSW-2684 and is based in Arizona.
Does she offer services in other languages or to international clients?
Her practice is conducted in English and she is not currently accepting international clients.
Which session formats are available?
Sessions are offered via video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences and needs.
How are therapy costs handled?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the steps to begin working together?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule according to the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesGriefSelf esteemDepression

Also works with

Family conflictsSleeping disordersAnger managementCareer difficultiesCoping with life changesCompassion fatigue

Additional focus areas

Aging and geriatric issuesBlended family issuesCancerCaregiver issues and stressCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separationFamily problemsFirst responder issuesForgivenessGuilt and shameHospice and end-of-life counselingImpulsivityIsolation / lonelinessLife purposeMen's issuesMidlife crisisMood disordersMulticultural concernsSeasonal Affective Disorder (SAD)Self-loveSocial anxiety and phobiaWomen's issuesWorkplace issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapySolution-Focused Therapy

Experience

7+ years

Licensed

Arizona

Languages

English