About Trisha
Trisha Merwin is a licensed mental health counselor with 20 years of experience helping people facing stress, anxiety, depression, trauma, low self-esteem, and ADHD. She blends practical techniques with attention to each person's spiritual and emotional life. Her style is calm and direct, aimed at helping parents and individuals find manageable steps forward.
She spends sessions listening to what matters most and then offering tools that fit daily life. That might mean learning ways to ease panic attacks, practicing strategies for persistent worry, or pacing work through grief and trauma.
Background and approach
Conversations focus on clear goals and skills people can try between sessions. Trisha works with concerns that often overlap, such as chronic pain, caregiving and hospice stress, family and blended family issues, and loneliness. She also supports people dealing with obsessive behaviors, panic attacks, mood disorders, and the effects of adoption or foster care.
Sessions address both emotional needs and practical challenges that get in the way of everyday functioning. Her approach mixes evidence-based therapeutic techniques with attention to faith and values when that is important to the client. She aims to create a respectful, nonjudgmental space where people can talk honestly and test new ways of coping.
Trisha is based in Washington and practices as an LMHC - Licensed Mental Health Counselor. Sessions are paced to the person and focused on small, doable changes. She encourages ongoing feedback so the plan adjusts as needs and goals evolve.
Evidence-based methods and flexible online care
Trisha uses evidence-based therapeutic techniques that focus on skills and real-life practice. One approach emphasizes anxiety management and behavioral strategies to reduce panic and avoidant patterns, teaching breathing, grounding, and gradual exposure to feared situations. Another approach centers on trauma-informed care that helps people process difficult memories at a pace that feels manageable, while building coping skills to lessen day-to-day distress.Finding the right combination of approaches is part of the work. Trisha collaborates with each person to identify goals, try different techniques, and adjust the plan based on what helps most. Clients and therapist check progress together so the approach stays practical and relevant.
Online therapy is offered via video calls, phone sessions, live chat, or text-based messaging to fit different needs. Video is useful for face-to-face conversation and nonverbal cues. Phone sessions can be easier when bandwidth is limited or a shorter check-in fits a break at work. Live chat and text messaging allow quick updates, brief coaching, or ongoing written reflection between appointments. These options make it easier to keep therapy consistent while juggling work, family, and caregiving demands.
Frequently asked questions
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What formats of online therapy are available?
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Specialties and expertise
Top specialties
Also works with
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Blended family issues
- Chronic pain, illness, and disability
- Communication problems
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Family problems
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Isolation / loneliness
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Social anxiety and phobia
- Women's issues
- Experience
- 20 years
- Licensed
- Washington
- Languages
- English