Patricia "Trish" McMillan, LCSW

Patricia "Trish" McMillan is a Licensed Clinical Social Worker (LCSW) based in Arizona. She draws on a practical mix of brief solution-focused work and cognitive behavioral methods to help people manage stress, anxiety, grief, and life transitions.

Trish emphasizes respect, compassion, and when appropriate, a touch of humor. She shapes conversations and plans to fit each person’s needs rather than using a one-size-fits-all approach. Her direct style aims to make change feel manageable and realistic.

With seven years focused on brief solution-focused and cognitive behavioral therapy, she blends short-term strategies with attention to patterns that keep problems going. That work is used with concerns such as depression, self-esteem, sleep problems, anger, and relationship tensions.

Her practice also attends to caregiver strain, cancer-related stress, blended family issues, and aging and geriatric issues. She supports people facing difficult life events like divorce, loss, or major career changes and helps them identify concrete next steps.

Sessions are organized around practical goals and small experiments people can try between meetings. Trish invites clients to shape the pace and direction of therapy so progress reflects real life needs and priorities.

Approaches that guide online sessions

Client-Centered Therapy focuses on listening and following what matters most to the person. The therapist creates space for people to talk through concerns and helps them identify their own solutions. Cognitive Behavioral Therapy (CBT) looks at how thoughts and behaviors keep problems going and teaches specific steps to change those patterns; it is often used for anxiety, depression, sleep issues, and anger. Mindfulness Therapy adds attention to the present moment and simple practices to reduce reactivity and stress.

Choosing the right approach is part of the work. The therapist will collaborate with each person to decide which methods fit their needs and goals. That decision is revisited as progress is made so therapy stays useful and practical.

Please confirm available session options before booking, as formats are set by the therapist. Online work can make it easier to fit sessions into a busy life, allow shorter check-ins when helpful, and reduce travel time. It can also support steady work on goals between meetings by keeping momentum from week to week.