- Anxiety management
- Trauma care
- Practical skills
About Trisha
Trisha Merwin is a Licensed Mental Health Counselor (LMHC) in Washington with 20 years of clinical experience. She works with people facing stress, anxiety, trauma and abuse, low self-esteem, depression, and ADHD. Her practice also addresses related concerns such as panic attacks, obsessive-compulsive behaviors, post-traumatic stress, and isolation.
She uses a faith-informed perspective alongside evidence-based therapeutic techniques to help people talk through difficult feelings and responses. Sessions focus on practical steps people can try between meetings, plus ways to notice and change unhelpful patterns in thinking and behavior. Trisha aims to help clients build clearer communication skills and manage mood symptoms.
Her background includes long-term clinical work with adults across a range of life challenges, including adoption and foster care issues, blended family concerns, chronic illness and pain, hospice and end-of-life topics, and grief-related guilt or forgiveness. That experience informs how she approaches complicated emotional situations.
In sessions she tends to be direct and grounded, offering specific tools alongside space to discuss values and meaning. She supports people working through family problems, communication breakdowns, and mood disorders without assuming a single path forward. Trisha encourages gradual steps and practical problem solving.
People who contact her complete a brief matching questionnaire and then schedule a first session. Sessions are conducted in English and follow the counselor-client process consistent with a Washington LMHC.
How evidence-based techniques translate to online sessions
Trisha uses evidence-based therapeutic techniques alongside a faith-informed perspective. Cognitive-based strategies focus on identifying and adjusting unhelpful thinking patterns and are useful for anxiety, panic, and depressive symptoms. Behavioral tools emphasize gradual exposure, activity scheduling, and practical habit changes to reduce avoidance and improve day-to-day functioning.Working out which approach fits best is part of the early sessions. The therapist and client review goals, daily routines, and how symptoms show up to decide which techniques to try. This is collaborative and may change as progress is made.
Confirm the current online session options before booking so you know what formats are available. Online therapy can make it easier to fit sessions into a busy week, shorten travel time, and allow quicker check-ins when problems arise. Some formats need less bandwidth or make it simpler to avoid being on camera, which can help people who find in-person meetings difficult. Licensed professionals can adapt exercises and homework to the online setting so sessions stay practical and focused.
Areas of expertise
Additional focus areas
Experience
20+ years
Listed in
Washington
Languages
English
Frequently asked questions
What kinds of problems does she help with?
She works with stress, anxiety, trauma and abuse, low self-esteem, depression, ADHD, panic attacks, OCD symptoms, and related mood concerns.
What is her general approach in sessions?
She combines a faith-informed perspective with evidence-based techniques, focusing on practical tools and clearer communication rather than abstract theory.
How much experience does she have?
She has 20 years of clinical experience working with adults on a range of emotional and life challenges.
What are her credentials and location?
She is a Washington LMHC and practices in Washington state.
Which languages are sessions offered in?
Sessions are offered in English.
Can people outside the U.S. work with her?
International clients are not currently accepted; services are provided to people within the relevant licensing jurisdiction.
How are sessions charged?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Start by selecting the See online therapy options button, completing a short matching questionnaire, and scheduling a first session.