- Stress and anxiety
- Trauma and PTSD
- Blended family issues
About Trisha
Trisha Merwin is a Licensed Mental Health Counselor (LMHC) in Washington with 20 years of clinical experience. She helps people manage stress, anxiety, trauma, depression, low self-esteem, and ADHD. She also works with concerns such as blended family issues, communication problems, chronic illness, and grief.
Her style is practical and grounded. Sessions focus on clear goals and simple skills that can be used between meetings. Trisha uses evidence-based therapeutic techniques and integrates clients' values when that is important to them.
Clients can expect straightforward conversations about what is happening now and what needs to change. She listens for patterns in relationships, mood, and daily routines. From there she suggests steps to reduce distress and improve functioning.
Trisha has worked across many settings during her two decades of practice, including with people facing end-of-life concerns, adoption and foster care issues, and long-term health challenges. That experience informs how she helps people cope with overlapping stresses.
She pays attention to how family roles and household changes affect daily life. For a person adjusting to a blended household, she offers practical guidance on communication, boundary setting, and managing loyalty conflicts. Sessions emphasize realistic strategies that fit into day-to-day routines.
How evidence-based methods shape online work
Trisha uses evidence-based therapeutic techniques that focus on specific problems and teach practical skills. One approach emphasizes identifying unhelpful thought patterns and replacing them with clearer, more accurate thoughts to reduce anxiety and depression. Another approach centers on building coping skills and exposure to manage panic, trauma reactions, and obsessive behaviors. Choosing the right approach is a collaborative process. Trisha works with each person to review their goals, life context, and what has or hasn't helped before. Together they decide which methods to try and adjust them over time based on how well they work. Confirm the session formats available before you book, as the biography does not list specific formats. Online sessions can make therapy fit more easily into a busy life - they reduce travel, allow a shorter check-in during a break, and can be scheduled around work or caregiving. If you prefer a less visual option, ask about phone-based sessions which can require less bandwidth and feel more like a brief focused meeting.Areas of expertise
Additional focus areas
Experience
20+ years
Listed in
Washington
Languages
English
Frequently asked questions
What concerns does she help with?
She supports adults with stress, anxiety, trauma, depression, low self-esteem, and ADHD, plus related issues such as blended family challenges and chronic illness.
How would you describe her therapeutic approach?
Her approach uses evidence-based techniques and focuses on practical skills and clear goals. She blends those methods with clients' values when relevant.
How much clinical experience does she have?
She has 20 years of experience working in a range of clinical settings, including work related to hospice, adoption and foster care, and chronic health issues.
What is her credential and where is she based?
She is a Licensed Mental Health Counselor (LMHC) licensed in Washington and practices from that state.
Which languages are sessions offered in?
Sessions are offered in English.
Does she accept clients outside the United States?
International clients are not currently accepted.
How are sessions paid for?
Cost varies by location and sessions are billed through a subscription model that can be canceled at any time.
What do I need to do to begin?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Online talk therapy is for adults and is not emergency care, mediation or legal advice. If you or a child are in danger, use the emergency numbers. Find someone else by name.