- Guilt and shame
- Grief and loss
- Communication skills
About Patricia
Patricia Fraser is an LCSW licensed in New York with 39 years of practice. She helps people who are carrying stress, anxiety, relationship difficulties, grief, low self-esteem, and depression. Her work also covers communication problems, forgiveness, guilt and shame, isolation and loneliness, life purpose, self-love, and social anxiety and phobia.
Patricia listens to what is making each person stuck and takes a direct, plainspoken approach. She encourages clear talk about thoughts and feelings and looks for practical steps to reduce daily strain. Sessions focus on what is happening now and what small changes could feel manageable.
She pays attention to how past events and current relationships shape feelings of guilt and shame. Patricia helps people name those feelings, examine the stories they tell themselves, and practice different ways of responding. She uses techniques drawn from evidence-based therapeutic methods to notice unhelpful patterns and try alternatives.
Conversations often include working on communication skills and rebuilding confidence. She may help someone rehearse a difficult conversation, reframe a harsh self-judgment, or set simple goals to increase contact with others. These are practical steps, done at a pace the person can handle.
Patricia asks straightforward questions and reflects back what she hears. That helps clarify what matters most and what to work on first. To begin, people complete a short matching questionnaire and schedule an initial session to see if this approach fits.
Approaches for shame, guilt, and everyday distress
Patricia draws on evidence-based therapeutic techniques to address painful feelings. One common approach she uses helps people identify automatic thoughts and test them against reality. This method is useful for anxiety, low mood, and the harsh self-judgments that often come with guilt and shame.She also uses brief behavioral strategies that focus on small, achievable actions. These steps aim to rebuild confidence, increase social contact, and reduce avoidance that feeds isolation and anxiety. Such practical work supports clearer communication and steadier daily routines.
Choosing an approach is a joint process. Patricia works collaboratively to see which methods fit a person's needs, goals, and preferences. Early sessions are used to clarify priorities and decide whether to keep trying a method or try something different.
Session formats are not specified in the biography, so confirm current session options before booking. Online work can make it easier to fit therapy into a busy life by removing commute time, allowing shorter check-ins when needed, or avoiding a camera for a session that only requires a phone call. Licensed professionals can often adjust session length and rhythm to match real-world schedules without promising a particular format.
Areas of expertise
Primary focus
Additional focus areas
Experience
39+ years
Listed in
New York
Languages
English
Frequently asked questions
What concerns does Patricia help with?
She works with stress, anxiety, relationship issues, grief, self-esteem, and depression. Additional focuses include communication problems, forgiveness, guilt and shame, loneliness, life purpose, self-love, and social anxiety.
How would she approach feelings of guilt or shame?
She helps people name the feeling, examine the stories behind it, and practice different responses. The work emphasizes clear talk and practical steps rather than abstract explanations.
What is her background and experience?
Patricia has 39 years of professional experience working in social work settings. That experience informs a direct, practical style focused on everyday changes.
What credentials and region apply to her practice?
She is an LCSW licensed in New York and works with people based in that region.
Does she offer sessions in other languages?
Sessions are offered in English.
Can people outside the United States work with her?
International clients are not accepted at this time.
How is cost handled for sessions?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.