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Patricia McCullough

Patricia McCullough, LCSW

Pennsylvania

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Licensed Clinical Social Worker - Guilt and shame concerns

  • Attachment-based focus
  • CBT and DBT methods
  • Trauma informed EMDR

About Patricia

Patricia McCullough is a Licensed Clinical Social Worker (LCSW) in Pennsylvania with 39 years of practice. She works with people facing stress, anxiety, addictions, trauma and abuse, low self-esteem, and depression. Patricia also addresses concerns tied to abandonment, attachment issues, caregiver stress, and chronic illness. She uses practical talk and steady guidance to help people sort through guilt, shame, and difficult feelings.

Patricia draws on several therapeutic approaches to shape sessions. She uses client-centered methods to listen and follow what matters most to the person in front of her. Cognitive Behavioral Therapy helps people notice patterns in thoughts and behavior and try different ways of responding. Attachment-based ideas inform work on relationships and early hurts that can leave ongoing shame.

Her practice also includes techniques from Dialectical Behavior Therapy to teach emotional regulation and distress tolerance skills. Eye Movement Desensitization and Reprocessing (EMDR) is part of her toolkit for working with trauma symptoms when that is appropriate. She matches tools to the concern rather than sticking to a single method.

Sessions are conversational and task-focused. Patricia aims to make goals concrete and break them into small steps you can try between meetings. She frames setbacks as information about what to try next rather than signs of failure.

People who contact her should expect straightforward planning, skills to manage intense moments, and attention to how past experiences affect current guilt and shame. Language used in sessions is English and work is done under her Pennsylvania LCSW credential.

How her approaches translate to online work

Patricia commonly integrates Attachment-Based Therapy, Client-Centered Therapy, and Cognitive Behavioral Therapy into her sessions. Attachment-Based Therapy looks at patterns in relationships and early bonds and helps people notice how those patterns affect present guilt or shame. Client-Centered Therapy emphasizes listening and following the person’s priorities so sessions focus on what matters most right now. Cognitive Behavioral Therapy identifies thought and behavior patterns that keep someone stuck and introduces simple experiments to test new responses.

Choosing the right approach is part of the work together. She will discuss options and collaborate with each person to decide which methods fit their goals and preferences. That conversation can evolve as progress is made and new challenges appear.

Confirm the available session formats before booking because the biography does not list formats explicitly. When arranged online, sessions can make it easier to fit therapy into a busy week, shorten travel time, or allow a quicker check-in during a break. Some formats require less bandwidth or no video, which can help on days when energy is low. The focus remains on practical skills, planning, and applying what is learned to everyday situations rather than on any single delivery method.

Areas of expertise

Additional focus areas

AbandonmentAdoption and foster careAging and geriatric issuesAttachment issuesAvoidant personalityBlended family issuesCaregiver issues and stressChronic pain, illness, and disabilityCodependencyCommunication problemsControl issuesDissociationDivorce and separationDrug and alcohol addictionEating and food-related issuesFamily of origin issuesFamily problemsFertility issuesForgivenessGuilt and shameHoardingInfidelityIsolation / lonelinessLife purposeMoney and financial issuesMood disordersObsessions, compulsions, and OCDPersonality disordersPhobiasPost-traumatic stressSeasonal Affective Disorder (SAD)Self-loveSmoking / vaping cessationSocial anxiety and phobiaWomen's issuesWorkplace issues

Therapeutic approaches

Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Eye Movement Desensitization and Reprocessing (EMDR)Mindfulness TherapyMotivational InterviewingSolution-Focused TherapyTrauma-Focused Therapy

Experience

39+ years

Listed in

Pennsylvania

Languages

English

Frequently asked questions

What kinds of problems does she help with?

She works with stress, anxiety, addictions, trauma and abuse, low self-esteem, and depression. Additional areas include abandonment, attachment issues, caregiver stress, chronic illness, and related concerns.

How does she approach guilt and shame?

She uses client-centered conversation alongside CBT and attachment ideas to unpack where guilt and shame come from. Sessions focus on practical steps and skills to change unhelpful thoughts and responses.

How many years has she practiced?

She has 39 years of professional experience working in clinical settings and with individual concerns related to trauma, mood, and addictive behaviors.

What credential and region apply to her practice?

She is a Licensed Clinical Social Worker (LCSW) licensed in Pennsylvania and practices under that credential.

Can I work with her if I live outside the United States?

Sessions are offered in English and she does not accept international clients at this time.

What session formats does she offer?

Please confirm current session options before booking, as the original biography does not specify formats. Check the booking flow for the most up-to-date session types.

How are fees handled?

Cost varies with location and sessions use a subscription model that can be canceled at any time. Check the platform details for exact pricing.

How do I begin working with her?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session to get started.

Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.

Patricia McCulloughLCSW

Continue with Patricia