- Guilt and shame work
- Faith-informed approach
- Skills for panic
About Trisha
Trisha Merwin is a Licensed Mental Health Counselor (LMHC) in Washington with 20 years of clinical experience. She works with adults dealing with stress, anxiety, trauma and abuse, self-esteem struggles, depression, and ADHD. Trisha also supports people facing issues related to adoption and foster care, chronic illness and pain, and end-of-life concerns.
Her sessions are influenced by clients' spiritual beliefs when that is important to them. She combines evidence-based therapeutic techniques with attention to a person's values and life context. Conversations often focus on understanding what keeps painful feelings alive and on practical steps to change those patterns.
Trisha helps people name and sit with feelings like guilt and shame without minimizing them. She uses straightforward tools to reduce panic, manage obsessive thoughts, and ease intense stress. Work can include learning skills for calmer breathing, changing unhelpful thinking, and building small behavioral steps to feel less stuck.
She pays attention to family patterns and communication problems that often underlie repeated conflict. Sessions may look at how past events continue to shape current relationships and decisions. Trisha also supports people facing aging, hospice matters, or caregiving stress.
Her style is direct and practical. Clients are encouraged to try short experiments between meetings and review what helps. To begin, people complete a brief matching questionnaire and schedule a first session through the online options button.
How evidence-based techniques are used remotely
Trisha uses evidence-based therapeutic techniques to address intense emotions and repetitive patterns. Cognitive techniques focus on identifying and testing unhelpful thoughts that feed guilt and shame, and on developing clearer, kinder self-statements to reduce distress. Behavioral methods involve small, practical exercises to change avoidance or compulsive behaviors, which can help lessen panic and obsessive urges.Finding the right mix of approaches is part of the work. She will collaborate with each person to decide which techniques fit their goals, preferences, and day-to-day life. That means trying methods, checking what helps, and adjusting the plan together as needed.
Session options are not specified in the biography, so confirm current formats before booking. Online sessions can make it easier to fit therapy into a busy schedule, shorten travel time, and allow check-ins during a workday or between appointments. Different approaches can be adapted to remote meetings, and the therapist and client will choose ways of working that match the client’s needs and routines.
Areas of expertise
Additional focus areas
Experience
20+ years
Listed in
Washington
Languages
English
Frequently asked questions
What concerns does she help with?
She works with stress, anxiety, trauma and abuse, self-esteem, depression, and ADHD, plus related issues like guilt and shame and family problems.
How does she approach guilt and shame?
She helps people name guilt and shame and uses practical techniques to reduce their intensity and interrupt harmful patterns.
What is her clinical background?
She has 20 years of experience as a clinician working across mood disorders, trauma, and chronic health-related concerns.
What credential does she hold and where is she based?
She is an LMHC licensed in Washington and conducts her practice from that state.
Which languages are supported?
Sessions are offered in English.
Can people outside the United States work with her?
International clients are not currently accepted.
How are sessions scheduled and paid for?
Costs vary by location and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Use the See online therapy options button, complete a short matching questionnaire, and then 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.