Patricia Nelson, LCSW, LCSW-R
Narrative-informed therapist with practical tools
Details
| Name | Patricia Nelson |
|---|---|
| Credentials | LCSW, LCSW-R |
| Based in | New York |
| Licensed in | New York, California |
| Session format | Online |
| Languages | English |
| Years in practice | 25 |
About Patricia
Patricia Nelson is a licensed clinical social worker based in New York. She has 25 years of experience guiding people through stress, anxiety, depression, addiction, and life transitions. Patricia brings a warm, engaged style to sessions and focuses on practical ways to move forward.
She uses Narrative therapy to help people reframe difficult stories about themselves. That approach pairs well with Client-Centered techniques that put the person's goals and perspective first.
Background and approach
Patricia also draws on Cognitive Behavioral Therapy and Dialectical Behavior Therapy tools when thinking patterns or intense emotions get in the way. Her work often addresses relationship strain, intimacy concerns, grief, and the effects of trauma and abuse. She also assists with parenting stress, career changes, sleep and eating struggles, ADHD, and coping with chronic illness or caregiver burden.
LGBT issues and identity questions are also part of her practice focus. Sessions are practical and conversational. Patricia aims to make therapy feel like a collaborative conversation where real problems are named and manageable steps are tried.
She balances respect and directness so clients can test new ways of coping. Patricia supports people who want clearer thinking, steadier emotions, and improved daily routines. She encourages small, sustainable changes and works with each person to build tools they can use outside of sessions.
What this therapist works with
Her listing names Stress, Anxiety, Addictions, Relationship issues among the things Patricia works with, alongside the areas below.
- Stress, Anxiety
- Addictions
- Relationship issues
- Trauma and abuse
- Depression
- LGBT
- Family conflicts
- Grief
- Intimacy-related issues
- Eating disorders
- Sleeping disorders
- Parenting issues
- Anger management
- Self esteem
- Career difficulties
- Bipolar disorder
- Coping with life changes
- Coaching
- Compassion fatigue
- ADHD
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- Fertility issues
- First responder issues
- Forgiveness
- Guilt and shame
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Veteran and Armed Forces Issues
- Money and financial issues
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Postpartum depression
- Post-traumatic stress
- Pregnancy and childbirth
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sexual assault and abuse
- Smoking / vaping cessation
- Social anxiety and phobia
- Trichotillomania
- Women's issues
- Workplace issues
- Young adult issues
Approaches listed
- Narrative Therapy: Named in her listing among her approaches.
- Client-Centered Therapy: Listed by Patricia among the ways she works.
- Cognitive Behavioral Therapy (CBT): Listed by Patricia among the ways she works.
- Dialectical Behavior Therapy (DBT): Listed by Patricia among the ways she works.
- Mindfulness Therapy: Listed by Patricia among the ways she works.
- Motivational Interviewing: Listed by Patricia among the ways she works.
- Solution-Focused Therapy: Listed by Patricia among the ways she works.
- Trauma-Focused Therapy: Listed by Patricia among the ways she works.
- Training stated: This directory copies the approaches a therapist names and does not check training records. Ask Patricia directly how much of the work is narrative and what a session usually looks like.
Narrative Therapy in this listing
Narrative Therapy appears in this therapist's own list of approaches. That tells you it is part of how she works. It does not tell you how much of a session it shapes, and this directory does not check or rate training.
If a narrative approach is what you are looking for, it is worth asking Patricia directly how she uses it and what a session usually looks like.
Online session options
How Narrative and Practical Therapies Work Online
Patricia uses Narrative Therapy to help people tell a different story about difficult events. That approach focuses on identifying dominant problem stories and finding alternative meanings that open up new choices. She also uses Client-Centered Therapy, which centers the person's goals and perspective and emphasizes empathy and respect in the conversation. These approaches help with relationship stress, grief, identity questions, and the emotional fallout of trauma or change.Finding the right mix of methods is part of the work. Patricia collaborates with each person to decide which approaches fit their needs, goals, and day-to-day life. Together they try techniques, notice what helps, and adjust the plan over time so it matches what the person actually wants to change.
Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to fit different schedules and needs. Video is useful for full conversations and practicing interpersonal skills, phone works well when bandwidth is limited, live chat or messaging can support short check-ins or ongoing coaching, and text lets people reflect in writing between sessions. These options make it easier to fit therapy into work, caregiving, or other daily routines while keeping the focus on meaningful progress.
Common questions about this listing
What issues does Patricia help with?
She works with a wide range of concerns including stress, anxiety, depression, addictions, trauma and abuse, relationship and intimacy issues, grief, parenting strain, sleep and eating problems, ADHD, and career challenges.
What is her therapy style like?
Her style is warm and interactive, focusing on collaborative conversations and practical steps. She aims to tailor discussions to each person's needs and preferences.
How much clinical experience does she have?
Patricia has 25 years of experience working as a psychotherapist and life coach in clinical settings.
Where is she licensed and based?
She holds LCSW and LCSW-R credentials and practices from New York.
Which languages are supported for sessions?
Sessions are offered in English.
What session formats are available?
She offers video calls, phone sessions, live chat, and text-based messaging as session formats.
How are fees and billing handled?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, complete the short matching questionnaire, and schedule according to therapist availability.
Contacting this therapist
Sessions with Patricia are arranged through our partner platform. It asks a few questions about what you are looking for, then shows you the therapists available to you, including Patricia where she has space. Ask about fees, and whether she holds a licence or registration where you live.
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