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Trisha Merwin

Trisha Merwin

LMHC · Washington

Practical mental health care with spiritual awareness

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Review online therapy options and next steps on BetterHelp.

  • 20 years experience
  • Washington LMHC
  • Adoption and foster care

About Trisha

Trisha Merwin is a licensed mental health counselor with twenty years of experience helping people who are struggling with stress, anxiety, depression, trauma, attention differences, and low self-esteem. She also offers support for concerns related to adoption and foster care and for those facing chronic illness, grief, or major life transitions. Trisha writes plainly and listens carefully so people feel heard and understood in the first sessions.

Her style blends practical, evidence-based techniques with attention to each person’s spiritual life when that matters to them. Sessions are focused on real problems and real steps - learning coping skills, changing unhelpful patterns, and building better communication. Trisha aims to keep things straightforward and actionable so progress feels measurable.

Over two decades she has worked with people managing mood disorders, panic attacks, obsessive thoughts, and the fallout from trauma and abuse. She also supports clients dealing with family stress, blended family issues, and the emotional impacts of aging and end-of-life concerns. Her background gives her experience with a wide range of life-stage and medical challenges.

Trisha holds a Washington LMHC, which means she is a licensed mental health counselor in Washington. She offers therapy in English and draws on evidence-based therapeutic techniques to guide care. People who choose her can expect a respectful, steady approach that balances practical skill-building with attention to meaning and values.

To begin, Trisha asks about your current concerns and goals, then maps out short-term steps you can try between sessions. She encourages questions about approach and pacing so the plan fits your life and needs.

How therapeutic approaches shape online care

Trisha uses evidence-based therapeutic techniques that focus on learning new skills and changing unhelpful patterns. One common approach emphasizes teaching coping and emotion regulation skills to manage anxiety, panic, and mood swings; this helps people practice concrete strategies between sessions. Another approach concentrates on processing trauma and painful memories in a paced way, so people can reduce distress and regain daily functioning.

Finding the right approach is part of the work together. Trisha will review your goals, symptoms, and preferences and then suggest techniques to try. She encourages a collaborative plan so you can adjust methods and pace if something does not fit.

The therapist’s biography does not list specific session formats, so confirm available options before booking. Online therapy can make it easier to fit sessions into busy schedules, cut down travel time, and allow for shorter check-ins when needed. It can also allow someone to continue care while managing health or caregiving responsibilities. Ask about what formats are currently offered so you can pick the option that best fits your routine and needs.

Areas of expertise

Additional focus areas

Adoption and foster careAging and geriatric issuesBlended family issuesChronic pain, illness, and disabilityCommunication problemsDisruptive Mood Dysregulation Disorder (DMDD)Family problemsForgivenessGuilt and shameHospice and end-of-life counselingIsolation / lonelinessMood disordersObsessions, compulsions, and OCDPanic disorder and panic attacksPost-traumatic stressSeasonal Affective Disorder (SAD)Social anxiety and phobiaWomen's issues

Experience

20+ years

Credentials

Washington

Languages

English

Frequently asked questions

What concerns does Trisha commonly help with?

She works with stress, anxiety, depression, trauma and abuse, low self-esteem, ADHD, and related mood and panic issues. She also supports people dealing with adoption and foster care matters and chronic illness or end-of-life concerns.

How would you describe her therapeutic style?

Trisha uses a practical, straightforward style that focuses on skills and small changes. She blends evidence-based techniques with attention to each person’s spiritual values when those are important to the client.

What kind of experience does she bring?

She has twenty years of clinical experience working with a wide range of emotional and life challenges, including mood disorders, trauma recovery, and family stress.

Where is she licensed and based?

Trisha is a Washington LMHC, meaning she is licensed as a mental health counselor in Washington state. Sessions are offered in English.

Can I see her if I live outside the United States?

She does not accept international clients at this time. Sessions are provided in English to people located in Washington.

What session formats are available?

The original profile does not list specific session formats. Please confirm current session options with the platform before booking so you know whether video, phone, or other formats are offered.

How are sessions priced?

Cost varies with location and therapist availability. Sessions use a subscription that can be canceled at any time, and final pricing depends on the subscription plan and scheduling details.

How do I start a therapy relationship with her?

Click the Start Therapy button, complete the short matching questionnaire, and schedule a session based on the therapist’s availability.

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