Trish Nicholson

Trish Nicholson (she/her)

Licensed Professional Counselor

Board-certified (NCC), PMH-C

Indigenous Mi’kmaq therapist offering Oregon telehealth for adults navigating anxiety, trauma, burnout, and racial identity concerns.

Client Status

accepting clients

Contact

503-410-3009

At a Glance

Me

Rate: $220

Provides free initial consultation

Practicing Since: 2022

Services

  • Individual
  • Teen

Insurances Accepted

  • Out of Pocket
  • Out of Network
  • OHP CareOregon/HealthShare
  • OHP Open Card

My Ideal Client

I work best with adults who seem capable on the outside but feel anxious, overwhelmed, or disconnected within. Many are navigating trauma, burnout, perfectionism, people-pleasing, chronic shame, racial or cultural identity, or the lasting impact of emotionally immature parents. My clients are often thoughtful, self-aware, and ready to understand the patterns that helped them survive, so they can build more ease, self-trust, and healthier relationships.

My Approach to Helping

My approach is relational, trauma-informed, and grounded in the nervous system. I help clients slow down, understand the patterns that once kept them safe, and build new ways of relating to themselves and others. Rather than focusing only on symptoms, we explore how past experiences, relationships, culture, identity, and systemic pressures may be shaping what you feel today. I am an Oregon Licensed Professional Counselor, National Certified Counselor, and Certified Perinatal Mental Health Professional. My training includes EMDR, Brainspotting, somatic approaches, and culturally responsive care. I work collaboratively and at a pace that feels manageable, using both conversation and experiential tools to support greater regulation, self-trust, and lasting change. Therapy with me is warm, direct, and deeply respectful of the wisdom you already carry.

My Personal Beliefs and Interests

I believe healing is not about becoming more productive, agreeable, or acceptable to others. It is about reconnecting with yourself, understanding what shaped you, and creating a life that feels more honest and sustainable. As an Indigenous Mi’kmaq and mixed-race therapist, I care deeply about identity, belonging, cultural humility, and the ways family and larger systems affect our sense of self. I value therapy that makes room for the whole person; not only symptoms, but also relationships, culture, history, and lived experience. I am especially drawn to work that helps people question inherited expectations, release shame, trust their own needs, and build relationships rooted in mutuality rather than self-abandonment. I believe clients carry wisdom about themselves even when it has been buried beneath survival strategies. My role is not to tell you who to become, but to help you hear yourself more clearly.

Techniques I Use

Specialties

  • EMDR External link

    I use EMDR to help adults process traumatic experiences, reduce distress, and shift beliefs and patterns that continue to affect the present. My work includes careful preparation, resourcing, and pacing so clients do not feel rushed into reprocessing before they are ready. I integrate EMDR with relational, somatic, and culturally responsive care to support greater regulation, safety, self-trust, and connection.

  • Attachment Theory External link

    I use attachment theory to help clients understand how early relationships may shape present-day patterns of closeness, trust, boundaries, conflict, and self-worth. Together, we explore these patterns with curiosity rather than blame and practice new ways of relating that feel safer, more mutual, and more authentic. This work can support stronger self-trust, healthier relationships, and greater emotional flexibility.

  • Cultural Congruence External link

    I practice cultural congruence by shaping therapy around each client’s values, worldview, communication style, family context, community, and not expecting them to adapt to a dominant model of healing. I consider how culture, identity, spirituality, relationships, and lived experience influence distress and resilience. My goal is to offer care that feels respectful, relevant, and aligned with who you are.

  • Emotionally Focused External link

    Have you ever felt like you just couldn't find the words? Our emotions are at the heart of our relationships and personal well-being. Exploring, slowing down, and gaining understanding of our emotional experiencing can lead to transformative changes. This approach can give you the tools to articulate your feelings and gain clarity about your inner world, allowing you to express yourself in ways that nurture healthy connections with both yourself and others.

  • Somatic Therapy (Body Centered) External link

    Trauma can often disconnect us from our bodily experiences, leaving us feeling fragmented and disconnected. In our sessions, we'll explore your body's responses to stress, trauma, and emotions, using techniques like breathwork, mindfulness, and body awareness to release tension and promote healing. By becoming more attuned to your body, you can achieve greater self-awareness, reduce stress, and foster a deeper sense of overall well-being.

Issues I Treat

Specialties

  • Anxiety External link

    I work with adults whose anxiety may look like overthinking, perfectionism, people-pleasing, irritability, burnout, or always needing to stay productive and in control. Together, we explore the patterns and experiences beneath the anxiety, not just how to manage symptoms. Using relational, somatic, and trauma-informed approaches, I help clients build nervous-system regulation, greater self-trust, and more sustainable ways of moving through daily life.

  • PTSD External link

    I work with adults living with the effects of trauma, including hypervigilance, intrusive memories, emotional numbness, shutdown, shame, and difficulty feeling safe in relationships. My approach is paced, relational, and grounded in the nervous system. Using EMDR, Brainspotting, somatic tools, and trauma-informed therapy, I help clients process what happened, strengthen regulation, and move toward greater safety, connection, and choice.

  • Racial Identity External link

    I work with adults exploring racial, cultural, and mixed-race identity, including questions of belonging, disconnection, and cultural reconnection. As an Indigenous Mi’kmaq and mixed-race therapist, I understand that identity can be shaped by family history, displacement, and the ongoing work of reclaiming what was interrupted or lost. I offer a grounded space to explore who you are, strengthen connection to culture and community, and develop a more integrated, self-defined sense of identity.

  • Cultural and Systemic Oppression External link

    I work with adults affected by racism, colonialism, cultural erasure, discrimination, and other forms of systemic oppression. These experiences can shape safety, self-worth, relationships, work, and the nervous system in ways that are often misunderstood or minimized. I offer a culturally responsive space to process these impacts without locating the problem within you, strengthen boundaries and self-trust, and reconnect with sources of resilience, community, and belonging.

  • Pregnancy (Prenatal Mental Health) External link

    I support adults navigating the emotional complexity of pregnancy, including anxiety, depression, intrusive thoughts, identity shifts, previous loss, birth fears, medical complications, and the reactivation of earlier trauma. Pregnancy can bring joy and vulnerability at the same time. I offer a compassionate, trauma-informed space to process what is coming up, strengthen regulation and self-trust, and prepare for birth and the transition into parenthood.

Contact Trish

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