About Patricia

Patricia Green-Metz is a licensed clinical social worker with 30 years of experience. She helps people cope with stress, anxiety, depression, grief, ADHD, trauma, and relationship and intimacy concerns. She also supports those facing identity-related challenges such as gender dysphoria and LGBT issues.

Patricia works in a direct, respectful way. Sessions focus on clear goals and practical steps. She listens first, then helps people notice patterns that get in the way of everyday life.

Background and approach

Her approach blends client-centered care with tools from cognitive behavioral and dialectical behavior therapies. That means she balances empathy and acceptance with strategies to change unhelpful thoughts and behaviors. Mindfulness and motivational interviewing are also part of her toolkit when they fit a person's needs.

She pays attention to how culture, prejudice, and discrimination shape a person's experience. This informs how she frames problems and suggests coping skills. People who’ve faced sexual assault, post-traumatic stress, or self-harm concerns will find focused attention on safety and pacing.

In sessions she aims to build practical skills for sleeping, managing anger, handling work stress, and improving daily routines. Coaching-style supports are available for career or life-change goals. Patricia brings steady, experienced guidance while adapting tools to each person’s situation.

Therapeutic approaches and online sessions that fit your life

Client-centered therapy focuses on listening and understanding where you are. The therapist follows the person's lead, reflects back what she hears, and helps people clarify their goals and values. This approach is helpful for building trust and making space to talk about identity, grief, or ongoing stress. Cognitive behavioral therapy, or CBT, looks at how thoughts, behaviors, and feelings interact. It uses concrete strategies to test unhelpful thoughts and build new routines for sleeping, managing anger, or coping with anxiety. CBT is often paired with short homework tasks to practice skills between sessions. Dialectical behavior therapy, DBT, teaches skills for emotion regulation, distress tolerance, and stronger relationships. It blends acceptance with change-focused techniques and can be useful for people managing intense emotions or self-harm urges. Choosing an approach is a collaborative process. The therapist will work with each person to decide which methods match their goals and preferences, and she will adjust the plan over time based on what helps. Online formats offer practical flexibility. Video calls let people have a full conversation and use visual cues. Phone sessions are useful when bandwidth is limited or when a shorter check-in is needed. Live chat and text-based messaging provide quick, ongoing support between sessions and can fit into busy schedules.

Questions people ask

What kinds of problems does Patricia address?
She supports people with stress, anxiety, depression, grief, ADHD, addictions, relationship and intimacy issues, and trauma-related concerns.
What is her therapeutic style like?
Her style is client-centered and collaborative, combining active listening with practical strategies to change thoughts and behaviors.
How long has she been practicing?
She has three decades of clinical experience working with a wide range of mental health and life challenges.
Where is she licensed and based?
She is a licensed clinical social worker (LCSW) practicing in Louisiana.
Can sessions be conducted in languages other than English?
Sessions are offered in English.
Are international clients accepted?
She accepts international clients as part of her practice.
What session formats are available?
Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging.
How are costs handled and how do I begin?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time. To begin, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

What this therapist works with

Most often

Experience
30 years
Licensed
Louisiana
Languages
English

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