- Thoughts and habits
- Practical coping skills
- Collaborative planning
About Patrick
Dr. Patrick Casthely is a Licensed Mental Health Counselor (LMHC) based in Florida with 30 years of clinical experience. He brings decades of practice helping people who are dealing with stress, anxiety, addiction, depression, and major life shifts. His first focus is listening carefully and learning what matters most to each person who comes through the door.
He uses a range of conversational and evidence-informed approaches rather than one fixed method. Sessions are practical and goal-focused, with an emphasis on changing unhelpful thoughts and habits and on strengthening everyday coping skills. He aims to make sessions feel direct, respectful, and grounded in the client’s own priorities.
Dr. Casthely has worked in community mental health, substance abuse treatment programs, and private practice. That mix of settings shaped a straightforward style that balances short-term problem solving with attention to longer patterns in relationships and life choices. He also brings experience helping people facing grief, trauma, intimacy concerns, parenting stress, career strain, and compassion fatigue.
He often uses client-centered conversation to set goals, cognitive-behavioral ideas to shift thoughts and habits, and narrative techniques to reshape personal stories. The work is collaborative and tuned to each person’s pace. People who want practical strategies and clear discussion about thoughts and everyday habits often find this approach helpful.
To begin, readers should choose the Start Therapy button and complete the short matching questionnaire. Scheduling is then arranged according to therapist availability.
He uses a range of conversational and evidence-informed approaches rather than one fixed method. Sessions are practical and goal-focused, with an emphasis on changing unhelpful thoughts and habits and on strengthening everyday coping skills. He aims to make sessions feel direct, respectful, and grounded in the client’s own priorities.
Dr. Casthely has worked in community mental health, substance abuse treatment programs, and private practice. That mix of settings shaped a straightforward style that balances short-term problem solving with attention to longer patterns in relationships and life choices. He also brings experience helping people facing grief, trauma, intimacy concerns, parenting stress, career strain, and compassion fatigue.
He often uses client-centered conversation to set goals, cognitive-behavioral ideas to shift thoughts and habits, and narrative techniques to reshape personal stories. The work is collaborative and tuned to each person’s pace. People who want practical strategies and clear discussion about thoughts and everyday habits often find this approach helpful.
To begin, readers should choose the Start Therapy button and complete the short matching questionnaire. Scheduling is then arranged according to therapist availability.
Areas of expertise
Primary focus
Also works with
LGBTFamily conflictsTrauma and abuseGriefIntimacy-related issuesParenting issuesAnger managementCareer difficultiesBipolar disorderDepressionCoachingCompassion fatigue
Additional focus areas
AbandonmentAging and geriatric issuesAntisocial personalityAttachment issuesAvoidant personalityBDSM, kink, and alternative sex cultureBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHearing impairedHIV / AIDSHoardingHospice and end-of-life counselingImmigration issuesImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexual dysfunctionSexualitySmoking / vaping cessationSocial anxiety and phobiaSomatizationTraumatic brain injuryTrichotillomaniaVisually impairedWorkplace issuesYoung adult issues
Therapeutic approaches
Client-Centered TherapyCognitive Behavioral Therapy (CBT)Existential TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapyTrauma-Focused Therapy
Experience
30+ years
Credentials
Florida
Languages
English
Approaches that translate well to online care
Client-centered therapy focuses on listening and reflecting so clients feel heard and can set their own goals. This approach helps people clarify values and decide what they want to change. Cognitive Behavioral Therapy (CBT) teaches practical skills to notice and shift unhelpful thoughts and daily habits, which is useful for anxiety, depression, and stress management. Narrative therapy helps people separate themselves from troubling stories they repeat and try new ways of describing their experience.Choosing the right combination of approaches is part of the process. The therapist will collaborate with each person to figure out which methods fit their goals and preferences. Sessions can adapt as needs change, with a mix of short-term skill work and deeper conversational work depending on what the client wants.
The original biography does not list specific online session formats, so confirm the available options before booking. Online work can make it easier to schedule regular check-ins, fit brief coaching-style sessions into a busy day, or keep therapy consistent when life is hectic. It also supports using worksheets, homework, and in-session skill practice that focus on thoughts and everyday habits without requiring travel.
Frequently asked questions
What concerns does this therapist commonly address?
He works with stress, anxiety, addictions, depression, bipolar concerns, grief, trauma and abuse, relationship and intimacy issues, parenting strain, career problems, and related topics listed in his specialties.
What is his general therapeutic approach and style?
The approach is conversational and client-centered with an emphasis on practical strategies. He combines cognitive-behavioral ideas, narrative work, and existential and motivational techniques to match each person’s needs.
How much experience does he have?
He has 30 years of experience working in community mental health, substance abuse treatment settings, and private practice.
What credentials and region describe this clinician?
He is a Licensed Mental Health Counselor (LMHC) and practices in Florida.
What languages are offered and are international clients supported?
Sessions are offered in English. International clients are not currently accepted.
Which session formats are available?
The original biography does not list specific session formats. Please confirm current session options before booking.
How are fees handled for sessions?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
What steps are needed to get started?
Select the Start Therapy button, complete the short matching questionnaire, and schedule sessions according to the therapist’s availability.