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Therapist profile

Dr. Patrick Casthely

LMHC Florida 30 years of experience

Compassionate counselor guiding practical change

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Dr. Patrick Casthely
  • 30 years experience
  • LMHC in Florida
  • Strength-based focus

About Patrick

Dr. Patrick Casthely is a Licensed Mental Health Counselor (LMHC) practicing in Florida with three decades of experience. He brings long-term clinical experience in mental health and addiction settings to sessions. He focuses on concerns such as stress, anxiety, addictions, grief, relationship and intimacy issues, mood disorders, and coping with life changes.

He works in a direct, respectful manner and adapts approaches to each person. Sessions aim to be practical and focused on achievable steps. He uses straightforward conversation to identify problems and try new ways of handling them.

Dr. Casthely draws on several therapy methods to shape treatment, including client-centered approaches, cognitive behavioral techniques, existential ideas, motivational interviewing, and narrative work. He emphasizes strength-based, affirming support and tailors plans around what each person wants to change.

His background includes work in community mental health, substance abuse treatment, and private practice. That breadth of settings informs how he frames challenges like addiction, caregiver stress, chronic illness, and career transitions. He also lists additional focus areas such as body image, blended family concerns, codependency, and aging-related issues.

Sessions are conversational and goal-oriented. Dr. Casthely aims to help people find clearer choices and practical coping tools. To begin, readers are invited to complete the site matching steps and schedule according to available times.

How core approaches shape online work

Client-Centered Therapy focuses on listening and responding to a person's experience without judgment. It helps people feel heard and develop their own solutions through supportive conversation.

Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and actions. It offers concrete tools to change patterns that contribute to anxiety, depression, or stress-related problems.

Existential Therapy helps people clarify values and meaning when facing big life changes or uncertainty. It can be useful for those wrestling with purpose, loss, or major transitions.

Finding the right approach is part of the process. The therapist will work collaboratively to choose methods that fit the client's goals and preferences. Together they will check what helps and adapt the plan over time.

If you are considering online sessions, confirm the exact session formats before booking since the biography does not list them. Online work can make scheduling easier, allow for shorter check-ins during a busy day, and reduce travel time. It also lets people use tools from CBT or narrative work between sessions, such as worksheets or writing exercises, so therapy fits into everyday life.

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

Frequently asked questions

What concerns does this therapist address?

He lists many concerns including stress, anxiety, addictions, relationship and intimacy issues, grief, parenting, career struggles, bipolar and depression, and coping with life changes.

What is the therapeutic style like?

The approach is adaptive and conversational, using practical steps and strength-based support to help people set and reach goals.

How much clinical experience does he have?

He has about 30 years of experience working in community mental health, substance abuse treatment, and private practice.

What credentials and location are listed?

He is a Licensed Mental Health Counselor (LMHC) practicing in Florida.

Which languages are supported and are international clients accepted?

Sessions are offered in English and international clients are not currently accepted.

What session formats are available?

The original biography did not specify session formats; please confirm current session options before booking.

How are fees handled?

Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.

How do I begin therapy with this clinician?

Click the Start Therapy button, fill out a short matching questionnaire, and schedule according to the therapist's availability.

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