Dr. Patrick Casthely, LMHC
Compassionate counselor for life transitions
Continue with Patrick
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- Person-centered approach
- Strength-based focus
- Practical coping skills
About Patrick
Dr. Patrick Casthely is a Licensed Mental Health Counselor (LMHC) based in Florida with 30 years of experience. He draws on a long career in community mental health, substance abuse treatment, and private practice to help people facing major life stresses. He emphasizes respectful, nonjudgmental care and aims to create a calm space where people can talk through what matters to them.
He uses an adaptable, person-centered style. Sessions usually focus on practical steps and personal strengths rather than one fixed method. He combines cognitive and narrative ideas to help people reframe patterns, test new behaviors, and regain a sense of control during change.
Common concerns he addresses include stress, anxiety, addictions, relationship and intimacy issues, grief, and coping with life changes. He also supports people dealing with chronic illness, caregiver strain, body-image concerns, and career stresses. Midlife crisis is among the areas people bring to him when they want to reassess goals and purpose.
His approach balances active problem-solving with reflective work about meaning and identity. Clients can expect a mix of short-term goal work and deeper conversations about patterns that repeat over time. He aims to tailor sessions to each person's needs and pace.
Sessions are conducted in English in Florida. Prospective clients should confirm current session options before booking. To begin, people complete a short matching questionnaire and schedule according to the therapist's availability.
He uses an adaptable, person-centered style. Sessions usually focus on practical steps and personal strengths rather than one fixed method. He combines cognitive and narrative ideas to help people reframe patterns, test new behaviors, and regain a sense of control during change.
Common concerns he addresses include stress, anxiety, addictions, relationship and intimacy issues, grief, and coping with life changes. He also supports people dealing with chronic illness, caregiver strain, body-image concerns, and career stresses. Midlife crisis is among the areas people bring to him when they want to reassess goals and purpose.
His approach balances active problem-solving with reflective work about meaning and identity. Clients can expect a mix of short-term goal work and deeper conversations about patterns that repeat over time. He aims to tailor sessions to each person's needs and pace.
Sessions are conducted in English in Florida. Prospective clients should confirm current session options before booking. To begin, people complete a short matching questionnaire and schedule according to the therapist's 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
How therapeutic approaches guide online sessions
Client-Centered Therapy asks the therapist to listen deeply and follow the client's lead; it focuses on understanding a person’s experience and supporting their own choices. This approach helps when someone needs acceptance, clarity, and support while they sort out big life decisions.Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, feelings, and actions and offers practical steps to change unhelpful patterns. It is useful for stress, anxiety, mood shifts, and developing coping skills that can be practiced between sessions.
Finding the right mix of approaches is part of the work together. The therapist will talk with each person about goals and preferences and then try methods that fit those needs. That collaboration helps tailor sessions so they feel relevant and doable.
If you are considering remote work, confirm current session options before booking. Different remote formats can make it easier to fit appointments into a busy schedule, shorten check-ins when time is limited, or allow for audio-only conversations when video isn't ideal. Talk with the therapist about what will work best for your routine and communication style.
Frequently asked questions
What kinds of problems does he help with?
He works with stress, anxiety, addictions, relationship and intimacy issues, grief, depression, bipolar concerns, and midlife reassessment among other topics.
How would you describe his therapy style?
He uses a person-centered, adaptable style that mixes active problem-solving with reflective work about meaning and identity.
What experience does he bring?
He has 30 years of clinical experience across community mental health, substance abuse treatment, and private practice settings.
What are his credentials and location?
He is a Licensed Mental Health Counselor (LMHC) practicing in Florida.
Which languages are supported for sessions?
Sessions are offered in English.
Can people outside the United States work with him?
He does not accept international clients at this time.
How does payment and cost work?
Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.
What are the steps to start therapy?
Begin by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling according to the therapist's availability.