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Dr. Patrick Casthely

Therapist

Dr. Patrick Casthely

LMHC

Florida · 30+ years of experience

Experienced LMHC focused on practical support

Continue with Patrick

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Step 1

  • 30 years experience
  • Strengths based approach
  • Florida based practice

About Patrick

Dr. Patrick Casthely is a Licensed Mental Health Counselor (LMHC) practicing in Florida with three decades of experience. He has worked across community mental health, substance use treatment, and private practice settings. He brings a long history of helping people with stress, anxiety, addiction, mood disorders, relationship concerns, and other life challenges.

He takes a flexible, person-focused approach. Sessions start by listening to what matters most to the individual. He then shapes a plan from therapy methods that fit the person's goals and preferences. The tone in sessions is respectful, nonjudgmental, and strengths-based.

In practice he uses several common approaches, including Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Existential Therapy, Motivational Interviewing, and Narrative Therapy. These tools are combined to address issues like trauma, grief, self-esteem, intimacy concerns, parenting stress, and compassion fatigue.

Parents and caregivers reading this profile can expect a straightforward style. Dr. Casthely aims to make sessions practical. He helps people develop coping strategies, improve communication, and manage difficult emotions.

He also works with people facing long-term health concerns, caregiver stress, or complex relationship patterns. Many clients come for help with addiction, bipolar disorder, or career and life transitions. His background supports collaborative planning that focuses on clear, achievable steps.

Step 2

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

Step 3

How these approaches guide online therapy

Client-Centered Therapy focuses on creating a listening, supportive atmosphere where the person leads the conversation. This approach helps when someone needs acceptance, validation, and help clarifying goals.

Cognitive Behavioral Therapy (CBT) is a practical approach that looks at thoughts, feelings, and behaviors. It helps people learn coping skills, change unhelpful thinking patterns, and manage symptoms like anxiety or depression.

Motivational Interviewing is a collaborative way to strengthen a person's own motivation for change. It can be useful for issues such as substance use, ambivalence about life choices, or building readiness for new habits.

Finding the right approach is part of the work together. The therapist will discuss goals, preferences, and what has or hasn’t worked before. That conversation guides which methods are used and how they are combined so the plan fits the client's life.

Practical benefits of online therapy can include easier scheduling, fitting sessions into busy days, and making follow-ups quicker when travel is difficult. The biography does not list specific session formats, so confirm which options are offered before booking. The focus will be on matching therapy methods to real-life needs and building usable tools for everyday challenges.

Step 4

Frequently asked questions

What concerns does this therapist address?

He helps people with stress, anxiety, addictions, relationship and self-esteem issues, trauma and grief, parenting and intimacy-related problems, mood disorders such as bipolar and depression, and a wide range of other life stressors.

How would you describe his therapeutic style?

He uses a flexible, person-centered style that listens first and adapts methods to the client's needs. Sessions emphasize respect, strengths, and practical steps for change.

What is his experience working as a clinician?

He has about 30 years of clinical experience across community mental health, substance abuse treatment, and private practice settings.

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 biography does not specify session formats, so please confirm current session options before booking.

How are costs handled for sessions?

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

How do I begin a therapy process with him?

Select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapist's availability.

Step 5

Your next step

If this is for you

  • Check that the location and license details fit where you live.
  • Write down one or two things you want to talk about.
  • Take your time. You can read other profiles first.

If you are helping someone

  • Read this page together, at a pace that suits them.
  • Ask what they think about this therapist.
  • Let the person make the choice.
Dr. Patrick CasthelyContinue with Patrick