- Collaborative style
- Strengths focused
- Values centered
About Patrick
Dr. Patrick Casthely is a Licensed Mental Health Counselor (LMHC) based in Florida with 30 years of clinical experience. He brings long-term practice working with people facing stress, anxiety, addiction, relationship strain, grief, and other life challenges. He emphasizes respect and a nonjudgmental approach for each person who comes for help.
He uses a mix of methods rather than a single technique. That includes client-centered work, cognitive behavioral ideas, existential questions, motivational interviewing, and narrative approaches. The aim is to shape sessions around what the individual finds most helpful instead of applying a fixed formula.
In sessions he focuses on practical conversation and clear goals. He helps people talk through worries, identify unhelpful patterns, and try new ways of coping. He also supports work on intimacy-related concerns, parenting stress, career pressures, and compassion fatigue.
Dr. Casthely’s background includes long experience in community mental health, substance use treatment, and independent practice. That variety informs how he plans care, combining attention to mental health and addiction concerns when they appear together. He also works with issues such as attachment, body image, chronic illness, and commitment problems.
People can expect a collaborative relationship that builds on strengths. The therapist frames work around practical steps and personal values. Those wanting to explore jealousy or relationship trust concerns can raise them directly and make a plan together.
He uses a mix of methods rather than a single technique. That includes client-centered work, cognitive behavioral ideas, existential questions, motivational interviewing, and narrative approaches. The aim is to shape sessions around what the individual finds most helpful instead of applying a fixed formula.
In sessions he focuses on practical conversation and clear goals. He helps people talk through worries, identify unhelpful patterns, and try new ways of coping. He also supports work on intimacy-related concerns, parenting stress, career pressures, and compassion fatigue.
Dr. Casthely’s background includes long experience in community mental health, substance use treatment, and independent practice. That variety informs how he plans care, combining attention to mental health and addiction concerns when they appear together. He also works with issues such as attachment, body image, chronic illness, and commitment problems.
People can expect a collaborative relationship that builds on strengths. The therapist frames work around practical steps and personal values. Those wanting to explore jealousy or relationship trust concerns can raise them directly and make a plan together.
Approaches That Guide Online Work
Client-centered therapy focuses on listening and responding to what matters most to the person. It helps people feel heard and supports decisions that match their values and goals.Cognitive Behavioral Therapy (CBT) looks at how thoughts and behaviors interact. It offers practical tools to reduce anxiety, manage mood, and change patterns that fuel relationship conflict or addictive behavior.
Existential therapy invites discussion of meaning, choice, and responsibility. It can help when people feel stuck by life transitions, identity questions, or intense emotions about purpose and loss.
Finding the right mix is part of the work. The therapist will collaborate with each person to identify which approaches fit their goals, needs, and preferences. That means adjusting pace, techniques, and topics as the relationship develops.
The practical benefits of online therapy include easier scheduling and fitting sessions into a busy life. Online work can reduce travel time and make it simpler to keep regular appointments. Because session formats were not specified in the profile, confirm available options before booking so you know how sessions will be delivered.
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 kinds of concerns are addressed here?
Work covers stress, anxiety, addictions, relationship and intimacy issues, grief, parenting strain, career concerns, bipolar and depression among other areas. Additional focus includes attachment, body image, chronic health stress, and communication problems.
What is the therapist's general approach in sessions?
The style is collaborative and flexible. Sessions draw on client-centered conversation, CBT strategies, existential reflection, motivational interviewing, and narrative work to fit the client's needs.
How long has this clinician been practicing?
He has three decades of experience working in community mental health, substance use treatment, and independent practice settings.
What credentials and location are listed?
He is a Licensed Mental Health Counselor, FL LMHC, practicing in Florida.
Are sessions offered in other languages or to international clients?
Sessions are offered in English. International clients are not currently accepted.
What session formats are available?
The original profile does not specify session formats. Please confirm current session options with the service before booking.
How is cost 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 working with this therapist?
Select the continue button on this profile, complete a short matching questionnaire, and schedule according to therapist availability.