Dr. Patrick Casthely, LMHC
Thirty years helping people reshape their stories
Details
| Name | Dr. Patrick Casthely |
|---|---|
| Credentials | LMHC |
| Based in | Florida |
| Licensed in | Florida |
| Session format | Online |
| Languages | English |
| Years in practice | 30 |
About Patrick
Dr. Patrick Casthely is a Licensed Mental Health Counselor with three decades of clinical experience. He practices in Florida and brings calm, steady support to people facing hard life moments.
He uses straightforward conversation and practical tools to help clients move forward. He draws on Narrative Therapy to help people reframe the stories they tell about themselves. He also uses Client-Centered Therapy to create a respectful, nonjudgmental space where clients set the pace.
Background and approach
Cognitive Behavioral Therapy is part of his toolkit for working with anxiety, depression, and patterns that keep coming back. Patrick has spent many years in community mental health, substance use treatment, and independent practice. That range means he is used to different life situations and practical problems.
He focuses on clear goals and steps people can take between sessions. People come to him for stress, anxiety, addiction, relationship struggles, grief, parenting questions, career shifts, and issues around identity and intimacy. He also helps with trauma, chronic illness, and caregiver strain.
His work tends to be direct, respectful, and strength-focused. Sessions combine talk, problem-solving, and small practice assignments. He encourages people to notice small shifts and build on them.
Prospective clients start by answering a short matching questionnaire and scheduling a time to meet.
What this therapist works with
His listing names Stress, Anxiety, Addictions, Relationship issues among the things Patrick works with, alongside the areas below.
- Stress, Anxiety
- Addictions
- Relationship issues
- Self esteem
- Coping with life changes
- LGBT
- Family conflicts
- Trauma and abuse
- Grief
- Intimacy-related issues
- Parenting issues
- Anger management
- Career difficulties
- Bipolar disorder
- Depression
- Coaching
- Compassion fatigue
- Abandonment
- Aging and geriatric issues
- Antisocial personality
- Attachment issues
- Avoidant personality
- BDSM, kink, and alternative sex culture
- Blended family issues
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Hearing impaired
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Veteran and Armed Forces Issues
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Postpartum depression
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Traumatic brain injury
- Trichotillomania
- Visually impaired
- Workplace issues
- Young adult issues
Approaches listed
- Narrative Therapy: Named in his listing among his approaches.
- Client-Centered Therapy: Listed by Patrick among the ways he works.
- Cognitive Behavioral Therapy (CBT): Listed by Patrick among the ways he works.
- Existential Therapy: Listed by Patrick among the ways he works.
- Motivational Interviewing: Listed by Patrick among the ways he works.
- Psychodynamic Therapy: Listed by Patrick among the ways he works.
- Trauma-Focused Therapy: Listed by Patrick among the ways he works.
- Training stated: This directory copies the approaches a therapist names and does not check training records. Ask Patrick directly how much of the work is narrative and what a session usually looks like.
Narrative Therapy in this listing
Narrative Therapy appears in this therapist's own list of approaches. That tells you it is part of how he works. It does not tell you how much of a session it shapes, and this directory does not check or rate training.
If a narrative approach is what you are looking for, it is worth asking Patrick directly how he uses it and what a session usually looks like.
Online session options
How narrative and practical methods work online
Dr. Casthely uses Narrative Therapy to help people notice and change the stories that shape their choices. That work often means talking through events, identifying themes, and trying out new ways of describing problems so they feel less defining.He also uses Client-Centered Therapy to keep the work grounded in each person's priorities. Sessions focus on listening, reflection, and letting the client's goals lead the pace and direction.
Cognitive Behavioral Therapy provides concrete tools for shifting unhelpful thoughts and habits. He uses CBT techniques for anxiety, depression, and recurring behavior patterns so clients have clear steps to practice between meetings.
Finding the right approach is part of the process. He will collaborate with each person to decide which methods fit their goals and preferences, and adjust the plan as progress and needs change.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video allows face-to-face conversation and visual cues. Phone sessions use less bandwidth and can fit a break at work. Live chat and messaging work well for brief check-ins, ongoing coaching, or when writing out thoughts helps. These options make it easier to keep therapy consistent around busy schedules.
Common questions about this listing
What kinds of concerns can be addressed?
He works with a wide range of issues including stress, anxiety, addictions, relationship and intimacy concerns, grief, parenting strain, career questions, depression and bipolar, and trauma and abuse.
How would you describe his therapy style?
Sessions are conversational and collaborative. He blends Narrative, Client-Centered, and Cognitive Behavioral approaches to match what each person needs.
How long has he worked in counseling?
He brings 30 years of clinical experience from community mental health, substance use treatment, and independent practice settings.
Where is he licensed and located?
He is a Licensed Mental Health Counselor, FL LMHC, and practices in Florida.
Which languages are supported for sessions?
Sessions are offered in English.
What session formats are available?
He offers video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.
How is pricing handled?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
What are the first steps to begin?
Click the Start Therapy button, complete a short matching questionnaire, and schedule a session according to therapist availability.
Contacting this therapist
Sessions with Patrick are arranged through our partner platform. It asks a few questions about what you are looking for, then shows you the therapists available to you, including Patrick where he has space. Ask about fees, and whether he holds a licence or registration where you live.
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