- Client-centered
- Goal focused
- Strengths based
About Patrick
Dr. Patrick Casthely is a Licensed Mental Health Counselor (LMHC) based in Florida with three decades of clinical experience. He has worked in community mental health, substance use treatment, and private practice settings. Dr. Casthely focuses on practical support for stress, anxiety, addictions, depression, relationship concerns, and living with health challenges among many other issues.
He uses a flexible, person-centered style that adapts to each person's needs. Sessions are grounded in respect, empathy, and an emphasis on strengths rather than labels. The therapist aims to create a calm, respectful space where people can talk through hard problems and set realistic goals.
His work draws on cognitive and narrative ideas alongside client-centered and existential perspectives. That means helping people identify unhelpful thinking patterns, tell the story of their experience differently, and find personal meaning when life feels uncertain. Motivational techniques are used when making changes with habits or addictive behaviors.
Dr. Casthely describes his approach as tailored and collaborative. He listens first, then helps design a plan that fits the person’s priorities and pace. People seeking help for grief, trauma, intimacy issues, parenting strain, caregiver stress, chronic illness, or career and life transitions may find concrete coping tools and clearer next steps.
He directs work toward achievable changes and clearer choices. If someone wants help sorting out relationships, managing mood swings, or coping with health-related challenges, this approach mixes practical skills with deeper reflection to support lasting progress.
He uses a flexible, person-centered style that adapts to each person's needs. Sessions are grounded in respect, empathy, and an emphasis on strengths rather than labels. The therapist aims to create a calm, respectful space where people can talk through hard problems and set realistic goals.
His work draws on cognitive and narrative ideas alongside client-centered and existential perspectives. That means helping people identify unhelpful thinking patterns, tell the story of their experience differently, and find personal meaning when life feels uncertain. Motivational techniques are used when making changes with habits or addictive behaviors.
Dr. Casthely describes his approach as tailored and collaborative. He listens first, then helps design a plan that fits the person’s priorities and pace. People seeking help for grief, trauma, intimacy issues, parenting strain, caregiver stress, chronic illness, or career and life transitions may find concrete coping tools and clearer next steps.
He directs work toward achievable changes and clearer choices. If someone wants help sorting out relationships, managing mood swings, or coping with health-related challenges, this approach mixes practical skills with deeper reflection to support lasting progress.
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 work
Client-Centered Therapy focuses on listening and responding to each person's experience, helping them feel heard and respected while they decide what changes matter most. Cognitive Behavioral Therapy (CBT) looks at how thoughts and behavior interact, teaching practical skills to reduce anxiety, manage mood, or change unhelpful habits. Narrative Therapy helps people separate themselves from difficult problems by reexamining the stories they tell about their lives and finding new, more useful meanings.Choosing the best approach is a shared process. The therapist will discuss goals, preferences, and what has or hasn't helped in the past. Together they adjust methods over time so the work stays relevant and effective for the person's needs.
The original biography does not list specific online session formats, so confirm current options before booking. Online work can make it easier to fit therapy into a busy day, reduce travel time, allow shorter check-ins when needed, and offer continuity when schedules change. Licensed professionals can use these methods to teach skills, process difficult feelings, and plan practical steps that translate into everyday life.
Frequently asked questions
What kinds of issues does this therapist help with?
He works with a wide range of concerns including stress, anxiety, addictions, depression, relationship and intimacy issues, grief, trauma and coping with life changes including living with health challenges.
What is the overall therapeutic style?
The style is flexible and person-centered, pairing practical skill work with exploration of personal meaning. Sessions focus on listening first and then building a plan that fits the person's goals.
How much clinical experience does he have?
He brings 30 years of experience in community mental health, substance use treatment, and private practice settings.
What credentials and location are listed for this provider?
He is a Licensed Mental Health Counselor (LMHC) practicing in Florida.
Which languages and international sessions are available?
Sessions are offered in English. International clients are not currently accepted.
What session formats are offered?
The original biography does not specify session formats. Please confirm current session options before booking.
How is cost handled for sessions?
Cost varies with location and the subscription model is used; the subscription can be canceled at any time.
What are the first steps to begin therapy?
Select the Start Therapy button, complete a short matching questionnaire, and schedule according to the therapist's availability.