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Dr. Patrick Casthely

Dr. Patrick Casthely

LMHC

Therapist · Florida · 30+ years of experience

Experienced LMHC focusing on practical change

Continue with Patrick

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

About Patrick

Dr. Patrick Casthely is a Licensed Mental Health Counselor (LMHC) practicing in Florida. He brings three decades of experience to his work and focuses on practical help for common life struggles. He is straightforward and steady when people are dealing with anger, stress, anxiety, addiction, or major life changes.

He emphasizes a respectful, nonjudgmental way of working. Sessions are shaped around each person's goals and strengths. He says there is no one-size-fits-all solution and adjusts his style to what the person needs in the moment.

His background spans community mental health, substance abuse treatment, and private practice. Over many years he has worked with a broad range of concerns including relationship trouble, grief, trauma, parenting issues, career stress, and depression. He also lists work with LGBT concerns, intimacy issues, caregiving strain, chronic illness, and other focused topics.

In sessions he draws from approaches such as client-centered work, cognitive behavioral techniques, existential questions, motivational interviewing, and narrative methods. That mix lets him address thinking patterns, personal meaning, motivation for change, and the stories people tell about themselves.

People who choose him can expect collaborative goal setting and straightforward feedback. He tends to use a strengths-based, affirming tone and to tailor conversations to practical next steps. To begin, the site questionnaire and scheduling tools guide the matching and appointment process.

Areas of expertise

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 his therapeutic approaches translate to online work

Client-Centered Therapy focuses on listening and building trust. The therapist aims to follow the person's lead, reflect concerns, and help people find their own solutions; this helps when someone needs acceptance and emotional support. Cognitive Behavioral Therapy, or CBT, looks at patterns of thought and behavior and offers small, practical experiments to change them; it is useful for anxiety, anger, and mood concerns. Existential Therapy examines personal meaning and choices, helping people who feel stuck or who question life direction to clarify values and next steps.

Finding the right approach is part of the work. Dr. Casthely will collaborate with each person to decide which methods fit their goals and preferences. Together they set aims and try approaches, adjusting as needed to see what helps most.

The therapist's biography does not specify which online session formats are offered, so confirm current options before booking. In general, online sessions can make it easier to fit therapy into a busy week, allow shorter check-ins when that suits the schedule, and remove travel time. Many people find virtual meetings let them maintain continuity of care while juggling work, family, and treatment goals.

At a glance

Listed location
Florida
Experience
30+ years
Credentials
LMHC
Languages
English
License (Florida)
LMHC · No. MH11708
NPI
1639578495

As listed by the therapist. You can check a license with the state board and an NPI with the national registry.

Frequently asked questions

What kinds of problems does this therapist address?

He helps with stress, anxiety, addictions, relationship and family concerns, grief, trauma, anger, depression, parenting, career issues, and related challenges.

What is his general therapy style?

He works in a respectful, nonjudgmental way and adapts methods to each person. Sessions focus on strengths, clear goals, and practical steps forward.

How much experience does he have?

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

Which credential and location are listed for this therapist?

He is a Licensed Mental Health Counselor, LMHC, practicing in Florida.

Which languages are supported and can he work internationally?

Sessions are offered in English. He does not accept international clients.

What session formats are available?

The original biography does not list specific session formats. Please confirm current session options before booking.

How are fees and payment handled?

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

How do I begin working with him?

Use the Start Therapy button, complete the short matching questionnaire, and schedule according to therapist availability.

Before you start

  • Online talk therapy is not a court-ordered or mandated anger-management course, and it does not provide attendance certificates.
  • Check that the location and license details above fit where you live.
  • If anyone is at risk of being harmed, contact emergency services or a domestic-abuse helpline first. See the support lines for the US, UK and Australia.
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