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Dr. Patrick Casthely

Therapist profile

Dr. Patrick Casthely

Florida

Compassionate counselor with wide clinical experience

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Review online therapy options and next steps on BetterHelp.

  • Client-focused care
  • Practical strategies
  • Strength-based approach

About Patrick

Dr. Patrick Casthely is a Licensed Mental Health Counselor (LMHC) based in Florida with 30 years of clinical experience. He draws on a long career in community mental health, substance abuse treatment, and private practice to help people facing stress, anxiety, addiction, and relationship strain. He presents a calm, respectful presence and aims to meet people where they are.

In sessions he adapts his approach to each person's needs. He combines client-centered work with cognitive-behavioral ideas and existential thinking, among other methods. His goal is to help people name what matters, try practical steps, and reflect on meaning when life shifts.

People come to him for a wide range of concerns, including grief, parenting challenges, intimacy-related issues, bipolar and depression, and coping with life changes. He also notes experience with problems such as abandonment, attachment issues, body image, chronic illness, and caregiver stress. He supports clients exploring identity issues related to LGBT concerns and kink and alternative sex culture.

Sessions are described as collaborative and strength-based. He focuses on clear goals, practical strategies, and honest conversation rather than labels. He frames therapy as a process of discovering individual answers and building useful skills.

Dr. Casthely asks prospective clients to use the Start Therapy button to begin the intake steps. He works in English and practices in Florida. Readers interested in matching with him should follow the site’s sign-up and scheduling flow.

How his approaches translate to online therapy

Client-Centered Therapy focuses on understanding each person without judgment and following the client's lead. It helps people feel heard, clarify their goals, and build self-directed change. Cognitive Behavioral Therapy (CBT) looks at patterns of thought and behavior and introduces practical exercises to reduce anxiety and improve coping. It is useful for stress, depression, and many everyday struggles. Existential Therapy encourages exploring meaning, values, and life choices when people face big transitions or questions about purpose.

Finding the right approach is part of the work. Dr. Casthely aims to figure out the best methods together based on the client's needs, goals, and preferences. He adapts strategies over time and encourages ongoing feedback so sessions stay relevant and helpful.

The biography does not specify which online session formats are offered, so confirm current options before booking. In general, online work can make it easier to fit sessions into a busy schedule, shorten check-ins when time is limited, or reduce travel time. Therapists can use conversational sessions, structured skill practice, and written reflections to support progress across many concerns.

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

Frequently asked questions

What issues does he commonly address?

He helps people with stress, anxiety, addiction, depression, bipolar concerns, grief, and relationship or intimacy problems. He also works on parenting, career strain, and coping with major life changes.

What is his therapeutic style like?

He uses an adaptable, collaborative style that emphasizes respect and empathy. Expect goal-focused conversations and practical steps alongside reflective discussion.

How much clinical experience does he have?

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

What are his credentials and where does he practice?

He is a Licensed Mental Health Counselor, FL LMHC, and maintains practice in Florida.

Which languages are offered and can international clients join?

Sessions are offered in English only. International clients are not currently accepted.

What session formats are available?

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

How are fees 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?

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

Dr. Patrick CasthelyContinue with Patrick