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Therapist profile

Dr. Patrick Casthely

Therapist · Florida

Experienced counselor blending practical and reflective work

Continue with Patrick

Review online therapy options and next steps on BetterHelp.

Dr. Patrick Casthely
Credentials
LMHC
License
LMHC, Florida · MH11708
NPI
1639578495
Experience
30 years
Languages
English
Location
Florida
  • Client-centered focus
  • Practical coping skills
  • Strength-based approach

About Patrick

Dr. Patrick Casthely is a Licensed Mental Health Counselor with 30 years of clinical experience. He practices in Florida and brings a long history of working with people facing stress, anxiety, depression, addiction, and relationship concerns. He aims to help clients find practical ways forward rather than rely on labels.

His approach blends several methods so sessions fit the person rather than the other way around. He uses client-centered listening to understand a person's values and goals. He also draws on cognitive behavioral techniques to change unhelpful thinking and on narrative ideas to help people rethink painful stories about themselves.

In sessions he focuses on clear goals and steady progress. He will talk through coping strategies for life changes, grief, parenting strain, intimacy and codependency concerns. He pays attention to both emotional patterns and everyday behavior so that changes feel useful in real life.

Dr. Casthely describes his style as respectful and nonjudgmental. He aims for strength-based work that recognizes a person’s resources. People often come to him for support with trauma, substance concerns, career strain, or burnout and compassion fatigue.

He asks clients to set the pace and works collaboratively on a plan. If you want direct, practical guidance combined with deeper reflection, his background may be a good match. Please confirm current session options before scheduling to make sure they meet your needs.

Approaches that guide online work

Client-Centered Therapy focuses on listening and building a respectful relationship. It helps people clarify values and make decisions that feel right to them. Cognitive Behavioral Therapy, or CBT, looks at the link between thoughts, feelings, and actions and teaches practical skills to change unhelpful patterns. Existential Therapy invites people to reflect on meaning, choice, and responsibility when facing life transitions or intense uncertainty.

Choosing the right approach is part of the work. The therapist will collaborate with each person to see which methods fit their needs, goals, and preferences. That conversation usually happens in the first sessions and can shift as goals change.

If you are considering online options, confirm the specific session formats before booking. Many people find remote sessions help fit therapy into a busy life, allow shorter check-ins when needed, and reduce travel time. Discussing goals and practical constraints together helps shape a plan that works for everyday routines.

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 kinds of concerns does he address?

He works with a wide range of concerns including stress, anxiety, addictions, relationship and intimacy issues, depression, grief, codependency, and career or parenting strain.

How would you describe his therapy style?

He uses an eclectic, client-centered style that combines listening, practical skill-building, and reflective conversation to match therapy to each person.

What is his professional background?

He has 30 years of experience working in community mental health, substance abuse treatment, and private practice settings.

What credentials and location are listed?

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

Which languages are supported in sessions?

Sessions are offered in English.

Are international clients accepted?

He does not accept international clients at this time.

How is cost handled for sessions?

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

What should I do to begin working together?

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

Profile details come from information the therapist supplied to BetterHelp. Credential and registration rules differ between the United States, the United Kingdom and Australia.

Dr. Patrick CasthelyContinue with Patrick