- Years in practice
- 30
- Credentials
- LMHC
- Licensed in
- Florida
- Languages
- English
- Focus
- Stress, Anxiety
- Focus
- Addictions
- Focus
- Relationship issues
About Patrick
Dr. Patrick Casthely is a Licensed Mental Health Counselor with three decades of clinical experience in Florida. He brings long-term experience in community mental health, substance abuse treatment, and independent practice.
His background includes work with a wide range of concerns, including parenting, addiction, anxiety, depression, and relationship stress. Dr. Casthely uses a flexible counseling style that adapts to each person's needs.
He draws from client-centered and cognitive approaches while also using existential and narrative ideas.
Background and approach
Sessions aim to be respectful, nonjudgmental, and focused on the person's strengths. He often helps people sort out practical problems such as coping with life changes, managing stress, or navigating communication challenges. He also supports those facing grief, trauma, intimacy concerns, or issues around sexual identity and kink culture.
Work can include talking through patterns, shaping small behavior changes, and exploring personal meaning. His practice emphasizes collaboration. Dr.
Casthely works with clients to set clear goals and build steps they can use between sessions. He frames work in straightforward language and offers tools parents can try at home. With many years in both addiction services and mental health care, he blends insight-oriented conversation with focused techniques.
People who want a direct but empathetic approach and who value a tailored plan often find his style helpful.
What Patrick works with
Everything Patrick lists, in the therapist's own terms. Parenting is the reason this directory exists; the rest shows what else Patrick helps people with.
- 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 Patrick lists
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Existential Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Trauma-Focused Therapy
Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.
Approaches that guide online sessions
Client-centered work focuses on listening and meeting people where they are. The therapist encourages the client's own goals and supports choices that feel right. This approach helps when someone needs acceptance and practical direction.Cognitive Behavioral Therapy, or CBT, looks at how thoughts influence feelings and actions. It offers concrete strategies for changing unhelpful thinking and building new habits. CBT can be useful for anxiety, depression, stress, and parenting-related behavior changes.
Existential ideas bring questions about meaning, responsibility, and priorities into the conversation. These themes can help when life changes, grief, or big decisions feel overwhelming.
Finding the right mix of approaches is part of the work. The therapist collaborates with each client to choose methods that match their goals and preferences. That plan can shift as the work progresses so it stays useful and relevant.
Online sessions offer flexible ways to meet. Video calls let people use facial cues and longer conversation. Phone sessions can be a good fit when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging allow for brief reflections, ongoing coaching, or support between longer sessions. These options help people fit therapy into busy schedules and different daily routines.
Questions people ask about Patrick
What concerns does he help with?
He works with stress, anxiety, addictions, relationship strain, parenting challenges, trauma, grief, self-esteem, and a wide range of related issues.
What is his therapy style like?
He uses a flexible, client-centered approach that blends cognitive and narrative methods and focuses on strengths and practical tools.
How much clinical experience does he have?
He has 30 years of experience across community mental health, substance abuse treatment, and independent practice settings.
What credentials and region are listed?
He is listed as an LMHC and practices in Florida; the credential is shown as FL LMHC.
Which languages are supported and can he work internationally?
Sessions are offered in English and he does not accept international clients at this time.
What session formats are available?
He offers video calls, phone sessions, live chat, and text-based messaging to suit different schedules and needs.
How is cost handled?
Cost varies with location and therapist availability; sessions are provided through a subscription that can be canceled at any time.
What are the first steps to begin therapy?
Click the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.
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