Works with
- Anger
- Stress, Anxiety
- Addictions
- Relationship issues
- Self esteem
- Coping with life changes
How Patrick works
Practical facts
- Credentials
- LMHC
- Licensed in
- Florida
- Years in practice
- 30
- Languages
- English
- Session format
- Online, through our partner platform
About Patrick
Dr. Patrick Casthely is a Licensed Mental Health Counselor with three decades of experience helping people handle life's challenges. He practices in Florida and draws on long experience in community mental health, substance abuse treatment, and independent practice.
His approach is practical and respectful. He focuses on listening first and helping people find workable steps forward. Dr.
Casthely keeps language simple and direct in sessions. He helps people talk through stress, anxiety, addiction concerns, relationship problems, grief, parenting strains, and anger.
Background and approach
He also supports those facing career changes, chronic illness, identity questions, and trauma recovery. Sessions center on the person's goals and priorities. He uses a mix of methods to match what each person needs.
Cognitive Behavioral Therapy helps spot unhelpful thoughts and try new behaviors. Client-Centered Therapy focuses on listening and validating a person's experience. Narrative and Existential ideas can help people reframe stories about themselves and find meaning after loss or major change.
Dr. Casthely aims for a collaborative working relationship. He will help set clear goals, try practical strategies, and check progress over time.
He emphasizes strengths and respects individual differences, including those in the LGBT community and people dealing with compassion fatigue. Sessions are available online through video, phone, live chat, or text messaging. The process starts with a short matching questionnaire to help align needs and schedule sessions.
Fees vary with location and use a subscription model that can be canceled at any time.
What Patrick works with
Everything Patrick lists, in the therapist's own terms. Anger is the reason this directory exists; the rest tells you what usually sits alongside it in Patrick's practice.
- 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.
Therapeutic approaches and what online work looks like
Client-Centered Therapy focuses on building a respectful, listening relationship so a person can explore concerns at their own pace; it helps with anxiety, self-esteem, relationship issues, and life transitions. Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, feelings, and actions and is useful for stress, anxiety, depression, and anger by teaching skills to change unhelpful patterns. Narrative Therapy helps people separate themselves from difficult stories and rewrite how they understand their experiences, which can be useful after loss, trauma, or major life change.Picking the right approach is part of the work together. The therapist will talk about goals, try techniques, and adjust methods based on what feels most helpful. That collaborative process helps tailor sessions to individual needs and preferences rather than forcing one fixed method.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to provide flexibility. Video is useful for in-depth conversation and visual cues. Phone sessions can be a good shorter check-in or when less bandwidth is available. Live chat and text messaging work for quick updates, ongoing coaching, or when writing helps organize thoughts. These options make it easier to fit support into work, family, or caregiving schedules.
Questions people ask about Patrick
What kinds of concerns does he address?
He works with stress, anxiety, depression, addictions, anger, relationship and intimacy issues, grief, trauma, parenting strains, career questions, bipolar disorder, and related concerns.
What is his general therapy style?
His style is practical and collaborative. He listens first, helps set clear goals, and uses conversational techniques to try new ways of thinking and behaving.
How much experience does he have?
He brings 30 years of experience from community mental health, substance abuse treatment, and independent practice environments.
What are his credentials and where is he based?
He is a Licensed Mental Health Counselor (LMHC) practicing in Florida.
Which languages are sessions offered in?
Sessions are offered in English.
What session formats are available?
Sessions can be conducted by video calls, phone sessions, live chat, or text-based messaging to fit different schedules and needs.
How are fees handled?
Costs vary with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working together?
Click the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapist's availability.