Dr. Patrick Casthely, LMHC

Dr. Patrick Casthely is a Licensed Mental Health Counselor with three decades of clinical experience in Florida. He brings a long career to each session and aims to make the work straightforward and practical. He speaks English and draws on a range of approaches to meet each person's needs.

Dr. Casthely focuses on stress, anxiety, addictions, relationship and intimacy concerns, grief, trauma and abuse, and mood disorders such as depression and bipolar conditions. He also supports people facing parenting challenges, career stress, caregiving burdens, chronic illness, and body image or identity questions. He uses Cognitive Behavioral Therapy among other methods to help people change unhelpful patterns.

His style is collaborative and person-centered. He listens first, then offers skills and perspectives that fit the client’s goals. Sessions typically include goal-setting, practical tools for coping, and exploring the stories that shape behavior.

Over his career he has worked across community mental health, substance abuse treatment, and private practice settings. That variety informs how he adapts strategies for different life situations. The work balances short-term skill building with deeper exploration when needed.

People who choose Dr. Casthely can expect a steady, respectful approach that emphasizes strengths. He avoids stigma and aims to create an atmosphere of empathy and clear next steps. For those ready to change patterns, he helps translate insight into everyday action.

How therapy approaches work online

Client-Centered Therapy focuses on listening and understanding each person's experience. The therapist reflects concerns, validates feelings, and helps people clarify what matters to them and what change might look like. This approach helps with self-esteem, identity questions, and working through emotional pain.

Cognitive Behavioral Therapy, or CBT, looks at the links between thoughts, feelings, and behaviors. It teaches practical techniques for managing anxiety, depression, and stress by changing unhelpful thinking and building new habits. Sessions often include skill practice and short exercises to use between meetings.

Existential Therapy helps people tackle big life questions like meaning, responsibility, and choices. It can be useful for coping with major life changes, grief, or situations that raise doubts about direction and purpose.

Finding the right approach is a collaborative process. The therapist will discuss goals, try methods that fit those goals, and adjust as needed. Clients help shape the work and decide which strategies feel most useful over time.

Online formats offer practical flexibility: video calls allow face-to-face conversation, phone sessions use less bandwidth and can fit into busy days, and live chat or text-based messaging support shorter check-ins and ongoing reflection. These options make it easier to schedule sessions around work, caregiving, or travel while keeping the focus on progress and practical tools.