Patrick Elzey, LCSW

Patrick Elzey is a Licensed Clinical Social Worker (LCSW) practicing in Indiana with 15 years of clinical experience. He focuses on practical help for everyday struggles like anxiety, stress, depression, trouble sleeping, and career concerns. Patrick keeps language plain and sessions straightforward so people can get to useful strategies quickly.

He draws on Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Client-Centered Therapy, Dialectical Behavior Therapy (DBT), and existential ideas to shape sessions. That means he combines skill-building with attention to values and personal meaning. Conversations center on what is happening now and what small steps could make life easier.

Patrick describes his style as warm and interactive. He listens closely, helps map out problems, and offers concrete tools people can try between sessions. He also pays attention to how patterns of thought and behavior keep problems going, and helps people test new, healthier ways of coping.

Clients come with a wide range of concerns including relationship strain, family stress, addiction, grief, trauma, anger, ADHD, caregiver strain, and body image issues. He also addresses aging and blended family challenges, hoarding, impulsivity, and work-related stress.

Sessions may include skill practice, goal setting, values clarification, and moment-to-moment problem solving. Patrick aims to meet people where they are and tailor the pace and focus to each person's needs. He encourages steady, manageable progress rather than quick fixes.

How therapy approaches translate to online care

CBT focuses on identifying unhelpful thoughts and testing new behaviors. Online CBT sessions often include concrete skill practice, behavioral experiments, and homework that can be discussed by video or chat. Acceptance and Commitment Therapy (ACT) helps people clarify their values and take committed action toward them while accepting difficult feelings. ACT online can use exercises, mindfulness prompts, and values work during video, phone, or messaging sessions. Client-Centered Therapy emphasizes a respectful, nonjudgmental conversation that follows the client's lead and strengthens self-directed change; this approach fits well into talk-based formats such as phone and video calls.

Finding the right approach is part of the process. The therapist will work collaboratively to figure out which methods match the client's needs, goals, and preferences. Sessions can shift over time as priorities change and progress is made.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video works well for face-to-face conversation and practicing skills together. Phone sessions can be a simpler option if bandwidth is limited or a shorter check-in is needed. Live chat and messaging allow for brief check-ins, written exercises, and ongoing support between sessions while offering scheduling flexibility.