Stephanie Casto, LICSW

Stephanie Casto is a Licensed Independent Clinical Social Worker (LICSW) based in West Virginia. She has five years of experience in therapy and has worked with people across the life span in both agency settings and private practice. Stephanie offers online and in-person care and focuses on helping people move forward after hard experiences.

Her work often centers on trauma and abuse, including complex histories of neglect. She guides people toward better emotional regulation and helps them process difficult events so those experiences stop shaping day-to-day life. Stephanie also supports people dealing with depression, anxiety, grief, and anger.

Stephanie uses Cognitive Behavioral Therapy as a regular part of her approach. She also draws on EMDR and trauma-focused methods when they fit the goals of the person in therapy. Motivational Interviewing is used to help people find their own reasons and strengths for change.

Sessions are practical and goal-oriented. She focuses on skills that people can use between sessions, such as strategies for managing panic, improving sleep, or handling intense emotions. Parents and caregivers can get specific help for parenting stress and blended family challenges.

She pays attention to family of origin issues, attachment and adoption or foster care concerns. Stephanie is comfortable addressing feelings like shame, guilt, loneliness, and the long-term effects of abandonment. Her aim is to help people build clearer direction and steadier coping in daily life.

Approaches that translate well to online care

Stephanie commonly uses Cognitive Behavioral Therapy, which focuses on identifying unhelpful thoughts and changing behaviors through practical exercises and skill practice. CBT can help with anxiety, panic attacks, mood problems, and day-to-day coping strategies.

She also integrates Eye Movement Desensitization and Reprocessing, which works on processing traumatic memories and reducing their emotional charge through structured sessions. EMDR is often helpful for people with post-traumatic stress or complex trauma histories.

Finding the right approach is part of therapy. The therapist will work together with each person to choose or adjust methods based on goals, comfort, and what produces progress. That collaborative process helps tailor sessions to what actually helps the individual.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for full sessions and teaching skills, phone can be simpler when bandwidth is limited, live chat or messaging can suit short check-ins or people who prefer writing, and text-based options can make scheduling and quick support easier. These options allow flexible care that fits different schedules and communication preferences.