- Client-Centered Therapy
- Cognitive Behavioral Therapy
- Narrative Therapy
About Patrick
Dr. Patrick Casthely is an LMHC - Licensed Mental Health Counselor in Florida with 30 years of clinical experience. He works with stress, anxiety, addictions, relationship concerns, grief, depression, bipolar issues, parenting challenges, and family-related patterns. He also addresses intimacy, communication, self-esteem, and career-related concerns, and supports people navigating life changes and compassion fatigue.
Dr. Casthely uses a mix of practical talk and structured techniques. Sessions often include looking at how early family roles shape current choices. He draws on approaches such as client-centered work and cognitive strategies to help people notice patterns and try different responses. Narrative ideas are used to reframe difficult stories people carry about themselves.
In practice he blends several clinical styles to match what a person needs. That may mean focused behavioral exercises some weeks and more reflective conversation in others. He aims to help people build clearer goals and small steps they can try between sessions. Motivation-based techniques are used when someone wants help making and keeping change.
Dr. Casthely’s background includes long experience in community mental health, substance use treatment, and private practice. His work spans assessment and ongoing therapy with adults facing co-occurring issues. He works in English and provides services from his Florida license as an LMHC.
To get started clients follow the site process to complete a brief matching questionnaire and schedule a first session. Fees vary by location and sessions use a subscription that can be canceled at any time.
How evidence-based approaches are used in online sessions
Client-Centered Therapy focuses on listening and reflecting what matters to the person. It helps people clarify thoughts and decide what they want to change. Cognitive Behavioral Therapy (CBT) looks at thoughts and behaviors together and uses practical exercises to reduce anxiety, manage mood, or change unhelpful patterns. Motivational Interviewing helps when someone feels stuck about change by exploring their own reasons and building readiness.Finding the right approach is part of the work. The therapist will discuss goals, preferences, and what has or hasn’t helped before. Together they will try methods that fit the person’s needs and adjust the plan as they learn what works better.
The biography does not specify session formats here, so confirm current session options before booking. Online sessions can make it easier to fit counseling into everyday life by removing travel and allowing shorter check-ins or sessions at times that work around work and family. Some people prefer fewer on-camera tasks, while others use video for longer reflective sessions. Licensed professionals adapt pacing and tools so therapy fits practical routines without promising a specific format.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
30+ years
Listed in
Florida
Languages
English
Frequently asked questions
What concerns does he address related to family patterns?
He works with family-related patterns, attachment issues, abandonment concerns, blended family dynamics, and communication problems that started in childhood.
How would you describe his therapeutic style?
He uses an eclectic, practical style combining client-centered work, cognitive-behavioral techniques, narrative approaches, and motivational interviewing to fit each person's goals.
How much clinical experience does he have?
He has 30 years of experience across community mental health, substance use treatment, and private practice settings.
What credential does he hold and where does he practice?
He is an LMHC - Licensed Mental Health Counselor licensed in Florida and practices from that state.
Which languages are supported for sessions?
Sessions are offered in English.
Does he work with international clients?
He does not accept international clients at this time.
How are fees and payment handled?
Cost varies with location; sessions use a subscription model that can be canceled at any time.
What is the process to begin therapy?
Start by selecting the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.