About James
James "Chad" Settle is a licensed clinical social worker (LCSW) practicing in Kentucky. He draws on eight years of direct clinical experience to guide people through stress, anxiety, parenting challenges, anger, self-esteem struggles, and major life changes. He takes a straightforward, practical approach.
Sessions focus on identifying what is most urgent, then developing simple steps to manage emotions and daily responsibilities. He combines real-life experience with professional knowledge to help clients try new ways of coping and communicating.
How James works
Chad pays attention to how relationships and life roles affect day-to-day functioning. He helps people who are navigating adoption and foster care issues, blended family concerns, caregiving strain, aging and geriatric matters, and attachment questions. He also supports those facing chronic illness or pain, body image worries, and problems with codependency or commitment.
His work includes addressing communication problems, control issues, and the emotional fallout from natural or human-caused disasters. He is familiar with school systems, court processes, and community services in the region, and uses that background when it is helpful to a person's goals. People who meet with Chad can expect clear, attainable goals and a focus on building strength and practical skills.
He aims to help clients move toward healthier routines and better emotional balance in everyday life.
What James works with
The areas below are the ones James selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Parenting issues
- Anger management
Also listed
- Adoption and foster care
- Aging and geriatric issues
- Attachment issues
- Blended family issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Disruptive Mood Dysregulation Disorder (DMDD)
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family problems
- Fatherhood issues
- Forgiveness
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Post-traumatic stress
- Self esteem
- Self-harm
- Self-love
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Workplace issues
- Young adult issues
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 8 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Kentucky |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Evidence-based approaches and flexible online care
Two evidence-based approaches often used in this practice are skills-based problem solving and supportive counseling. Skills-based problem solving teaches straightforward steps for managing stress, anger, and day-to-day challenges so people can try practical strategies between sessions. Supportive counseling focuses on listening, reflecting, and strengthening coping resources to help people handle parenting concerns, self-esteem problems, and life transitions.Finding the right approach is part of the work together. The therapist collaborates with each person to choose which techniques to try based on their goals, needs, and what feels most useful. Sessions are adjusted over time as progress and preferences become clearer.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video lets people use visual cues and a fuller conversation, while phone sessions can work well when bandwidth is limited or a simpler check-in is needed. Live chat and text-based messaging make brief updates or quick coping conversations possible during the week. These options make it easier to fit therapy into a busy schedule and to keep regular contact while working toward goals.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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