About Leonardo
Leonardo Custidiano is a Licensed Mental Health Counselor (LMHC) with seven years of experience in clinical settings across Florida. He has worked in residential programs supporting adults with mental illness and addiction. He also has a background providing counseling and prevention services to people involved with the Department of Children & Families.
He speaks English and Spanish and uses that bilingual ability in sessions. Leonardo helps people cope with addiction, trauma and abuse, and mood concerns such as depression and bipolar disorder.
How Leonardo works
He also supports those facing anxiety, stress, anger, low self-esteem, and life transitions. Parenting challenges, relationship struggles, grief, and issues related to ADHD and impulsivity are part of his focus areas. He uses a mix of approaches rather than a single method.
Cognitive behavioral techniques are applied when symptom relief is needed. He also draws on psychodynamic ideas to look at deeper patterns that influence current feelings and behavior. Dialectical behavior therapy and mindfulness strategies are used to build emotional regulation and awareness.
Motivational interviewing is included when people are working on substance use or ambivalence about change. Across approaches, Leonardo emphasizes a therapeutic relationship, clear goals, and attention to what matters in the present. Sessions tend to be practical and goal-oriented while allowing space to talk about past experiences when they affect the present.
He aims to help people develop skills they can use between sessions and to tailor work to each person’s needs.
Leonardo lists 7 ways of working on the entry:
What Leonardo works with
The areas below are the ones Leonardo selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Addictions
- Family conflicts
- Trauma and abuse
Also listed
- ADHD
- Anger management
- Attachment issues
- Bipolar disorder
- Career difficulties
- Coping with life changes
- Depression
- Domestic violence
- Drug and alcohol addiction
- Family problems
- Grief
- Immigration issues
- Impulsivity
- LGBT
- Parenting issues
- Personality disorders
- Phobias
- Relationship issues
- Self esteem
- Self-harm
- Stress, Anxiety
Training and background
| Register | LMHC |
|---|---|
| Years in practice | 7 |
| Languages | English, Spanish |
| Session format | Online: video, phone, live chat or messaging |
| Country | Florida |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Therapeutic approaches for online care
Leonardo often uses cognitive behavioral therapy and dialectical behavior therapy in online work. Cognitive behavioral therapy, or CBT, focuses on identifying unhelpful thoughts and testing them with concrete actions to change mood and behavior. DBT emphasizes skills for managing intense emotions, reducing impulsive actions, and improving interpersonal effectiveness.He also incorporates mindfulness techniques to help people notice thoughts and bodily sensations without getting swept up in them. These approaches can be mixed depending on the concern - for example, CBT for anxiety symptoms, DBT for emotion regulation, and mindfulness to support awareness. Choosing the right approach is a collaborative process; the therapist will talk through options, set goals together, and adjust methods based on how the client responds.
Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging. Video calls allow face-to-face interaction and visual cues, phone sessions work well when bandwidth is limited, live chat can be useful for brief check-ins, and text-based messaging supports ongoing contact between sessions. These formats make it easier to fit sessions around work, school, or caregiving responsibilities while still working toward clear 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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