About Patrick
Dr. Patrick Casthely is a Licensed Mental Health Counselor (LMHC) with three decades of professional experience. He practices in Florida and draws on long-term work with stress, anxiety, addictions, mood disorders, relationship concerns, grief, and complex life transitions.
He presents a calm, practical presence for people seeking steady guidance. Dr. Casthely emphasizes a person-centered style.
He listens first, then helps set clear goals. Sessions focus on building coping skills, improving communication, and addressing patterns that get in the way of daily life.
How Patrick works
He blends conversational feedback with structured techniques so people can try new behaviors between sessions. His background includes clinical work across community mental health, substance use treatment, and independent practice. That range informs how he assesses symptoms and tailors plans that fit a person's life and responsibilities.
He draws on 30 years of experience when helping people sort complicated or layered problems. Common topics he addresses include trauma and abuse, intimacy-related issues, parenting concerns, burnout and compassion fatigue, bipolar and depressive symptoms, and career stress.
He also addresses specialty areas such as attachment and abandonment, body image, chronic illness, and alternative sexual cultures when they intersect with relationships and mental health. Therapy sessions use a mix of client-centered listening, cognitive behavioral tools, narrative work, motivational interviewing, and existential ideas. Dr.
Casthely aims for a respectful, nonjudgmental space where people can test new ways of coping. He supports people in finding practical steps toward more stable mood, clearer relationships, and better day-to-day functioning.
Patrick lists 7 ways of working on the entry:
What Patrick works with
The areas below are the ones Patrick selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Addictions
- Relationship issues
Also listed
- Abandonment
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Attachment issues
- Avoidant personality
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hearing impaired
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Trauma and abuse
- Traumatic brain injury
- Trichotillomania
- Veteran and Armed Forces Issues
- Visually impaired
- Workplace issues
- Young adult issues
Training and background
| Register | LMHC |
|---|---|
| Years in practice | 30 |
| Languages | English |
| 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
Approaches for online work and how they help
Client-Centered Therapy focuses on the person’s experience and priorities. The therapist listens, reflects back what he hears, and helps people name their goals. This approach is useful for building trust, improving self-esteem, and working through relationship concerns.Cognitive Behavioral Therapy, or CBT, looks at the link between thoughts, feelings, and actions. It breaks problems into manageable steps and teaches practical tools for anxiety, depression, and addictive behaviors. Clients often practice techniques between sessions to see real changes in daily routines.
Narrative Therapy helps people separate themselves from their problems by reworking the stories they tell about their lives. It can be helpful for grief, identity questions, and relationship patterns that feel stuck.
Deciding which approach to use is collaborative. The therapist will talk with each person about goals, preferences, and what has or hasn’t worked before. Together they try methods that fit the client’s needs and adjust the plan as progress is made.
Online sessions offer practical flexibility. Video calls allow face-to-face conversation when that helps rapport. Phone sessions work well when bandwidth is limited or a quieter check-in is needed. Live chat or text messaging can be useful for brief coaching, check-ins between sessions, or when writing out thoughts feels easier. These options make it simpler to fit therapy into a busy life while still using the same therapeutic methods.
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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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