CBTTherapistsUSA

The therapist listings are provided by BetterHelp and we will earn a commission if you use our link - at no cost to you.

KG Portrait of Keith Gostel

Keith Gostel

Heals tension with practical clarity

LCSW Virginia

Experience
31 years in practice
Focus areas
Stress, Anxiety, Addictions, Family
Approaches
Cognitive Behavioral Therapy (CBT), Mindfulness Therapy
Languages
English
Continue with Keith

About Keith

Keith Gostel is a Virginia-based LCSW who brings 31 years of clinical experience to helping people navigate stress, anxiety, depression, addictions, and complex family concerns. He concentrates on practical, goal-oriented work that addresses communication problems, caregiver stress, feelings of isolation, and challenges around life purpose and midlife transitions.

Background and approach

His background supports both short-term problem solving and deeper exploration of emotional patterns such as guilt and shame. Clients encounter a compassionate but focused therapeutic presence that blends evidence-informed methods with attention to each person’s circumstances.

Keith draws on cognitive behavioral techniques to identify unhelpful thinking and develop new coping skills, uses mindfulness practices to increase present-moment awareness, and applies solution-focused strategies to set clear, achievable goals. He frames coaching and therapy as complementary tools to promote insight and actionable change, meeting people where they are while encouraging realistic steps forward.

Evidence-Based Approaches for Online Support

Keith often draws on Cognitive Behavioral Therapy to help clients recognize and change patterns of thinking and behavior that contribute to stress, anxiety, or depression; CBT emphasizes practical skills and structured exercises to reduce symptoms and improve daily functioning. He also uses Mindfulness Therapy, which cultivates present-moment awareness and acceptance to help with emotional regulation, stress reduction, and coping with difficult feelings.

Finding the right therapeutic approach is part of the collaborative process. The therapist works with each person to explore their needs, goals, and preferences, adapting techniques over time and combining strategies when that best supports progress. This shared planning helps tailor sessions to focus on skill-building, insight, or short-term problem solving depending on what the client wants to achieve.

Online therapy offers flexible ways to engage with these methods through video calls, phone sessions, live chat, or text-based messaging. These formats make it easier to fit therapy into busy lives, maintain continuity when schedules change, and choose the communication style that feels most comfortable while working on concrete goals and emotional growth.

Frequently asked questions

What concerns does Keith commonly address?
He works with stress, anxiety, addictions, family issues, depression, and coaching needs, along with caregiver stress, communication problems, guilt and shame, isolation or loneliness, life purpose, and midlife crisis.
What is his therapeutic style and approach?
He integrates cognitive behavioral techniques, mindfulness therapy, and solution-focused methods to combine skill-building, present-moment awareness, and goal-directed work.
How long has he practiced clinically?
He has 31 years of experience working with adults across a range of emotional and life-transition challenges.
Where is he licensed and credentialed?
He holds the LCSW credential and is licensed in Virginia with licence number VA LCSW 0904002481.
Can non-U.S. clients work with him?
Yes, he accepts international clients and provides services to people outside the United States.
Which session formats are available?
Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging to fit different preferences and schedules.
How are fees handled for sessions?
Cost varies with location and therapist availability, and sessions use a subscription model that can be canceled at any time.
What steps are involved in beginning therapy?
Start by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling sessions according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyAddictionsFamily conflictsDepressionCoaching

Additional focus areas

Caregiver issues and stressCommunication problemsGuilt and shameIsolation / lonelinessLife purposeMidlife crisis

Therapeutic approaches

Cognitive Behavioral Therapy (CBT)Mindfulness TherapySolution-Focused Therapy

Experience

31+ years

Licensed

Virginia

Languages

English