Dr. Patrick Casthely
Experienced LMHC blending practical and exploratory approaches
LMHC Florida
- Experience
- 30 years in practice
- Focus areas
- Stress, Anxiety, Addictions, Relationship
- Approaches
- Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
- Languages
- English
About Patrick
Dr. Patrick Casthely brings three decades of clinical experience to his practice in Florida.
Background and approach
He is a Licensed Mental Health Counselor (LMHC) who has worked across community mental health, substance abuse treatment, and independent practice settings.
Over his career he has supported people facing stress, anxiety, addictions, relationship and family concerns, trauma and grief, mood disorders such as depression and bipolar, and a wide range of related challenges including intimacy issues, parenting difficulties, career concerns, and compassion fatigue.
His counseling approach is eclectic and client-centered, drawing on cognitive behavioral ideas alongside existential and narrative perspectives and motivational interviewing to shape treatment to each person’s needs. He emphasizes respect, empathy, and a strength-based stance, avoiding stigmatizing labels while tailoring discussion and goals to the individual.
Dr. Casthely also maintains additional focus areas that include attachment and abandonment issues, body image and blended family dynamics, chronic illness and caregiver stress, and work with kink and alternative sex culture when relevant.
Sessions are offered in English and are available through a variety of online formats to accommodate different schedules. Prospective clients who are ready to begin can follow the practice’s intake steps to match and schedule according to current availability.
Practical approaches for online therapy and treatment planning
Dr. Casthely commonly integrates Cognitive Behavioral Therapy (CBT) and Client-Centered Therapy in his online work. CBT focuses on identifying and adjusting unhelpful thinking and behavior patterns to reduce symptoms like anxiety, stress, and mood difficulties. Client-Centered Therapy prioritizes empathy, active listening, and collaboration so that sessions are shaped by each person’s values and goals and can help with self-esteem, coping with life changes, and relational concerns.Finding the right blend of methods is part of the therapeutic process, and Dr. Casthely approaches this collaboratively. He will discuss goals and preferences with clients and adapt techniques as treatment progresses so the approach reflects individual needs rather than a fixed method.
Offering video calls, phone sessions, live chat, and text-based messaging provides flexible options for ongoing work. These formats make it easier to fit sessions into busy lives, allow for continuity when in-person meetings are difficult, and support different communication styles so clients can choose what feels most comfortable for their therapeutic work.
Frequently asked questions
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
30+ years
Licensed
Florida
Languages
English