- CBT techniques
- Client-centered methods
- Narrative exploration
About Patrick
Dr. Patrick Casthely is a Licensed Mental Health Counselor (LMHC) based in Florida with 30 years of clinical experience. He works with adults on issues such as stress, anxiety, addiction, depression, relationship and intimacy concerns, grief, and life transitions. He also addresses career pressures, self-esteem, parenting strains, and challenges faced by LGBT clients.
Patrick takes a straightforward, person-focused approach. He uses familiar therapeutic methods rather than jargon. Sessions are conversational and aim to identify practical steps clients can try between meetings. He draws on cognitive-behavioral strategies to address thinking patterns and narrative and existential ideas to help people clarify values and meaning.
His background includes long experience in community mental health, substance abuse treatment settings, and private practice. That mix informs how he balances short-term problem solving with deeper exploration of relationship and attachment patterns. He works with people who need help coping with trauma, addiction, chronic stress, or the ripple effects of life changes.
In sessions he listens for what people want to change and then tests what works. He brings techniques from Client-Centered Therapy, Cognitive Behavioral Therapy, Motivational Interviewing, Narrative Therapy, and Existential Therapy. The focus is on practical tools, clearer decision-making, and improving everyday functioning.
People who reach out can expect direct conversation about problems, clear goals, and follow-up ideas to try between sessions. To begin, clients use the site matching process and schedule an initial appointment.
How his approaches translate to online work
Client-Centered Therapy focuses on listening and reflecting what matters to the person. It helps when someone needs space to sort feelings and feel understood, and it supports building trust in the relationship with the therapist.Cognitive Behavioral Therapy (CBT) looks at thoughts, behaviors, and feelings and tests small changes to improve day-to-day functioning. It is useful for anxiety, stress, low mood, and habits connected to addiction or coping. Motivational Interviewing helps people clarify their reasons for change and strengthens commitment to practical steps when motivation is mixed.
Finding the right approach is part of the work. Patrick will discuss goals and preferences and then try methods that fit each person. That collaborative process allows adjustments over time based on what helps most.
Session format details are not specified in his biography, so confirm current online options before booking. Many people find online sessions easier to fit around work, study, and travel. Shorter check-ins can be scheduled when time is tight, and conversation-focused sessions work well when a quieter setting and less setup are needed. Licensed professionals tailor pacing and homework to how a client lives their everyday life.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
30+ years
Listed in
Florida
Languages
English
Frequently asked questions
What concerns does he help with?
He works with stress, anxiety, addiction, depression, relationship and intimacy issues, grief, parenting strains, career questions, and related areas listed in his profile.
What is his therapeutic style like?
He uses conversational, practical sessions that mix cognitive-behavioral tools with narrative and existential ideas to clarify values and actions.
How much clinical experience does he have?
He brings 30 years of experience across community mental health, substance abuse treatment, and private practice settings.
What are his credentials and where does he practice?
He is an LMHC licensed in Florida and practices from that state.
What languages are supported for sessions?
Sessions are offered in English only.
Can people outside the United States work with him?
He does not accept international clients at this time.
How are sessions paid for?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I start a first session?
Select the See online therapy options button, complete the short matching questionnaire, and schedule the initial session through the site's process.
Online talk therapy through BetterHelp is for adults aged 18 and over and is not emergency care. If you are in danger, use the emergency numbers. Find someone else by name.