Therapist profile
Dr. Patrick Casthely, LMHC
LMHC in Florida - family and parenting related concerns
Continue with PatrickAbout
- Stress and anxiety
- Addictions support
- Client-centered work
About Patrick
Dr. Patrick Casthely is a Licensed Mental Health Counselor (LMHC) practicing in Florida with 30 years of clinical experience. He works with a wide range of concerns including stress, anxiety, addictions, relationship issues, parenting, grief, and mood concerns such as depression and bipolar. He also addresses family-related difficulties and intimacy-related issues.
Patrick uses straightforward conversation and a mix of approaches to help people clarify what matters to them. Sessions often focus on practical steps people can try between meetings. He listens for patterns in thinking and behavior and offers ways to test different responses in everyday life.
His background includes long experience in community mental health, substance use treatment, and private practice. That history means he is familiar with issues that come up around caregiving, chronic illness, career strain, and the stresses of parenting. He also has experience supporting people with trauma and abuse and with concerns around attachment and abandonment.
Therapy draws on client-centered work, cognitive behavioral techniques, existential questions about meaning, motivational interviewing, and narrative approaches. In practice this means conversations about current problems, skills for changing unhelpful thoughts or patterns, and space to tell and reshape personal stories.
People who contact him are usually looking for direct help with specific problems such as substance use, relationship conflict, grief, or managing strong emotions. He asks practical questions, helps set clear goals, and reviews progress as therapy continues.
How sessions work
How therapeutic approaches are used online
Client-centered therapy focuses on listening and reflecting back what matters to the person. Online sessions can provide regular time to talk through parenting stress, relationship strain, or grief while the therapist follows the person’s lead.Cognitive behavioral therapy (CBT) looks at how thoughts and behaviors affect mood and actions. In online meetings this often means identifying patterns, practicing new responses, and assigning short exercises to try between sessions for issues like anxiety, depression, or anger.
Motivational interviewing is a practical method for people who want to change behaviors such as substance use. It uses conversational techniques to strengthen commitment to change and to build small, achievable steps.
Choosing which approach to use is part of the work together. The therapist will talk with the client about goals, preferences, and what feels most useful, then adapt methods as progress is reviewed. This is a collaborative process rather than a fixed prescription.
Confirm the current online session options before booking so the format fits daily life. Online sessions can make it easier to schedule brief check-ins between work or caregiving demands, avoid travel time, or use a phone visit when video is difficult. These practical benefits can help therapy fit into a busy household routine.
Areas of focus
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
30+ years
Listed in
Florida
Languages
English
Questions
Frequently asked questions
What concerns does he address related to family life?
He works with family-related issues including parenting, blended family concerns, and communication problems between relatives.
What is his general therapeutic style?
He uses an eclectic, client-centered approach and draws on cognitive behavioral techniques, narrative work, and motivational interviewing to match the person's needs.
How much clinical experience does he have?
He has thirty years of experience across community mental health, substance use treatment, and private practice settings.
What are his credentials and where is he based?
He is a Licensed Mental Health Counselor (LMHC) licensed in Florida and practices there.
Does he offer sessions in other languages or to international clients?
Sessions are offered in English and he is not accepting international clients.
What session formats are used?
Confirm current session options before booking to know which formats are supported for appointments.
How are sessions priced?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin working with him?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If anyone is in danger, use the crisis numbers.