Dr. Patrick Casthely
Calm, practical care for family life
- Credentials
- LMHC
- Experience
- 30 years
- Licensed in
- Florida
- Languages
- English
- Format
- Online sessions
About Patrick
Dr. Patrick Casthely is a Licensed Mental Health Counselor with three decades of clinical experience. He practices in Florida and brings a long history of work in community mental health, substance use treatment, and independent practice.
He is known for a calm, steady presence and a practical focus on real-life problems parents and families face. He keeps sessions straightforward and goal-oriented. He listens first and helps people name what matters most.
Background and approach
From there he uses tools from cognitive behavioral therapy and other approaches to build skills for stress, anxiety, mood concerns, and addiction-related issues. He also addresses relationship and parenting challenges that affect daily life. Dr.
Casthely adapts his style to each person rather than using one fixed method. He values respect, sensitivity, and a nonjudgmental stance. That outlook guides work on grief, trauma, intimacy issues, and career or identity questions.
Over the years he has worked with individuals, couples, and families across many settings. His background includes trauma-informed training and both mental health and substance use certifications. He combines assessment, talk-based work, and practical exercises to help clients move forward.
Parents who want clear, direct support for family or parenting struggles often choose his approach. He helps people build coping skills, improve communication, and manage life changes step by step.
Approaches that guide online sessions
Client-centered work focuses on the person’s experience and creates space for parents and family members to speak openly. It helps people feel heard and clarifies what they want to change in family life.Cognitive Behavioral Therapy, or CBT, teaches practical skills to shift unhelpful thoughts and behaviors. It is useful for managing anxiety, mood concerns, stress, and patterns that affect relationships and parenting.
Finding the right approach is part of the work. The therapist will help clients choose methods that match their goals, preferences, and needs. That choice is made together and can change as progress is made.
Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging to fit different schedules and comfort levels. These formats make it easier to connect from home, during busy days, or when coordinating family schedules. They allow flexible ways to use the therapist’s techniques, from talking through problems to practicing new skills between meetings.
Client-Centered Therapy
The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.
Cognitive Behavioral Therapy (CBT)
CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.
Existential Therapy
Takes the larger questions seriously: meaning, choice, mortality, responsibility. Suited to periods when the difficulty is less a symptom than a sense that something has to change.
Frequently asked questions
What concerns does he address related to family life?
How would you describe his therapy style?
What experience does he bring to sessions?
Which credentials and location are on record?
Which languages are supported for sessions?
What session formats are available online?
How is cost handled for sessions?
How do I begin working with him?
Specialties and expertise
Top specialties
- Stress, Anxiety
- Addictions
- Relationship issues
Also works with
- 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
Therapeutic approaches
- Experience
- 30 years
- Licensed
- Florida
- Languages
- English
Next step
Talk to Patrick
- Takes a few minutes
- Nothing to set up just to look
- Stop at any point