PuttingFamilyFirst

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SC Portrait of Stephanie Casto
Online therapist

Stephanie Casto

Compassionate trauma-informed care for families

Credentials
LICSW
Experience
5 years
Licensed in
West Virginia
Languages
English
Format
Online sessions

About Stephanie

Stephanie Casto is a Licensed Independent Clinical Social Worker (LICSW) practicing in West Virginia. She has five years of clinical experience and offers therapy to people across a range of ages. She draws on training in trauma-focused care to support parents and caregivers alongside children and teens when needed.

Her work emphasizes safety and emotional regulation. She helps clients name feelings, learn coping skills, and process difficult experiences. Sessions focus on practical steps that reduce symptoms and improve everyday functioning.

Background and approach

Stephanie has significant experience with complex trauma related to abuse and neglect. She uses evidence-based methods to help people process traumatic memories and manage strong emotions. She also supports those coping with depression, anxiety, grief, anger, and compassion fatigue.

Family and parenting concerns are a central interest in her practice. She assists with issues such as attachment challenges, blended family transitions, adoption and foster care questions, and caregiver stress. Communication problems and family of origin issues are common topics in her sessions.

Her approach blends Cognitive Behavioral Therapy, EMDR, Motivational Interviewing, and trauma-focused therapy depending on the situation. She works collaboratively to identify what will help most and adjusts the plan as progress is made. Stephanie offers video, phone, live chat, and text-based sessions to fit different needs and schedules.

How trauma-informed approaches work online

Trauma-focused therapy centers on helping people process difficult events and build skills to manage strong emotions. In practice this can mean grounding exercises, gradual exposure to memories, and steps to rebuild daily routines and safety. It is often used for post-traumatic stress, complex trauma, and related symptoms.

Cognitive Behavioral Therapy, or CBT, looks at how thoughts, feelings, and actions interact. It teaches concrete techniques to change unhelpful thought patterns and try different behaviors to reduce anxiety and depression. CBT is useful for mood disorders, panic, and stress that interfere with daily life.

Finding the right approach is part of the work. The therapist will collaborate with each person to choose or blend methods based on needs, goals, and comfort. That plan can change over time as progress is made and priorities shift.

Online therapy offers practical flexibility for busy families and caregivers. Video calls allow face-to-face interaction from home, while phone, live chat, and text messaging can fit around schedules and make it easier to check in between sessions. These options make it simpler to keep therapy consistent when life gets hectic.

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.

EMDR

A structured protocol used with distressing memories, pairing recall with guided attention tasks. Some therapists adapt it for video sessions; whether that fits is worth asking about directly.

Motivational Interviewing

A way of working through mixed feelings about change without being pushed. The therapist helps you weigh things up and find your own reasons, which often makes a difficult decision feel less stuck.

Frequently asked questions

What concerns does she address related to family life?
She works with parenting challenges, blended family transitions, attachment issues, adoption and foster care matters, and communication problems within families.
What is her general therapy style?
Her style is practical and collaborative. She focuses on skills for emotional regulation, processing past trauma, and improving daily coping.
What training and background does she have?
She has five years of clinical experience and significant work with clients who have experienced complex trauma from abuse and neglect.
What credential does she hold and where is she located?
She is a Licensed Independent Clinical Social Worker - WV LICSW DP00945146 and practices in West Virginia.
Which languages are supported for sessions?
Sessions are offered in English.
What session formats are available?
Sessions can be conducted by video calls, phone sessions, live chat, or text-based messaging.
How are fees and billing handled?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, completing a short matching questionnaire, and scheduling according to therapist availability.

Next step

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