About Patrick
Dr. Patrick Casthely is a Licensed Mental Health Counselor with three decades of clinical work in Florida. He brings long experience helping people face stress, anxiety, addictions, depression, and major life changes.
He also supports people dealing with relationship concerns, grief, trauma, parenting strain, career questions, and self-esteem struggles. Over 30 years in practice shaped a flexible, person-focused style. He listens first, then builds a plan that fits each person's goals.
Background and approach
He uses conversation and practical exercises so people leave with tools they can try between meetings. His background includes work in community mental health, substance use treatment settings, and independent practice. That mix informs how he approaches both everyday struggles and long-standing patterns.
He draws on several ways of working to match what a person needs in the moment. In sessions he tends to be direct but respectful. He aims to create a calm, nonjudgmental space where someone can talk through emotions, clarify choices, and practice new responses.
He emphasizes strengths and what a person can build on right now. People who choose Dr. Casthely often want a practical path forward.
He helps set concrete goals, tracks progress, and adjusts plans as life changes. He works with English-speaking clients across Florida and uses a mix of techniques tailored to each person's situation.
Therapeutic approaches and online care that fit your life
Client-Centered Therapy focuses on listening and building understanding from each person's point of view. It helps when someone needs a respectful space to talk through feelings and make decisions. Cognitive Behavioral Therapy, or CBT, looks at how thoughts and actions connect. It teaches practical skills to reduce anxiety, manage mood, and change unhelpful habits. Narrative Therapy helps people separate themselves from problems by examining the stories they tell about their lives, which can be useful for identity, grief, and relationship issues.Finding the right method is part of the work. The therapist collaborates with each person to pick approaches that match their goals, needs, and comfort level. Plans are adjusted as progress is made and as life circumstances change, so treatment stays relevant and useful.
Online sessions are offered by video calls, phone, live chat, or text-based messaging to make therapy more flexible. Video lets people meet face to face when bandwidth allows. Phone sessions can be a good choice when audio is enough and a shorter check-in is needed. Live chat or messaging supports people who prefer typed conversation or want brief check-ins between longer sessions. These options help fit therapy into work, caregiving, and other busy schedules.
Frequently asked questions
What concerns does Dr. Casthely address?
What is his therapeutic style like?
How much clinical experience does he have?
What credentials and location are listed?
Which languages are supported?
What session formats are available?
How is cost handled?
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