Dr. Patrick Casthely, LMHC
Personalized counseling for change and resilience
- Eclectic individualized care
- Addiction and mental health
- Individuals couples families
About Dr. Patrick Casthely
Dr. Patrick A. Casthely is a Licensed Mental Health Counselor (LMHC) with a Doctorate in Philosophy focused on Counseling. He is also a Master-Level Certified Addiction Professional (MCAP) and a Certified Mental Health Professional (CMHP), reflecting specialized training in both mental health and substance use concerns. He has completed Trauma Focused Cognitive Behavior Therapy (TF-CBT) trainings and is board recognized. With 30 years of experience, he has provided therapy across community mental health settings, substance use treatment, and private practice, supporting individuals, couples, and families from many different backgrounds.
Dr. Casthely’s counseling style is eclectic and individualized, drawing from multiple modalities to shape care around each person’s goals, needs, and preferences. He aims to offer a supportive, nonjudgmental, and empathic environment grounded in respect, sensitivity, and compassion, while avoiding stigmatizing labels. His work incorporates cognitive-behavioral, humanistic, psychodynamic, person-centered, family systemic, and rational-emotive approaches, and he collaborates with clients to develop a dialogue and plan that feels practical and meaningful.
He offers experience in assessment and evaluation, addictions counseling, and therapy for individuals, couples, and families, including work with adults and children or adolescents. Dr. Casthely also describes a holistic perspective that considers mind, body, and spirit. He recognizes that taking the first step toward change can be difficult, and he focuses on helping clients identify strengths and discover solutions from within themselves.
Dr. Casthely’s counseling style is eclectic and individualized, drawing from multiple modalities to shape care around each person’s goals, needs, and preferences. He aims to offer a supportive, nonjudgmental, and empathic environment grounded in respect, sensitivity, and compassion, while avoiding stigmatizing labels. His work incorporates cognitive-behavioral, humanistic, psychodynamic, person-centered, family systemic, and rational-emotive approaches, and he collaborates with clients to develop a dialogue and plan that feels practical and meaningful.
He offers experience in assessment and evaluation, addictions counseling, and therapy for individuals, couples, and families, including work with adults and children or adolescents. Dr. Casthely also describes a holistic perspective that considers mind, body, and spirit. He recognizes that taking the first step toward change can be difficult, and he focuses on helping clients identify strengths and discover solutions from within themselves.
Areas of Expertise
Primary Focus
Also Specializes In
LGBTFamily conflictsTrauma and abuseGriefIntimacy-related issuesParenting issuesAnger managementCareer difficultiesBipolar disorderDepressionCoachingCompassion fatigue
Additional Focus Areas
AbandonmentAging and geriatric issuesAntisocial personalityAttachment issuesAvoidant personalityBDSM, kink, and alternative sex cultureBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHearing impairedHIV / AIDSHoardingHospice and end-of-life counselingImmigration issuesImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexual dysfunctionSexualitySmoking / vaping cessationSocial anxiety and phobiaSomatizationTraumatic brain injuryTrichotillomaniaVisually impairedWorkplace issuesYoung adult issues
Therapeutic Approach
Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Existential Therapy Motivational Interviewing Narrative Therapy Psychodynamic Therapy Trauma-Focused Therapy
Frequently Asked Questions
How much experience does Dr. Patrick Casthely have?
Dr. Patrick Casthely has 30 years of experience as a therapist.
Is Dr. Patrick Casthely a licensed therapist?
Yes. Dr. Patrick Casthely is a Licensed Mental Health Counselor (LMHC) in Florida (FL LMHC MH11708).
In which languages does Dr. Patrick Casthely provide therapy?
Dr. Patrick Casthely provides therapy in English.
Where is Dr. Patrick Casthely located?
Dr. Patrick Casthely is located in Florida.
How can I work with Dr. Patrick Casthely as my therapist?
You can work with Dr. Patrick Casthely through video calls, phone sessions, live chat, or text-based messaging. These options can make it easier to choose a format that fits your schedule, comfort level, and goals.
Does Dr. Patrick Casthely work with international clients?
No. Dr. Patrick Casthely does not currently work with international clients.
How much does therapy with Dr. Patrick Casthely cost?
The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.
How can I get started with therapy?
Getting started is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.
Therapeutic Approaches, Made Accessible Online
Dr. Patrick Casthely draws from multiple evidence-informed approaches to tailor therapy to each client’s needs. Client-Centered Therapy focuses on creating a supportive, respectful space where clients can clarify what matters most and build on existing strengths, which can be especially helpful during stressful life transitions or when self-esteem feels shaken.Cognitive Behavioral Therapy (CBT) is a practical, skills-based approach that helps clients notice unhelpful thought patterns and experiment with new ways of responding. It is often used to address concerns like stress, anxiety, and mood-related challenges by linking thoughts, feelings, and actions in a clear, workable way.
Motivational Interviewing emphasizes collaboration and helps clients strengthen their own reasons for change, which can be useful when feeling stuck, ambivalent, or pulled in different directions, including around habits and recovery goals.
Finding the right approach is part of the process. Dr. Casthely works with clients to identify goals, preferences, and what has or has not helped before, adjusting the plan over time so therapy stays aligned with the client’s priorities.
Online therapy adds flexibility through video calls, phone sessions, live chat, or text-based messaging, making it easier to access support in a format that fits daily life and comfort level.
Ready to start therapy with Dr. Patrick Casthely?
Take the first step toward a better you.