Dr. Patrick Casthely, LMHC
Florida · 30 years in practice
Dr. Patrick Casthely is a Licensed Mental Health Counselor (LMHC) practicing in Florida with three decades of clinical experience.
License and registration
- LMHC, Florida
- MH11708 · expires March 2027
- NPI
- 1639578495 · national provider identifier
- Years in practice
- 30
- Languages
- English
Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.
About Patrick
Dr. Patrick Casthely is a Licensed Mental Health Counselor (LMHC) practicing in Florida with three decades of clinical experience. He brings long experience to work through stress, anxiety, addiction, mood shifts, and relationship challenges.
His style is direct and compassionate, aimed at practical progress and clearer choices. He uses a mix of approaches rather than one fixed method. Sessions often focus on identifying patterns, clarifying values, and building skills to manage difficult feelings.
Background and approach
The work can include talking through life changes, grief, parenting concerns, intimacy worries, and career strain. Clients may find conversations that balance personal meaning with practical steps. Dr.
Casthely leans on existential perspectives to examine life purpose and responsibility. He also draws on client-centered and cognitive behavioral ideas to support problem solving and emotional regulation. He has long experience in addiction and mental health settings and says he respects each person’s story.
That background informs how he helps people manage co-occurring problems, chronic illness, or caregiver stress. He frames therapy as collaborative and goal oriented. Sessions are offered in English and tailored to the individual.
Anyone who wants straightforward, flexible care can expect a focus on strengths, clearer choices, and steady support through change.
Focus areas and approaches
Everything Patrick lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Addictions
- Relationship issues
- Self esteem
- Coping with life changes
- LGBT
- Family conflicts
- Trauma and abuse
- Grief
- Intimacy-related issues
- Parenting issues
- Anger management
- Career difficulties
- Bipolar disorder
- Depression
- Coaching
- Compassion fatigue
- Abandonment
- Aging and geriatric issues
- Antisocial personality
- Attachment issues
- Avoidant personality
- BDSM, kink, and alternative sex culture
- Blended family issues
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Hearing impaired
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Veteran and Armed Forces Issues
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Postpartum depression
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Traumatic brain injury
- Trichotillomania
- Visually impaired
- Workplace issues
- Young adult issues
Approaches Patrick names
- Existential Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Trauma-Focused Therapy
Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.
Online support
Approaches that fit online counseling
Existential therapy helps people examine what matters most and make choices that match their values; it can be useful for life changes, grief, and questions about purpose. Client-centered therapy focuses on empathetic listening and understanding so people feel heard and supported while they work through concerns. Cognitive Behavioral Therapy (CBT) breaks problems into thoughts, feelings, and actions and teaches practical skills to reduce anxiety, manage mood, and change unhelpful patterns.Finding the right approach is part of the work together. The therapist will discuss goals, preferences, and what feels most useful, then adapt techniques over time. This is a collaborative process where the method can shift as needs and circumstances change.
Online sessions include video calls, phone sessions, live chat, and text-based messaging to match different rhythms of life. Video lets people see facial cues and have deeper conversations. Phone sessions can fit times with lower bandwidth or when being off-camera helps. Live chat and text messaging work for shorter check-ins, coaching-style guidance, or when messaging is easier to schedule. These options make therapy more flexible for people juggling work, caregiving, or health needs.
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Questions people ask
What kinds of concerns can be addressed in therapy?
He works with many issues including stress, anxiety, addictions, depression, relationship and intimacy concerns, grief, parenting, career struggles, and compassion fatigue.
What is his therapeutic style like?
The approach is collaborative and eclectic. Conversations look at meaning and values while also teaching skills to manage emotions and behavior.
How much clinical experience does he have?
He brings 30 years of experience in mental health and addiction settings, including community and independent practice work.
What credentials and location are listed?
He is a Licensed Mental Health Counselor (LMHC) licensed in Florida and practices there.
Which languages are sessions offered in?
Sessions are offered in English.
Can international clients work with him?
International clients are not currently accepted.
What session formats are available?
He offers video calls, phone sessions, live chat, and text-based messaging to fit different needs.
How does cost and scheduling work?
Cost varies with location and therapist availability and uses a subscription model that can be canceled at any time; to begin, follow the Start Therapy button and complete the short matching questionnaire.
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