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Keith Gostel, LCSW

Experienced Virginia LCSW for life transitions
  • Stress and anxiety
  • Addiction and recovery
  • Family communication

About Keith Gostel

Keith Gostel is a Virginia-based licensed therapist with more than three decades of clinical experience who supports adults facing complex life transitions and emotional challenges. As an LCSW - a Licensed Clinical Social Worker - he combines clinical knowledge with a compassionate, practical approach to help people navigate stress, anxiety, depression, and addiction-related concerns.

He focuses on issues often tied to midlife such as caregiver stress, questions about life purpose, and shifting family dynamics, while also addressing communication difficulties, feelings of isolation, and the emotional impact of guilt and shame. Keith creates a calm, encouraging environment where clients can examine their experiences, gain clearer insight, and develop tangible strategies to improve day-to-day functioning.

Grounded in evidence-informed methods, his work emphasizes personal empowerment and skills-building so clients can better manage symptoms and pursue meaningful change. He applies a thoughtful blend of clinical techniques and coaching-style guidance to support emotional healing and personal growth, honoring each personâs unique story and goals.

Areas of Expertise

Primary Focus

Stress, AnxietyAddictionsFamily conflictsDepressionCoaching

Additional Focus Areas

Caregiver issues and stressCommunication problemsGuilt and shameIsolation / lonelinessLife purposeMidlife crisis

Therapeutic Approach

Cognitive Behavioral Therapy (CBT) Mindfulness Therapy Solution-Focused Therapy

Frequently Asked Questions

How much experience does Keith Gostel have?

Keith Gostel has 31 years of experience.

Is Keith Gostel a licensed therapist?

Yes. He holds the credential LCSW - Licensed Clinical Social Worker. License details are VA LCSW 0904002481.

In which languages does Keith Gostel provide therapy?

He provides therapy in English.

Where is Keith Gostel located?

He is located in Virginia.

How can I work with Keith Gostel as my therapist?

You can work with Keith Gostel through video calls, phone sessions, live chat, or text-based messaging.

Does Keith Gostel work with international clients?

Yes, Keith Gostel works with international clients.

How much does therapy with Keith Gostel 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.

Approaches for Online Therapy and Practical Benefits



Cognitive Behavioral Therapy (CBT) helps clients identify patterns of thought and behavior that contribute to emotional distress and then learn concrete strategies to change them; it is often used for anxiety, depression, and stress-related concerns. Mindfulness Therapy trains attention and nonjudgmental awareness of present-moment experience, offering practical tools for managing rumination, overwhelming emotions, and ongoing stress. Solution-Focused Therapy emphasizes identifying goals and building on existing strengths to create realistic, forward-moving steps - it can be useful when clients want targeted change and actionable plans.

Keith works collaboratively with each person to determine which approach or combination of approaches fits best based on their needs, goals, and preferences. He treats selection of techniques as an ongoing conversation rather than a one-time decision, adjusting methods as progress unfolds.

Online sessions through video calls, phone, live chat, or text-based messaging provide flexibility for scheduling and make it easier to maintain continuity of care across locations and life demands. These options allow clients to engage in therapy in formats that suit their pace and lifestyle while working with licensed professionals who tailor interventions to individual circumstances.

Ready to start therapy with Keith Gostel?

Take the first step toward a better you.