Dr. Patrick Casthely, LMHC

Doctorate-level LMHC for trauma and addiction

Trauma and addictions
Couples and family
Strengths-based care

About Dr. Patrick Casthely

Dr. Patrick Casthely is a Licensed Mental Health Counselor (LMHC) who also holds Master-Level Certified Addiction Professional (MCAP) and Certified Mental Health Professional (CMHP) credentials. He earned a Doctorate in Philosophy with an emphasis in counseling and has completed Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) trainings with board recognition. With more than twenty-four years of clinical experience, he has worked across community mental health, substance abuse treatment programs, and private practice settings, providing care to individuals, couples, and families from diverse backgrounds.

Dr. Casthely uses an eclectic, strength-based approach that weaves together cognitive-behavioral, humanistic, psychodynamic, person-centered, family-systems, and rational-emotive techniques to match the needs of each person he sees. He emphasizes respect, sensitivity, and compassion and avoids stigmatizing labels, tailoring conversations and treatment plans to each client s specific goals. His experience spans assessment and evaluation, substance abuse and addiction counseling, individual and family therapy, couples work, and play therapy with children and adolescents.

As a holistic practitioner, he considers mind, body, and spirit when shaping care and strives to create a supportive, nonjudgmental, and empathic environment. He aims to help people identify their strengths, clarify goals, and develop practical strategies for coping with life s challenges, including trauma, grief, relationship and intimacy concerns, stress, and addiction.

Areas of Expertise

Primary Focus

Stress, Anxiety AddictionsRelationship issuesSelf esteem Coping with life changes

Also Specializes In

LGBTFamily conflictsTrauma and abuse GriefIntimacy-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.

Is Dr. Patrick Casthely a licensed therapist?

Yes. He holds the LMHC credential. License details: FL LMHC MH11708.

In which languages does Dr. Patrick Casthely provide therapy?

English.

Where is Dr. Patrick Casthely located?

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.

Does Dr. Patrick Casthely work with international clients?

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, just click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. Just 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 Methods and Online Support

Dr. Casthely draws on several evidence-informed approaches to guide online work. Client-Centered Therapy focuses on building a collaborative, nonjudgmental relationship where the therapist listens closely and helps clients explore their values, self-esteem, and relationships; this approach is useful for people seeking acceptance and personal growth. Cognitive Behavioral Therapy (CBT) helps clients identify and change unhelpful thoughts and behaviors through practical exercises and skill-building, making it a common choice for addressing anxiety, depression, and patterns that contribute to addiction. Motivational Interviewing is a brief, goal-oriented method that helps people resolve ambivalence and strengthen motivation for change, often applied in substance use and behavior-change goals.

Finding the right approach is part of the therapeutic process, and Dr. Casthely works collaboratively with each person to determine what fits best based on their needs, goals, and preferences. He adapts techniques over time so treatment remains aligned with progress and changing priorities.

Online therapy with Dr. Casthely is offered through video calls, phone sessions, live chat, or text-based messaging to provide flexibility around work, family, and daily responsibilities. These options help make it easier to access licensed professionals from different locations and to continue care when schedules or life circumstances change, while allowing therapists to use the same therapeutic methods they apply in face-to-face work.

Ready to start therapy with Dr. Patrick Casthely?

Take the first step toward a better you.

Get Started