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Dr. Patrick Casthely

Therapist profile

Dr. Patrick Casthely, LMHC

Florida

Licensed Mental Health Counselor - Anger and Relationships

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Key details

  • CredentialsLMHC
  • LicenseLMHC, Florida / MH11708
  • NPI1639578495
  • Experience30 years
  • LanguagesEnglish
  • LocationFlorida

About

  • CBT techniques
  • Client-centered work
  • Motivational interviewing

About Patrick

Dr. Patrick Casthely is a Licensed Mental Health Counselor (LMHC) practicing in Florida with 30 years of clinical experience. He works with people facing stress, anxiety, addictions, relationship struggles, grief, and anger among other concerns. Dr. Casthely uses a mix of approaches and focuses on helping clients find practical ways to cope and move forward.

He trained at the doctoral level in counseling and has long experience across community mental health, substance abuse treatment, and private practice. That background means he has worked with many different problems and settings over three decades. He frames his work around real-life goals rather than labels.

In sessions he draws from client-centered work and cognitive behavioral ideas to address thinking patterns and immediate coping skills. He also uses existential and narrative tools to look at values, meaning, and the stories people tell about themselves. Motivational interviewing informs how he helps people find their own reasons to change.

Dr. Casthely describes his style as eclectic. He adapts his way of working to what the person needs in the moment, mixing practical skills with deeper reflection when useful. He emphasizes respect, sensitivity, and a strength-based perspective.

People often come for help with anger, relationship problems, substance use, parenting strain, career stress, or health-related challenges. He supports work on communication, commitment concerns, attachment issues, and coping with life changes. If someone wants straightforward, experience-based guidance, he offers that alongside longer-term therapeutic work.

How sessions work

How his therapeutic approaches guide online sessions

Client-Centered Therapy focuses on listening and reflecting back what matters to the person. It helps when someone needs to feel heard and to sort out priorities or values. Cognitive Behavioral Therapy (CBT) looks at thoughts, feelings, and behaviors and teaches practical skills to change unhelpful patterns. It is useful for anger, anxiety, and mood concerns.

Finding the right approach is part of the work. He will collaborate with each client to decide which methods fit their goals and preferences. That means trying practical skill-building, then shifting to meaning-focused or narrative work if that better supports progress.

Session logistics should be confirmed before booking because the profile does not list specific formats. Ask about the available online options when you schedule. The main practical benefit of remote sessions is easier integration into daily life - fitting a short check-in during a work break, avoiding travel time, or keeping consistent weekly work despite a busy schedule. If a session without video would be easier on a given day, discuss that option when arranging appointments.

Areas of focus

Areas of expertise

Also works with

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 approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Existential TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapyTrauma-Focused Therapy

Experience

30+ years

Listed in

Florida

Languages

English

Questions

Frequently asked questions

What kinds of problems does he address?

He works with stress, anxiety, addictions, relationship and intimacy issues, anger, grief, depression, and many related concerns listed in his profile.

How would he approach anger or temper problems?

He blends client-centered methods with cognitive behavioral techniques to identify triggers and build practical coping skills for managing anger and reactions.

How much clinical experience does he have?

He has 30 years of experience in community mental health, substance abuse treatment, and private practice.

What are his credentials and where does he practice?

He is an LMHC licensed in Florida and practices with that credential in Florida.

Which languages are sessions offered in?

Sessions are offered in English.

Can people outside the US work with him?

International clients are not currently accepted.

How are sessions paid for and what does it cost?

Cost varies by location; sessions use a subscription that can be canceled at any time.

What is the first step to begin working together?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

Online talk therapy is not emergency care. If anyone is unsafe, use the crisis numbers.

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Dr. Patrick Casthely

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