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Dr. Patrick Casthely

Dr. Patrick Casthely, LMHC

Florida

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Dr. Patrick Casthely, LMHC - Anger and Addictions

  • Client centered listening
  • Cognitive behavioral tools
  • Motivational interviewing

About Patrick

Dr. Patrick Casthely is a Florida Licensed Mental Health Counselor (FL LMHC) with 30 years of clinical experience. He works with adults on issues such as stress, anxiety, addictions, relationships, anger, depression, grief, and parenting concerns. He also supports people facing career challenges and coping with life changes. Dr. Casthely practices in English and his work is based in Florida.

Over three decades he has worked in community mental health, substance abuse treatment, and private practice. That mix has shaped a flexible, practice-oriented style. He draws on several therapy approaches to match what a person needs in session. Sessions tend to focus on clear goals and practical strategies rather than abstract theory.

In sessions he uses a combination of client-centered listening and cognitive tools to help people notice patterns and try different responses. Narrative ideas are used to look at life stories and how they affect current behavior. Motivational interviewing shows up when someone needs help finding reasons to change a behavior, such as with substance use or lifestyle shifts.

Dr. Casthely views treatment as collaborative work. He aims to respect each person’s values and strengths while offering structure where it helps. The tone is straightforward and goal-focused, with attention to coping skills, communication, and managing anger or intense feelings.

People who want direct, practical help managing temper, frustration, or recurring patterns may find this approach useful. To begin, the practice asks prospective clients to complete a short matching questionnaire and schedule a first session through the online options button.

Therapeutic approaches and working online

Dr. Casthely commonly uses Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), and Motivational Interviewing in his work. Client-Centered Therapy emphasizes listening and building a respectful, collaborative relationship so people can speak openly and shape goals. CBT focuses on identifying thoughts and behaviors that keep problems going and practicing concrete skills to change them. Motivational Interviewing helps people find their own reasons to change behaviors like substance use or patterns that fuel anger.

Figuring out the best approach is part of the therapeutic process. He discusses goals and options with each person and adjusts methods based on what the client finds most helpful. That collaborative decision-making helps keep sessions focused and practical.

The profile does not list specific online session formats, so confirm current session options before booking. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when time is limited, and remove travel time. Therapists can use coaching-style tools, skills practice, and conversational work effectively in remote sessions, and Dr. Casthely will help match the format to your needs and schedule.

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

Frequently asked questions

What kinds of problems does he work with?

He helps with stress, anxiety, addictions, relationship and parenting issues, anger, depression, grief, and related concerns listed in his specialty areas.

What is his therapy style like?

Sessions combine client-centered listening with practical techniques from cognitive behavioral work, narrative approaches, and motivational interviewing.

How much experience does he have?

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

What are his credentials and where is he based?

He is a Florida Licensed Mental Health Counselor (FL LMHC) and practices in Florida.

Which languages are sessions offered in?

Sessions are offered in English.

Can international clients work with him?

International clients are not currently accepted.

How are sessions paid for and billed?

Cost varies with location and sessions use a subscription that can be canceled at any time.

What should I do to get started?

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

Whenever you are ready

Review online therapy options and next steps on BetterHelp, in your own time.

See online therapy options

Online talk therapy is not emergency care. If anyone is in danger, or you are afraid of someone at home, contact emergency services. Emergency and domestic abuse numbers

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Dr. Patrick CasthelyLMHC

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