About

Dr. Patrick A. Casthely is a Licensed Mental Health Counselor (LMHC) with a Doctorate in Philosophy focused on Counseling. He is also a Master-Level Certified Addiction Professional (MCAP) and a Certified Mental Health Professional (CMHP), reflecting specialized training in both mental health and substance use concerns. He has completed Trauma Focused Cognitive Behavior Therapy (TF-CBT) trainings and is board recognized. With 30 years of experience, he has provided therapy across community mental health settings, substance use treatment, and private practice, supporting individuals, couples, and families from many different backgrounds.

Dr. Casthely’s counseling style is eclectic and individualized, drawing from multiple modalities to shape care around each person’s goals, needs, and preferences. He aims to offer a supportive, nonjudgmental, and empathic environment grounded in respect, sensitivity, and compassion, while avoiding stigmatizing labels. His work incorporates cognitive-behavioral, humanistic, psychodynamic, person-centered, family systemic, and rational-emotive approaches, and he collaborates with clients to develop a dialogue and plan that feels practical and meaningful.

He offers experience in assessment and evaluation, addictions counseling, and therapy for individuals, couples, and families, including work with adults and children or adolescents. Dr. Casthely also describes a holistic perspective that considers mind, body, and spirit. He recognizes that taking the first step toward change can be difficult, and he focuses on helping clients identify strengths and discover solutions from within themselves.
Location:
Florida, United States
Years Experience:
30
Gender:
Male
Languages Spoken:
English
Therapist of Color:
Yes
Communication Options:
Phone • Video • Live Chat • Messaging

Specialties

Primary area of focus:Stress, Anxiety, Addictions, Relationship issues, Self esteem, Coping with life changes
Other areas of experience: LGBT, Family conflicts, Trauma and abuse, Grief, Parenting issues, Anger management, Career difficulties, Depression, Coaching, Compassion fatigue, Abandonment, Antisocial personality, Attachment issues, Avoidant personality, Blended family issues, Body image, Cancer, Codependency, Commitment issues, Communication problems, Control issues, Dependent personality, Dissociation, Divorce and separation, Domestic violence, Eating and food-related issues, Family of origin issues, Fatherhood issues, First responder issues, Forgiveness, Gender dysphoria, Hearing impaired, HIV / AIDS, Hoarding, Immigration issues, Impulsivity, Infidelity, Intellectual disability, Isolation / loneliness, Jealousy, Life purpose, Midlife crisis, Mood disorders, Multicultural concerns, Narcissism, Paranoia, Personality disorders, Phobias, Postpartum depression, Post-traumatic stress, Self-harm, Self-love, Sex addiction, Sexual assault and abuse, Sexual dysfunction, Sexuality, Somatization, Traumatic brain injury, Trichotillomania, Visually impaired, Workplace issues, Young adult issues
Therapeutic approach:Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Existential Therapy, Motivational Interviewing, Narrative Therapy, Psychodynamic Therapy, Trauma-Focused Therapy

Credentials & Verification

  • Credentials: FL LMHC MH11708
  • NPI Number: 1639578495
  • License: LMHC (Florida)

Therapeutic Approaches, Made Accessible Online

Dr. Patrick Casthely draws from multiple evidence-informed approaches to tailor therapy to each client’s needs. Client-Centered Therapy focuses on creating a supportive, respectful space where clients can clarify what matters most and build on existing strengths, which can be especially helpful during stressful life transitions or when self-esteem feels shaken.

Cognitive Behavioral Therapy (CBT) is a practical, skills-based approach that helps clients notice unhelpful thought patterns and experiment with new ways of responding. It is often used to address concerns like stress, anxiety, and mood-related challenges by linking thoughts, feelings, and actions in a clear, workable way.

Motivational Interviewing emphasizes collaboration and helps clients strengthen their own reasons for change, which can be useful when feeling stuck, ambivalent, or pulled in different directions, including around habits and recovery goals.

Finding the right approach is part of the process. Dr. Casthely works with clients to identify goals, preferences, and what has or has not helped before, adjusting the plan over time so therapy stays aligned with the client’s priorities.

Online therapy adds flexibility through video calls, phone sessions, live chat, or text-based messaging, making it easier to access support in a format that fits daily life and comfort level.

How much experience does Dr. Patrick Casthely have?

Dr. Patrick Casthely has 30 years of experience as a therapist.

Is Dr. Patrick Casthely a licensed therapist?

Yes. Dr. Patrick Casthely is a Licensed Mental Health Counselor (LMHC) in Florida (FL LMHC MH11708).

In which languages does Dr. Patrick Casthely provide therapy?

Dr. Patrick Casthely provides therapy in English.

Where is Dr. Patrick Casthely located?

Dr. Patrick Casthely is located in 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. These options can make it easier to choose a format that fits your schedule, comfort level, and goals.

Does Dr. Patrick Casthely work with international clients?

No. 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, 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.