Therapists and counsellors in the US, UK and Australia who list CBT among their approaches Need help now?

Therapist listings are provided by BetterHelp. We will earn a commission at no additional cost to you if you use our links to purchase.

Dr. Patrick Casthely

Profile / United States

Dr. Patrick Casthely, LMHC

Florida

Dr. Patrick Casthely, LMHC - Stress and Addiction focus

See online therapy options
  • Cognitive Behavioral Therapy
  • Client-centered methods
  • Motivational interviewing

About Patrick

Dr. Patrick Casthely is a Licensed Mental Health Counselor (LMHC) practicing in Florida with 30 years of experience. He focuses on stress, anxiety, addictions, relationship and self-esteem concerns, and helps people facing grief, trauma and life changes. Sessions are conducted in English and he does not work with international clients.

He draws on cognitive behavioral methods alongside client-centered and existential approaches. That means he pays attention to thoughts and behaviors that keep problems going, and he works with people to test different responses in everyday life. He also uses narrative and motivational interviewing tools to clarify goals and build momentum.

His background includes long experience in community mental health, substance abuse treatment, and private practice. That mix shapes a practical way of working that balances short-term problem solving with exploring personal meaning. He has particular familiarity with addiction-related issues and grief work.

In sessions he aims to listen, map out concrete steps, and track what changes help most. Typical steps may include identifying unhelpful thinking patterns, trying new behaviors, and reviewing what worked. He also supports people addressing intimacy, parenting stresses, career strain, and relationship communication.

Costs vary by location and sessions use a subscription that can be canceled at any time. To begin, pick the See online therapy options button, complete a short matching questionnaire, and schedule a first session.

How his approaches translate to online work

Dr. Casthely commonly uses Cognitive Behavioral Therapy, Client-Centered Therapy, and Motivational Interviewing in his work. CBT focuses on spotting thoughts and behaviors that keep problems going and trying practical changes. Client-centered methods emphasize listening and reflecting to clarify what matters to the person. Motivational Interviewing helps people resolve mixed feelings and find motivation for change, often useful in addiction and behavior change.

Figuring out which approach fits is part of the process. He works with clients to pick methods that match their goals and preferences, and adjusts the plan as progress is reviewed. That collaborative review helps make sessions focused and relevant to everyday life.

The practical benefits of online work include easier scheduling and fitting sessions around work or caregiving demands, fewer commute barriers, and options for shorter check-ins when needed. The biography does not specify exact session formats, so confirm current session options before booking. Online sessions can make it simpler to maintain regular contact and to apply CBT-style exercises between meetings.

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 concerns does he address most often?

He works with stress, anxiety, addictions, relationship and self-esteem concerns, plus grief, trauma, and life changes.

How does he use Cognitive Behavioral Therapy?

He uses CBT to identify unhelpful thoughts and habits, then tests new ways of thinking and acting in daily life.

What kind of clinical background does he have?

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

What are his credentials and where does he practice?

He is a Licensed Mental Health Counselor (LMHC) licensed in Florida and practices in that state.

Which languages are supported for sessions?

Sessions are offered in English.

Can people outside the U.S. work with him?

He does not accept international clients.

How are fees handled?

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

What are the first steps to start therapy?

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 you are not safe, use the crisis numbers.

Back to all therapists

Dr. Patrick Casthely

See online therapy options