Dr. Patrick Casthely, LMHC

Dr. Patrick Casthely is a licensed mental health counselor and experienced clinician who brings an integrative approach to therapy. He holds a Doctorate in Philosophy with an emphasis in Counseling, and his certifications include Master-Level Certified Addiction Professional (MCAP) and Certified Mental Health Professional (CMHP). He has completed Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) trainings and is board recognized in that area.

With more than twenty-four years working in community mental health, substance abuse treatment, and private practice, Dr. Casthely has supported individuals, couples, and families from diverse backgrounds. He blends a range of therapeutic methods to shape a treatment plan that fits each person, favoring an eclectic and strength-based style that emphasizes respect, sensitivity, and compassion rather than stigmatizing labels.

Dr. Casthely’s approach weaves cognitive-behavioral, humanistic, psychodynamic, person-centered, family systemic, and rational-emotive techniques to tailor conversations and goals to each client’s needs. He offers assessment and evaluation, substance abuse and addictions counseling, individual therapy, family therapy, couples therapy, and play therapy, working with adults, children, adolescents, couples, and families. As a holistic practitioner, he attends to mind, body, and spirit, and he emphasizes collaboration to help people discover their own answers and move forward in life.

Therapeutic approaches for online care

Dr. Patrick Casthely commonly uses client-centered therapy to create a supportive space where the therapist follows the client’s lead, emphasizing empathy and personal strengths to help with self-exploration and relationship concerns. Cognitive Behavioral Therapy (CBT) is also central to his work and focuses on identifying and changing unhelpful thinking and behavior patterns, which can be useful for anxiety, mood concerns, and coping with life challenges. Motivational Interviewing complements these methods by helping people clarify their goals and strengthen their motivation for change, particularly in areas like substance use or behavioral shifts.

Finding the right approach is part of the therapeutic process; Dr. Casthely works collaboratively with each person to determine which methods align best with their needs, goals, and preferences, adjusting the plan as progress unfolds.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging, offering flexibility to fit busy schedules and different comfort levels. These formats make it easier to access licensed professionals from home or on the go and allow therapy to continue even when in-person meetings are not feasible.