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Dr. Patrick Casthely, LMHC

Experienced mental health professional

Provides online counseling through BetterHelp

At a glance

Patrick is an experienced, licensed Mental Health Professional who specializes in affordable online therapy offered through our partner, BetterHelp.

4.5 stars
Clients are very satisfied with Patrick. View 63 reviews
Speaks English
Offers Telehealth visits
Licensed in Florida

Recent reviews

My time with Dr. Casthely has and always is great. He is an amazing listener and always offers great feedback and support. I've come out of my shell and learned to expand my life in many different ways thanks to his help and support.

Reviewed July 2024

Professional and supportive, always a trustworthy listener.

Reviewed May 2024

More about Patrick

  • 30 years' experience
  • Male
  • LMHC

Hello, I am Dr. Patrick A Casthely. I am a Licensed Mental Health Counselor (LMHC), a Master-Level Certified Addiction Professional (MCAP), and a Certified Mental health Professional (CMHP). I hold a Doctorate in Philosophy with emphasis in Counseling. I have completed the Trauma Focused Cognitive Behavior therapy (TF-CBT) trainings, and I am board recognized. I have over twenty four years of experience as a therapist, in both the Community Mental Health Model, Substance Abuse Treatment Provider, and in Private Practice. My experience includes working with individuals, couples and families from all walks of life.

My counseling style is eclectic, meaning I incorporate a variety of therapeutic modalities to create the ideal treatment to meet the client's needs. I strive to provide a safe, supportive, nonjudgemental, and empathic therapeutic environment. I believe that everyone is uniquely different and may not respond to a one size fits all therapeutic modality. I believe in treating anyone with respect, sensitivity, and compassion, and I don't believe in stigmatizing labels. My approach combines cognitive-behavioral, humanistic, psychodynamic, person centered, family systemic, and rational-emotive counseling. I will tailor our dialog and treatment plan to meet your unique and specific goals and desires. I tend to work with clients from a strength-based, positive, and affirming perspective. My specialties include assessment/evaluation, substance abuse/addictions counseling, individual therapy, family therapy, couples therapy, play therapy, etc. I have experience working with adults, children/adolescents, couples and families within a multitude of different settings. I am a holistic practitioner that believes in treating mind, body, and spirit. I am skilled in both Mental Health and Substance Abuse, evidenced by my certifications.

It takes courage to take the first step towards addressing life's problems. If you are ready to take that step I am here to support and help you discover the answers, within yourself. I hope to earn the privilege of working with you!

Specialties

Stress Anxiety Addictions Relationship issues Self esteem Coping with life changes LGBT Family conflicts Trauma and abuse Grief Intimacy-related issues Parenting issues Anger management Career difficulties Bipolar disorder Depression Coaching Compassion fatigue Abandonment Aging and geriatric issues Antisocial personality Attachment issues Avoidant personality BDSM kink and alternative sex culture Blended family issues Body image Cancer Caregiver issues and stress Chronic pain illness and disability Co-morbidity Codependency Commitment issues Communication problems Control issues Coping with natural or human-caused disaster Dependent personality Disruptive Mood Dysregulation Disorder (DMDD) Dissociation Divorce and separation Domestic violence Drug and alcohol addiction Eating and food-related issues Emptiness Expats Family of origin issues Family problems Fatherhood issues First responder issues Forgiveness Gender dysphoria Guilt and shame Hearing impaired HIV / AIDS Hoarding Hospice and end-of-life counseling Immigration issues Impulsivity Infidelity Intellectual disability Isolation / loneliness Jealousy Life purpose Men's issues Midlife crisis Military and veterans issues Money and financial issues Mood disorders Multicultural concerns Narcissism Obsessions compulsions and OCD Panic disorder and panic attacks Paranoia Personality disorders Phobias Polyamory / non-monogamous relationships Postpartum depression Post-traumatic stress Pregnancy and childbirth Prejudice and discrimination Process addiction (porn exercise gambling) Seasonal Affective Disorder (SAD) Self-harm Self-love Sex addiction Sexual assault and abuse Sexual dysfunction Sexuality Smoking / vaping cessation Social anxiety and phobia Somatization Traumatic brain injury Trichotillomania Visually impaired Workplace issues Young adult issues

Treatment Approaches

  • Client-Centered Therapy
  • Cognitive Behavioral Therapy (CBT)
  • Existential Therapy
  • Motivational Interviewing
  • Narrative Therapy
  • Psychodynamic Therapy
  • Trauma-Focused Therapy

Licenses

Dr. Patrick Casthely's National Provider Identifier (NPI) is 1639578495.

  • LMHC · Florida · MH11708 · Expires March 2025

About online counseling

Affordable.
Pay a low flat fee.
Convenient.
Do it at your own time and at your own pace. Communicate whenever you feel it's needed.
Available now.
There is no waiting list and no calls to make. Simply fill out a short questionnaire and send your first message.

Online counseling allows you to receive care from a mental health practitioner via phone, video chat, or instant messaging. It is convenient for those who may have trouble getting to or would prefer not to have in-person therapy appointments. Starting at $65 per week, online counseling is generally more affordable than in-person counseling. A study by researchers at University of California, Berkeley found that online counseling can be just as effective as face-to-face therapy while being more convenient, affordable, and accessible.

Reviews for Dr. Patrick Casthely

All reviews have been submitted by clients after seeing the provider.

Overall rating:

4.5

63 reviews

5
4
3
2
1

Clients mention: Recommend Great Easy Helped Listens Knowledgeable Professional Helpful Supportive Understanding

My time with Dr. Casthely has and always is great. He is an amazing listener and always offers great feedback and support. I've come out of my shell and learned to expand my life in many different ways thanks to his help and support.

Reviewed July 2024

Professional and supportive, always a trustworthy listener.

Reviewed May 2024

Great person and therapist who has taught me so much . Very thankful for his advice and look forward to learning from him

Reviewed November 2023

Good to chat with, professional and personable

Reviewed November 2023

I adore Dr P ! He has changed my life and helped me tremendously

Reviewed May 2023

Dr. Casthely is a very prominent therapist that helps with very understanding notions to connect to others that may be going through a tough time. I Recommend this therapist for anyone that is struggling with any personal life situations that are going on in your life. If you are feeling down badly, Dr. Casthely will help you through the stressful struggle.

Reviewed May 2023

Such an amazing therapist he took me from hopeless dark times to a place where i appreciate myself and strive to be better. I would recommend him to anyone struggling with any situation.

Reviewed December 2022

Doctor Patrick has changed my life. Looking back on the goals I set a year ago and where I am now the change is tremendous and I attribute to him being closer to my nuclear family, specifically my children and to my family of origin. He has also helped me tremendously professionally and on a personal growth level. I cherish Doctor Patrick

Reviewed December 2022

Dr Casthely has been a great source of information, kindness and support. He offers a valuable and unique perspective that has helped me to reframe my thinking. I have seen great improvements in my life because of our sessions.

Reviewed December 2022

I like dr. Casthely

Reviewed December 2022

Great listening ear. Very knowledgeable. Highly recommend!

Reviewed November 2022

I enjoy my talks with my doctor. I feel refreshed

Reviewed November 2022

Excellent!! A highly skilled professional.

Reviewed November 2022

My therapy has massively increased my confidence and self- esteem. I am finding my therapy to be hugely beneficial and I am so happy that I found this platform. I can schedule sessions at my own convenience and I can choose the format of my session. I also love that I can journal throughout the week and message my therapist directly through the messaging service anytime in any place.

Reviewed September 2022

Talking to Dr.Casthely is like chicken soup for the soul. Sessions with him never seem long enough and I always look forward to confiding in him. Learning positive introspection and using CBT under his guidance made a world of difference for me. My favorite therapist to date!

Reviewed August 2022

Dr Patrick has changed my life. I cannot recommend him enough

Reviewed August 2022

Dr. P has a very logical and light hearted approach to therapy that makes it easy to want to open up. He is also a fun person to talk to, which helps a ton for me with feeling OK sharing my feelings and thoughts.

Reviewed August 2022

One of the best. Insightful, respectful, and smart as a whip. He’s had me dig deep and adjust to how I interpret or how I communicate

Reviewed August 2022

Thorough

Reviewed August 2022

Dr. Casthely has helped me through so much. I’ve always believed in the benefits of a therapeutic relationship and now I fully get to experience the safe space that Dr. Casthely creates. He uses humor, encouragement, positive affirmations and challenges my thoughts all in the best way, I look forward to our weekly sessions and I have gained so much knowledge of myself throughout the course of therapy. I have a ton of respect for Dr. Casthely and would recommend him to anyone. He meets me where I’m at in my journey and doesn’t rush anything. I enjoy how he can sit back with me and understand where I’m coming from while I just spit ball ideas at him. He’s very patient and kind hearted, he’s become a crucial asset to my self development!

Reviewed August 2022

I have recommended BetterHelp to all my friends, family members, and even new acquaintances

Reviewed August 2022

Dr. Casthely is amazing. He creates a safe environment to be ourselves. He doesn’t judge and gives the room to think ourselves and what we want. He uses his expertise to give inputs and make us decide want we want. After his counselling I have become more confident and comfortable with myself. Look forward to working with him to dig deep into my life and my needs to live a peaceful and happy life.

Reviewed August 2022

Dr Casthely was extremely easy to talk to. The strategies I learned for managing my anxiety are helping me every day. I was apprehensive about starting Better Help but my experience with Dr Casthely made me so happy I started therapy.

Reviewed July 2022

Dr. Casthely is a sweet heart. He does help in ways that you can not guess at the time but then later you see the difference and the progress in you!

Reviewed July 2022

My therapist is awsome... better help as a company is not user friendly. The email reaponce time is adequate, however when I needed documents regarding my sessions, It was a back and forth battle to obtain the correct information. There have also been technical difficulties at the fault of the better help system that have impeded on my therapy sessions in the past. I would recomend better help to a friend if I knew the company was prioritizing troubleshooting IT issues and helping patients with the transition of necessary therapist to psychiatrist interactions.

Reviewed July 2022

Dr. Casthely is an awesome professional, so far he was able to understand my challenge and I can see that he genuinely cares and wants to help, I have no complaints and I recommend him to anyone who needs it

Reviewed July 2022

Dr. Casthely is a great empathetic and understanding ear. Helped me think through my anxiety.

Reviewed June 2022

Great technic with calming vibe. Very open minded and easy to work with.

Reviewed June 2022

I am was so lucky to be matched to Dr. Casthely. He helped me a lot in my healing journey.

Reviewed May 2022

Dr.Casthely is very considerate and really listens to the client. His use of CBT is effective in supplementing self-reflection and the growth of more positive thought for me. He has been a greatly personable therapist and a caring confidante.

Reviewed May 2022

I absolutely love Dr Patrick and he has helped not only me with his advice but my entire circle

Reviewed April 2022

Dr Casthely is highly recommended. He is compassionate, listens, attempts to continually empower, and also importantly, is highly trained and knowledgeable. Very satisfied.

Reviewed April 2022

I’m thankful for dr casthely.

Reviewed March 2022

Dr. Casthely is not only qualified, he is a supportive and good natured person. I like that he focuses on strategies and solutions. Would highly recommend.

Reviewed March 2022

He is really good therapist! When I talk him, he listens my story very respectively, carefully, and his listening posture is wonderful! I couldn't stop talking and I could be very honest to him. I'm working with him to find my future and get out my negative thoughts.

Reviewed March 2022

I’ve had a great initial session with Dr. Patrick. He has a warmth and maturity that is comforting and welcoming. I’m looking forward to our next session

Reviewed March 2022

He's a great therapist who is respectful and listens.

Reviewed March 2022

Dr. Casthely is a top notch professional, and he is caring, understanding and compassionate. He really gets to the heart of the problem by understanding the whole. I highly recommend him if you want a real professional.

Reviewed March 2022

My therapist has been hugely helpful and I am very grateful for the fact that he listens to me, supports me, understands where I am at the moment and he is helping me to get to where I want to be. I am becoming a more confident person and I have a lot of coping strategies thanks to my therapist.

Reviewed February 2022

I appreciate Dr.Casthely's honesty, his gentle challenging and his client centred approach. As someone in recovery, it was very helpful to have a therapist who was insightful and knowledgeable around addiction. I felt understood and he reminded me of my own internal strengths in personal reflection. I would very much recommend him.

Reviewed February 2022

Dr. Casthely has been excellent and diligent throughout the therapy process. He balances understanding my situation and asking challenging questions. This helps me figure out how to deal with my situation better.

Reviewed February 2022

A very kind hearted and relatable Individual, He always understands and listens to what you have to say and helps you the best way he can

Reviewed February 2022

He’s been great so far!

Reviewed February 2022

Dr Casthely is an extremely supportive and competent therapist. He is a knowledgeable and respectful and patiently joins you in a journey of self discovery and improvement.

Reviewed January 2022

Dr. Casthely has been very helpful to me. I don’t have any deep rooted issues to address during our sessions, however he is a great listener and offers me great advice from an outside perspective, which is very useful for me. I highly recommend using his service.

Reviewed January 2022

Dr. P, wow what a gem! Highly recommend! When I came to him I was really down, angry and anxious. I felt like I was failing and didn't know how to better my situation. With a variety of methods, including making me laugh, Dr. P took the time to make me feel comfortable, bond with me and help me gain a wider perspective. He always checked in on me between sessions, which makes him even more approachable than he already is too! He has been so supportive, honest and kind, especially when I had A LOT of emotions/ concerns/pain to sort and offload. Dr. P, helped me address and assess my issues and illustrated how much I've grown. Life is still a rollercoaster, however I feel more empowered to improve my game plan and enjoy the ride! Thank you!!

Reviewed January 2022

Dr. Casthely shines a light in the darkness with his laughter and empathic-yet-analitical approach. I would recommend him to anyone seeking "better help."

Reviewed December 2021

Patrick is fantastic and i would highly recommend him! He is very easy to talk to and really helps to process my thoughts. His counselling methods work extremely well for me. He always checks in on me throughout the week. He makes me feel comfortable and important and i am beyond grateful to have him as my counsellor.

Reviewed December 2021

Dr. Casthely is a great person to talk to. They listen very well and provide good advice. They are very comforting and easy to open up to. Would highly recommend to anyone.

Reviewed December 2021

I'm a strong independent woman who has always been in control of herself, her emotions and destiny, but I suddenly broke and I broke hard. I've never experienced despair and loneliness the way that I did and there was absolute desperation to fix it immediately as is my nature to do. I've never done therapy before, I am my own therapist but Dr Casthely was a saviour. He's warm, calm, listened to this enormous offload and had me sussed within one call. He got it. He got me. He knew I wasn't typical and suggested a path forward to suit that. I was so worried I would be working with someone who regurgitated the text books but Dr C has the knowledge and qualifications to analyse outstandingly, but more importantly has the life experience and empathy to understand one size doesn't fit all, personalisation is key and the tools I now have are a reflection of that. I'm back feeling stronger, prepped and ready to be back out in the wild myself to the extent that I'm taking a break for Christmas but coming back for personal development in the new year with Dr C. Honestly, I don't know where id be without him. Thank you.

Reviewed December 2021

I am very happy that I was paired with Dr Casthely for my therapy sessions. Thank you.

Reviewed December 2021

Dr Casthely is a great listener and easy to talk to. He makes himself very approachable and is non judgemental. He has a very calming demeanour to him which instantly brings down anxiety. He is knowledgeable in what he does.

Reviewed December 2021

Dr. P definitely knows what he's doing. He has been able to get me, a very hard-headed INFP, to open up and to trust his work.

Reviewed November 2021

Dr. Casthely is a very honest and caring individual. He takes initiative when it is needed, but is also very genuinely honest when giving his help/insight. He is a person that I recommend to anyone that would consider truly wanting guidance or support. No matter the topic or situation. Dr. Casthely’s background shows within his practice, and it will be a genuinely honest insight within your life if you do choose him. I’m not here to convince anyone about forcing anyone to choose only him. There are many that might help your personal situation. But if you do choose Dr. Casthely… I would highly recommend it. You may be surprised about this therapist. I wouldn’t be typing this if I didn’t think so. I wish everyone well, and I hope for everyone to find their own happiness.

Reviewed November 2021

Dr. Casthely is a great listener, and he is very sincere and caring. He is very realistic, and he has common sense as well as common sense. He is easy to relate to, and he is very intuitive to your situation. I would highly recommend him as he really wants to help you!!!

Reviewed November 2021

I was nervous about returning to therapy, but Dr. Casthely put my mind right at ease during our first live session. He is kind, exhibits a supportive and energetic attitude, and approaches therapy in a way that feels personal without hiding his expertise. Dr. P's focus on respecting his clients' experiences and beliefs makes him a therapist I'd recommend to just about anyone.

Reviewed November 2021

I have only recently started therapy and I already feel it's influence in so many aspects of my life. I am gaining confidence, I feel that whatever I share is valued and respected and I am treated as a person, not just a screen. I was reluctant to try online therapy but I am so glad I have.

Reviewed November 2021

Dr Casthely is incredibly genuine, empathetic, patient & insightful. Rare to find such traits in combination with such a deep knowledge base. Blown away with progress in such a short time.

Reviewed November 2021

Dr. Casthely is everything I hoped for and more. He is an active and empathetic listener, very observant and intuitive, thoughtful and kind. He shares honest insight and gives me assignments every week which I have found very helpful. I appreciate his weekly messages checking in. He sees where I am now, but also seems to see the person that I am underneath the issues and the person I want to be, which is really encouraging. I feel like I have layers of issues to cut through, but it is feeling more manageable and more hopeful having his expertise. I am very grateful I took this step in signing up, switching therapists and choosing him. I would highly encourage anyone to meet with Dr. C as long as it doesn't get in the way of ME getting an appt ;) Thank you for everything, I look forward to continuing the journey.

Reviewed November 2021

Dr. Casthely has been very helpful as my first therapist experience. He is attentive, great listener, and provides necessary feedback when it's most appropriate for the given situation, or the situation at hand. He is very easy to talk to and it was easy for me to completely open up and really lean in to this experience. Would definitely recommend him.

Reviewed November 2021

He seems very knowledgeable and has great perspectives. I am looking forward to more sessions.

Reviewed November 2021

Really listens to what I have to say, and has come up with ways to improve motivation and lifestyle!

Reviewed November 2021

Dr. Casthley is knowledgable and responsive.

Reviewed November 2021

How was your experience with Patrick?

Frequently asked questions

Does Dr. Patrick Casthely offer telehealth visits?

Yes. Dr. Patrick Casthely works with clients by exchanging messages, chatting live, speaking over the phone, or video conferencing based on what works for the client at that particular time.

What language(s) does Dr. Patrick Casthely speak?

Dr. Patrick Casthely speaks English.

How many years of experience does Dr. Patrick Casthely have?

Dr. Patrick Casthely has 30 years of experience.

Where is Dr. Patrick Casthely licensed to practice?

Dr. Patrick Casthely is licensed to practice in Florida.

Does Dr. Patrick Casthely accept clients outside of the United States?

No, Dr. Patrick Casthely does not accept clients outside of the United States.

Is online therapy as effective as in-person therapy?

Numerous studies support the effectiveness of online platforms in facilitating life changes. For instance, research published by JMIR Publications, conducted by teams from the University of Berkeley, UCSF, and SF General Hospital, found that "users of BetterHelp experienced significantly reduced depression symptom severity after engaging with the platform."

What treatment approaches does Dr. Patrick Casthely offer?

Dr. Patrick Casthely offers clients Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Existential Therapy, Motivational Interviewing, Narrative Therapy, Psychodynamic Therapy, and Trauma-Focused Therapy.

How can I communicate with Dr. Patrick Casthely?

Dr. Patrick Casthely can be engaged in any one of four ways: (1) Exchanging messages, (2) chatting live, (3) speaking over the phone, or (4) video conferencing. You can use different ways at different times as you wish, based on your needs, availability, and convenience.

How do I get started with Dr. Patrick Casthely?

Just tap the CHAT NOW button or tap here: A new window will open and you'll be directed to a simple form that will help start the conversation. Please note: It can take up to a few days to be matched to a therapist.

Mental health conditions are real, common, and treatable.

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When you tap CHAT NOW a new window will open and you'll be directed to a simple form that will help start the conversation. Please note: It can take up to a few days to be matched to a therapist.