Dr. Patrick Casthely

LMHC
Therapist Dr. Patrick Casthely Photo
Work with me!

About Me

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
Also experienced in:
LGBT , Family conflicts , Trauma and abuse , Grief , Intimacy-related issues , Parenting issues , Anger management , Career difficulties , Bipolar disorder , Depression , Coaching , Compassion fatigue , Abandonment , Read more...

Clinical approaches:
Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Existential Therapy, Motivational Interviewing, Narrative Therapy, Psychodynamic Therapy, Trauma-Focused Therapy

Years of Experience: 30

Services Offered


  • Messaging

  • Live Chat

  • Phone

  • Video

Licensing

LMHC #MH11708 (Expires: 2023-03-31)

Reviews

These quotes represent just a few of the many positive reviews that we have received for Dr. Patrick Casthely. We don’t pay anyone to provide their review and they are all made voluntarily. Some people's experience receiving therapy with BetterHelp might be different.

Written by N.E. on Aug 04, 2022 after therapy with Patrick for 3 weeks on issues concerning depression, stress, anxiety, lgbt, relationship issues, trauma and abuse, intimacy-related issues, sleeping disorders, self esteem, and compassion fatigue

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Written by M.I. on Aug 04, 2022 after therapy with Patrick for 5 months on issues concerning depression, stress, anxiety, relationship issues, trauma and abuse, intimacy-related issues, eating disorders, parenting issues, self esteem, anger management, coping with life changes, compassion fatigue, and adhd

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!

Written by B.R. on Aug 03, 2022 after therapy with Patrick for 2 weeks on issues concerning depression, stress, anxiety, addictions, lgbt, relationship issues, family conflicts, trauma and abuse, grief, intimacy-related issues, eating disorders, sleeping disorders, parenting issues, self esteem, anger management, career difficulties, bipolar dis

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

Written by V.A. on Aug 03, 2022 after therapy with Patrick for 4 months on issues concerning depression, stress, anxiety, relationship issues, trauma and abuse, intimacy-related issues, and self esteem

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.

Written by H.A. on Jul 29, 2022 after therapy with Patrick for 4 months on issues concerning stress, anxiety, self esteem, career difficulties, and coaching

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.

Written by H.A. on Jul 26, 2022 after therapy with Patrick for 5 months on issues concerning lgbt, trauma and abuse, grief, and self esteem

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!

Written by R.I. on Jul 23, 2022 after therapy with Patrick for 7 months on issues concerning stress, anxiety, addictions, lgbt, family conflicts, trauma and abuse, eating disorders, sleeping disorders, career difficulties, coping with life changes, coaching, and adhd

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.

Written by A.N. on Jul 07, 2022 after therapy with Patrick for 2 weeks on issues concerning stress, anxiety, relationship issues, intimacy-related issues, self esteem, and coping with life changes

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

Written by B.R. on Jun 26, 2022 after therapy with Patrick for 2 months on issues concerning stress, anxiety, lgbt, relationship issues, intimacy-related issues, self esteem, and adhd

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

Written by G.E. on Jun 15, 2022 after therapy with Patrick for 8 months on issues concerning depression, stress, anxiety, addictions, lgbt, relationship issues, anger management, career difficulties, bipolar disorder, and compassion fatigue

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

Written by G.H. on May 15, 2022 after therapy with Patrick for 4 months on issues concerning depression, stress, anxiety, relationship issues, and grief

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

Written by K.I. on May 03, 2022 after therapy with Patrick for 1 month on issues concerning depression, stress, anxiety, relationship issues, family conflicts, intimacy-related issues, and self esteem

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.

Written by C.A. on Apr 24, 2022 after therapy with Patrick for 2 months on issues concerning stress, anxiety, lgbt, and family conflicts

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

Written by R.I. on Apr 12, 2022 after therapy with Patrick for 2 months on issues concerning lgbt, relationship issues, trauma and abuse, intimacy-related issues, and self esteem

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

Written by C.A. on Mar 26, 2022 after therapy with Patrick for 2 weeks on issues concerning stress, anxiety, and grief

I’m thankful for dr casthely.

Written by L.A. on Mar 22, 2022 after therapy with Patrick for 2 weeks on issues concerning stress, anxiety, relationship issues, self esteem, career difficulties, and compassion fatigue

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.

Written by N.A. on Mar 20, 2022 after therapy with Patrick for 2 weeks on issues concerning depression, stress, anxiety, addictions, relationship issues, grief, self esteem, career difficulties, and coping with life changes

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.

Written by J.O. on Mar 14, 2022 after therapy with Patrick for 2 weeks on issues concerning depression, stress, anxiety, lgbt, relationship issues, trauma and abuse, intimacy-related issues, self esteem, career difficulties, and coaching

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

Written by G.I. on Mar 13, 2022 after therapy with Patrick for 2 weeks on issues concerning stress, anxiety, addictions, family conflicts, self esteem, coping with life changes, and adhd

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

Written by M.A. on Mar 01, 2022 after therapy with Patrick for 5 months on issues concerning stress, anxiety, relationship issues, family conflicts, trauma and abuse, grief, intimacy-related issues, parenting issues, coping with life changes, and adhd

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.

Written by B.E. on Feb 28, 2022 after therapy with Patrick for 4 months on issues concerning depression, stress, anxiety, lgbt, relationship issues, family conflicts, trauma and abuse, eating disorders, sleeping disorders, and self esteem

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.

Written by D.A. on Feb 27, 2022 after therapy with Patrick for 4 months on issues concerning stress, anxiety, addictions, relationship issues, trauma and abuse, self esteem, and adhd

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.

Written by L.I. on Feb 26, 2022 after therapy with Patrick for 2 weeks on issues concerning trauma and abuse

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.

Written by G.I. on Feb 21, 2022 after therapy with Patrick for 2 weeks on issues concerning depression, stress, anxiety, relationship issues, family conflicts, trauma and abuse, intimacy-related issues, self esteem, anger management, career difficulties, bipolar disorder, compassion fatigue, and adhd

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

Written by J.O. on Feb 20, 2022 after therapy with Patrick for 2 weeks on issues concerning depression, relationship issues, family conflicts, and anger management

He’s been great so far!

Written by A.A. on Jan 17, 2022 after therapy with Patrick for 3 months on issues concerning stress, anxiety, relationship issues, family conflicts, intimacy-related issues, self esteem, and coping with life changes

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.

Written by C.H. on Jan 14, 2022 after therapy with Patrick for 3 weeks on issues concerning stress, anxiety, family conflicts, trauma and abuse, intimacy-related issues, self esteem, and anger management

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.

Written by A.L. on Jan 08, 2022 after therapy with Patrick for 1 month on issues concerning depression, stress, anxiety, relationship issues, family conflicts, trauma and abuse, grief, intimacy-related issues, parenting issues, self esteem, career difficulties, coping with life changes, and adhd

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!!

Written by C.O. on Dec 22, 2021 after therapy with Patrick for 2 weeks on issues concerning depression, stress, anxiety, addictions, lgbt, relationship issues, trauma and abuse, grief, intimacy-related issues, sleeping disorders, self esteem, career difficulties, coping with life changes, compassion fatigue, and adhd

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."

Written by M.I. on Dec 16, 2021 after therapy with Patrick for 2 months on issues concerning depression, stress, anxiety, relationship issues, and trauma and abuse

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.

Written by C.H. on Dec 14, 2021 after therapy with Patrick for 3 weeks on issues concerning stress, anxiety, self esteem, and coping with life changes

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.

Written by R.A. on Dec 09, 2021 after therapy with Patrick for 2 months on issues concerning depression, stress, anxiety, and coping with life changes

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.

Written by E.R. on Dec 08, 2021 after therapy with Patrick for 2 weeks on issues concerning stress, anxiety, depression, self esteem, relationship issues, family conflicts, and coping with life changes

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

Written by C.H. on Dec 01, 2021 after therapy with Patrick for 2 weeks on issues concerning stress, anxiety, trauma and abuse, self esteem, career difficulties, and compassion fatigue

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.

Written by E.R. on Nov 15, 2021 after therapy with Patrick for 1 month on issues concerning depression, stress, anxiety, addictions, lgbt, relationship issues, family conflicts, intimacy-related issues, self esteem, and bipolar disorder

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.

Written by D.O. on Nov 12, 2021 after therapy with Patrick for 1 month on issues concerning depression, stress, anxiety, addictions, relationship issues, family conflicts, grief, intimacy-related issues, eating disorders, sleeping disorders, self esteem, anger management, career difficulties, coping with life changes, compassion fatigue, and adh

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.

Written by G.A. on Nov 01, 2021 after therapy with Patrick for 3 weeks on issues concerning depression, stress, anxiety, lgbt, family conflicts, intimacy-related issues, and self esteem

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.

Written by A.L. on Oct 22, 2021 after therapy with Patrick for 2 weeks on issues concerning stress, anxiety, and coaching

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.

Written by J.E. on Oct 19, 2021 after therapy with Patrick for 2 weeks on issues concerning depression, stress, anxiety, relationship issues, self esteem, coaching, and adhd

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.

Written by J.A. on Oct 14, 2021 after therapy with Patrick for 2 weeks on issues concerning lgbt, relationship issues, and intimacy-related issues

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.

Written by M.I. on Oct 13, 2021 after therapy with Patrick for 2 weeks on issues concerning relationship issues, trauma and abuse, and intimacy-related issues

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

Written by J.A. on Oct 11, 2021 after therapy with Patrick for 2 weeks on issues concerning relationship issues, intimacy-related issues, self esteem, career difficulties, and adhd

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

Written by S.H. on Oct 08, 2021 after therapy with Patrick for 2 weeks on issues concerning stress, anxiety, relationship issues, and intimacy-related issues

Dr. Casthley is knowledgable and responsive.

Work with me!