Patrick Santilli

(M.S.Ed., LPCC)

About Me


Are you struggling with common or complex life stressors? Do you find yourself experiencing difficulty adjusting to past or current life changes? Do you value living a balanced life? Are you interested in finding some direction or understanding in your life? Are your emotions or behaviors causing stress or conflict? Understanding the importance of the health of one's body and mind, I am dedicated to attaining a balance between the two by focusing on overall wellness. My inquisitive approach to treatment helps you focus on what you can control and find a balance in your life through introspection, understanding, and patience. I have prior training in dialectical behavioral therapy and cognitive behavioral therapy and have used these approaches to help adolescents, teens, and adults experiencing emotional, psychological, behavioral, and addiction issues. My gentle and introspective approach to therapy helps you gain an understanding of yourself and the connection of your thoughts and behaviors. My experience in residential treatment facilities has helped me have a patient approach to treatment. I believe focusing on taking life one step at a time and being mindful of how thoughts impact behaviors are vital to understanding ourselves. The first step to wellness is an open mind!

Help me help you! Helping someone is like visiting their house. It is hard to know what is inside from one glance. Within this structure, the homeowner knows where everything is stored away. They know if you have to jiggle the handle to the toilet to get it to work or if you have to slam the basement door hard because the hinges are old. Every home has it's quirks and is unique in their way. All houses have a "standard" structure; roof, rooms, floors, doors, windows, etc. The way the resident furnishes it is very different. In my experience with houses, I am confident enough to navigate my way around with time. I may or may not find what I am looking for as fast as someone living in the house, but I'll get there. The same goes when working towards resolving a problem in therapy. A lot of problems "look" the same on the outside. When you open the door it is a different story. I'll never come over unannounced, I only show up when invited. Same goes with helping anyone...I can't change anyone besides myself. It is not something to be forced on another and change is the most successful when the one changing wants to change and has the willingness. Show me what you want to show. Clean up before I come or leave it as is. All I ask is: give me a tour so I know where everything is. You are the expert about yourself. Help me by showing the quirks, and we will get to it faster.

Outside of BetterHelp, I work in private practice Monday-Friday. My private practice hours are 9:00 am - 7:30 pm. I check messages and respond on BetterHelp 1-2x a day 5 days a week (Monday-Friday). I will never go longer than 24 hours to respond unless I am on vacation, in which you will be notified or my schedule will reflect it. You can also book a live session with me ahead of time which I will be open on most Mondays and Fridays to do (sometimes weekends if planned.) Please remember that BetterHelp (or sister site) is not appropriate if you are in crisis or immediate need of support. In crises, please call 911 or local emergency services. You can also call 1-800-273-TALK (8255) to talk to someone right away.

Since BetterHelp's method of therapy is a little different than talk therapy, I tend to use worksheets or other resources to help further the discussion when sending messages back and forth. Therapy has its various benefits and uses, BetterHelp is a very different mode of therapy compared to talk therapy in the sense of the frequency of contact and it being mainly online. Many different needs could require different approaches; my approach on here is more focused around conversation, gaining perspective through dialogue, and working together to problem solve any presenting problems that could be improved. I work from a CBT approach which focuses on the connection between our thinking patterns and behavior to ultimately improve the way you feel.

The State of Ohio requires that we set up an initial clinician/client relationship via video conference (please see Ohio Revised Code, paragraph 7 here: You can schedule an initial session with me by clicking on the “Schedule” link on your screen. You will see my availability, so choose a day/time that works for you. In the meantime, please feel free to send me messages to let me know how I can best serve you.


  • Stress, Anxiety
  • Relationship issues
  • Grief
  • Depression
  • Coping with life changes
Also experienced in:
Addictions , Family conflicts , Trauma and abuse , Sleeping disorders , Anger management , Self esteem , Career difficulties , Bipolar disorder , Compassion fatigue , ADHD , Commitment Issues , Communication Problems , Control Issues , Read more...

Clinical approaches:
Attachment-Based Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Mindfulness Therapy, Narrative Therapy, Solution-Focused Therapy

Years of Experience: 6

Services Offered

  • Messaging

  • Live Chat

  • Phone

  • Video


LPCC #E.1800809 (Expires: 2020-08-01)


Written by R.O. on Jun 15, 2020 after counseling with Patrick for 2 weeks on issues concerning stress, anxiety, addictions, relationship issues, trauma and abuse, and intimacy-related issues

Patrick is a patient, excellent listener, with good insights and reflection. He speaks in a soothing, conciliatory tone, and projects care, concern, and empathy. I would definitely recommend him to others,

Written by J.A. on Feb 28, 2020 after counseling with Patrick for 2 weeks on issues concerning stress, anxiety, addictions, self esteem, and adhd

So far Patrick has been excellent in responding. He has been thoughtful and not overbearing. I look forward to speaking with him

Written by W.E. on Feb 03, 2020 after counseling with Patrick for 2 weeks on issues concerning relationship issues, family conflicts, trauma and abuse, and coping with life changes

This new form of counselling was a little concerning for me from the beginning just because the way it is set up. That being said I have learned to love it. I have gone forward to recommend to everyone. Patrick is the biggest reason for that.

Written by M.I. on Nov 22, 2019 after counseling with Patrick for 1 year on issues concerning relationship issues, self esteem, and career difficulties

Always love working with Patrick. Looking forward to continuing to work with him in the future.

Written by L.A. on Nov 03, 2019 after counseling with Patrick for 3 months on issues concerning stress, anxiety, trauma and abuse, and career difficulties

Patrick is an excellent therapist. He listens to my concerns and challenges me to work on what we are working on together. He is extremely easy to talk to. I would very much recommend him.

Written by E.L. on Sep 05, 2019 after counseling with Patrick for 2 weeks on issues concerning depression, stress, anxiety, relationship issues, sleeping disorders, self esteem, anger management, coping with life changes, compassion fatigue, and adhd

Patrick is very empathetic and understanding. Offers solutions that work based on my needs! Always there when I need him to keep me level headed.

Written by G.R. on Aug 27, 2019 after counseling with Patrick for 3 weeks on issues concerning depression, stress, anxiety, trauma and abuse, career difficulties, coaching, compassion fatigue, and adhd

Patrick is attentive during long monologues from me and always has something thoughtful to respond to. He’s knowledgeable and delivers the information in a manner that’s understandable and I can relate to which is comforting, leading me to open up more.

Written by C.H. on Nov 03, 2018 after counseling with Patrick for 2 weeks on issues concerning depression, stress, anxiety, relationship issues, family conflicts, self esteem, anger management, and career difficulties

Patrick is very helpful. He listens and gathers a basic understand of your background to better asses your problem and the underlying issues.

Written by T.E. on Oct 23, 2018 after counseling with Patrick for 3 weeks on issues concerning relationship issues

Mr. Santilli responds quickly and ensures he understands the issue by asking questions before trying to move on to providing assistance. He is sure to know I am aware when he may not be available. I felt he was thoughtful of my needs.