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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!
Professional experience
30yrs in practice
Stress, AnxietyAddictionsRelationshipsSelf esteem, MotivationCoping with life changes
Additional areas of focus: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, 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, Veteran and Armed Forces 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
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.
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.
Written on Jul 19, 2024 after therapy with Patrick for 2 years and 7 months on issues concerning relationship issues, family conflicts, intimacy-related issues, and self esteem
Professional and supportive, always a trustworthy listener.
Written on May 23, 2024 after therapy with Patrick for 2 years and 7 months on issues concerning depression, stress, anxiety, addictions, lgbt, relationship issues, anger management, career difficulties, bipolar disorder, and compassion fatigue
Great person and therapist who has taught me so much . Very thankful for his advice and look forward to learning from him
Written on Oct 27, 2023 after therapy with Patrick for 2 weeks on issues concerning depression, stress, anxiety, relationship issues, trauma and abuse, self esteem, coping with life changes, coaching, compassion fatigue, and adhd
I adore Dr P ! He has changed my life and helped me tremendously
Written on May 19, 2023 after therapy with Patrick for 1 year and 3 months on issues concerning stress, anxiety, lgbt, and family conflicts
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.
Written on May 16, 2023 after therapy with Patrick for 1 year and 7 months 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
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.
Written on Dec 28, 2022 after therapy with Patrick for 1 year on issues concerning depression, stress, anxiety, family conflicts, trauma and abuse, intimacy-related issues, eating disorders, self esteem, anger management, career difficulties, coping with life changes, coaching, compassion fatigue, and adhd
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.
Written on Dec 22, 2022 after therapy with Patrick for 4 months on issues concerning stress, anxiety, self esteem, and coaching
I like dr. Casthely
Written on Dec 02, 2022 after therapy with Patrick for 6 months on issues concerning depression, stress, anxiety, addictions, lgbt, relationship issues, intimacy-related issues, self esteem, anger management, and career difficulties
Great listening ear. Very knowledgeable. Highly recommend!
Written on Nov 20, 2022 after therapy with Patrick for 8 months on issues concerning stress, anxiety, relationship issues, self esteem, career difficulties, and compassion fatigue
I enjoy my talks with my doctor. I feel refreshed
Written on Nov 14, 2022 after therapy with Patrick for 3 months on issues concerning depression, stress, anxiety, addictions, relationship issues, family conflicts, trauma and abuse, grief, intimacy-related issues, eating disorders, sleeping disorders, self esteem, anger management, and coping with life changes
Excellent!! A highly skilled professional.
Written on Oct 05, 2022 after therapy with Patrick for 2 weeks on issues concerning depression, stress, anxiety, addictions, relationship issues, trauma and abuse, grief, intimacy-related issues, parenting issues, anger management, career difficulties, coping with life changes, coaching, compassion fatigue, and adhd
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.
Written on Sep 07, 2022 after therapy with Patrick for 10 months on issues concerning depression, stress, anxiety, lgbt, relationship issues, family conflicts, trauma and abuse, eating disorders, sleeping disorders, and self esteem
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!
Written on Aug 31, 2022 after therapy with Patrick for 5 months on issues concerning depression, stress, anxiety, relationship issues, family conflicts, intimacy-related issues, and self esteem
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.
Written on Aug 27, 2022 after therapy with Patrick for 2 weeks on issues concerning depression, stress, anxiety, addictions, relationship issues, intimacy-related issues, and self esteem
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
Written on Aug 12, 2022 after therapy with Patrick for 10 months on issues concerning addictions, and family conflicts
Thorough
Written 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
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 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
I have recommended BetterHelp to all my friends, family members, and even new acquaintances
Written 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
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 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 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 on Jul 29, 2022 after therapy with Patrick for 4 months on issues concerning stress, anxiety, self esteem, career difficulties, and coaching
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 on Jul 26, 2022 after therapy with Patrick for 5 months on issues concerning lgbt, trauma and abuse, grief, and self esteem
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 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
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 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 a great empathetic and understanding ear. Helped me think through my anxiety.
Written 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
I am was so lucky to be matched to Dr. Casthely. He helped me a lot in my healing journey.
Written on May 15, 2022 after therapy with Patrick for 4 months on issues concerning depression, stress, anxiety, relationship issues, and grief
Dr Casthely is highly recommended. He is compassionate, listens, attempts to continually empower, and also importantly, is highly trained and knowledgeable. Very satisfied.
Written 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
I’m thankful for dr casthely.
Written on Mar 26, 2022 after therapy with Patrick for 2 weeks on issues concerning stress, anxiety, and grief
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 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
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 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
He's a great therapist who is respectful and listens.
Written 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
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 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
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 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
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 on Feb 26, 2022 after therapy with Patrick for 2 weeks on issues concerning trauma and abuse
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 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
He’s been great so far!
Written on Feb 20, 2022 after therapy with Patrick for 2 weeks on issues concerning depression, relationship issues, family conflicts, and anger management
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 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 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 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. 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 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. 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 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
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 on Dec 16, 2021 after therapy with Patrick for 2 months on issues concerning depression, stress, anxiety, relationship issues, and trauma and abuse
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 on Dec 14, 2021 after therapy with Patrick for 3 weeks on issues concerning stress, anxiety, self esteem, 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 on Dec 09, 2021 after therapy with Patrick for 2 months on issues concerning depression, stress, anxiety, and coping with life changes
I am very happy that I was paired with Dr Casthely for my therapy sessions. Thank you.
Written 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
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 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. 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 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
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 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
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 on Oct 22, 2021 after therapy with Patrick for 2 weeks on issues concerning stress, anxiety, and coaching
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 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 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 on Oct 14, 2021 after therapy with Patrick for 2 weeks on issues concerning lgbt, relationship issues, and intimacy-related issues
He seems very knowledgeable and has great perspectives. I am looking forward to more sessions.
Written on Oct 13, 2021 after therapy with Patrick for 2 weeks on issues concerning relationship issues, trauma and abuse, and intimacy-related issues
Really listens to what I have to say, and has come up with ways to improve motivation and lifestyle!
Written 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
Dr. Casthley is knowledgable and responsive.
Written on Oct 08, 2021 after therapy with Patrick for 2 weeks on issues concerning stress, anxiety, relationship issues, and intimacy-related issues
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