Stephanie Casto

Stephanie Casto is a Licensed Independent Clinical Social Worker (LICSW) based in West Virginia. She has five years of clinical experience and has worked with people across the lifespan, including children and adolescents. Stephanie has provided therapy in both agency settings and in private practice, and she draws on that range of experience when meeting new clients.

Her work has focused largely on people who have faced complex trauma from abuse and neglect. She uses trauma-informed methods that help clients build emotional regulation skills and process difficult memories so past events interfere less with daily life. She also helps people manage depression, stress, anxiety, grief and anger.

Stephanie practices several evidence-based approaches, including cognitive behavioral therapy, eye movement desensitization and reprocessing, motivational interviewing, and trauma-focused therapy. She describes therapy as a collaborative process and aims to tailor sessions to each person’s needs and goals. Sessions are practical and grounded - they focus on small, usable skills as well as longer-term healing.

She has particular experience supporting parents and caregivers through adoption, foster care, attachment concerns, blended family issues, and caregiver stress. She also addresses family of origin issues, communication problems, abandonment, and feelings like guilt and shame.

People often seek her help for life changes, career stress, loneliness, panic attacks, disruptive mood concerns, and post-traumatic stress. To begin, listeners are encouraged to use the site's Start Therapy flow to match and schedule according to availability.

How evidence-based approaches work in online therapy

Stephanie uses cognitive behavioral therapy to help people notice unhelpful thoughts and try different behaviors. CBT often involves setting small goals and practicing skills between sessions to reduce anxiety or lift mood.

She also uses eye movement desensitization and reprocessing to help process traumatic memories. EMDR is carried out in a controlled way to reduce the intensity of distress connected to past events.

Finding the right approach is part of the work. The therapist will collaborate with each person to decide which methods fit their goals and comfort level. That may mean mixing approaches or shifting focus as progress is made.

If you are considering online therapy, confirm the session formats available before booking. Online work can make it easier to fit sessions into a busy week, reduce travel time, and allow shorter check-ins when schedules demand it. Talk with the therapist during matching to find an arrangement that fits your routine and needs.