Picture of Patrick Casale, therapist in North Carolina

Patrick Casale

Current Availability:

I work Tuesday-Thursday, 11-5.

Patrick Casale remote and phone therapy in North CarolinaPatrick Casale remote and phone therapy in North Carolina
Provides therapy in North Carolina

About Me:

  • My clients describe me as:

    Empathetic, understanding, and authentic. I use humor and am real. I will meet you where you're at and together we create a plan that works for you.

  • Something to know about my approach is:

    You can find yourself people-pleasing, chasing accomplishments, feeling like you don’t belong, becoming highly self-critical, or finding unhealthy ways to numb out the suffering. Going through my own therapy and learning coping skills saved my life.

  • Together, we will:

    Vulnerability is fucking scary, but it’s also necessary. We don’t grow when we’re in our comfort zone, especially when that comfort zone is unhealthy. I’ve learned that all people struggle and addiction and mental health issues do not discriminate.

  • I specialize in working with people who:

    You don't feel good enough and you've never truly fit in. You're struggling with substance use, addiction, shame, and low self-esteem. Control, perfectionism, and rigidity are how you handle life. You are harder on yourself than with strangers.

  • I became a therapist because:

    As someone who has been through my own addiction and mental health recovery, I understand what it's like to be on the other side of the couch/computer

  • Something that stands out about where I offer therapy is:

    I offer online therapy throughout the state of North Carolina. All you need is a good wifi connection and a phone, tablet, laptop.

  • More about me and my practice:

    Therapy can be a beautiful experience, but it also creates discomfort and vulnerability. Vulnerability and discomfort can fucking suck! If we want to grow and heal, then we need to face some difficult challenges and we'll do so as a team.

More Details:

In-Network with:

Aetna, BlueCross BlueShield

Languages Spoken:


Years Licensed: