- CBT approaches
- Mindfulness practice
- Solution-focused steps
About Keith
Keith Gostel is a Virginia Licensed Clinical Social Worker (LCSW) with 31 years of clinical experience. He works with adults who face stress, anxiety, depression, and addiction-related concerns. He also helps people dealing with communication problems, caregiver stress, feelings of isolation, and struggles around guilt and shame.
Keith focuses on practical conversation and clear strategies. Sessions are straightforward and goal-oriented. He listens for patterns that keep people stuck and suggests small, doable steps to change them.
Many clients come to him during big life shifts such as midlife transitions or when caregiving becomes overwhelming. He often helps people untangle family-related tensions and sort out what matters next. He frames problems in everyday terms and checks in about how suggestions fit into real life.
Keith uses techniques from Cognitive Behavioral Therapy, mindfulness practices, and solution-focused work. That mix lets him address immediate problems while building better habits over time. He guides people in noticing unhelpful thoughts, testing new behaviors, and practicing simple awareness exercises.
Conversations with him aim to clarify priorities and increase practical options. He supports people in setting concrete goals and tracking progress. To begin, readers are asked to follow the site's process to match and schedule an initial session.
How his approaches translate to online work
Keith uses Cognitive Behavioral Therapy to help people identify and change unhelpful thoughts and behaviors; CBT is useful for anxiety, depression, and addictive patterns. Mindfulness Therapy is offered as simple awareness practices to reduce reactivity and increase moment-to-moment calm. Solution-Focused Therapy concentrates on small, practical changes and on building steps toward clear goals.Choosing the right approach is part of the work together. He talks with each person about their problems, goals, and what feels doable. That collaborative discussion guides whether CBT, mindfulness, solution-focused techniques, or a mix will be used in sessions.
Confirm the exact session options before booking, since formats were not specified in the biography. Online work can make it easier to fit therapy into a busy week, allow shorter check-ins when time is limited, or remove the need to travel. Licensed professionals can help arrange sessions around work, caregiving, or other daily responsibilities so therapy is easier to attend.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
31+ years
Listed in
Virginia
Languages
English
Frequently asked questions
What kinds of concerns does he address?
He works with stress, anxiety, depression, and addiction-related concerns. Additional focus areas include caregiver stress, communication problems, isolation, life purpose, midlife issues, and guilt and shame.
How would he approach feelings of guilt or shame?
He uses practical strategies to notice unhelpful thoughts and test new behaviors. Sessions include talking through the feelings and working on small steps to reduce their hold.
How much clinical experience does he have?
He has 31 years of clinical experience as a practicing therapist in Virginia.
What credential does he hold and where is he based?
He is a Virginia LCSW and practices from Virginia.
Which languages are supported for sessions?
Sessions are offered in English.
Can people outside the United States work with him?
International clients are accepted.
What are the session formats and cost structure?
Session formats should be confirmed before booking. Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin working with him?
Select the See online therapy options button, complete the short matching questionnaire, and schedule an initial session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.