- Guilt and shame
- Anxiety and stress
- Substance and process addiction
About Patrick
Patrick Mettle is an Ohio LPCC - Licensed Professional Clinical Counselor with nine years of experience helping adults with stress, anxiety, addictions, grief, self-esteem, and major life changes. He focuses on practical support for people who feel stuck by shame or guilt and want clearer ways to move forward.
He listens for what matters most in a person’s daily life. Sessions are conversational and goal-focused. Patrick helps clients name difficult feelings, notice patterns that keep them stuck, and try small changes to test what helps.
Patrick has worked across issues from substance and process addictions to relationship endings and the loss that follows. He also supports people facing abandonment wounds, midlife transitions, and questions about life purpose. His approach emphasizes steady progress rather than quick fixes.
In session he encourages honest, plain talk about what went wrong and what still matters. He invites clients to examine how guilt or shame shows up in decisions, habits, and self-talk. The work includes setting realistic steps and tracking how they change reactions over time.
People who choose Patrick can expect clear explanations of options and direct feedback during sessions. He asks practical questions, offers behavioral strategies, and follows up on what clients try between meetings. To begin, clients complete a short matching questionnaire and schedule a first session through the platform.
How therapy methods translate to online sessions
Evidence-based techniques used in his work focus on practical, behavior-oriented steps and on examining how thoughts and feelings influence actions. One common approach is behavioral planning - breaking goals into small, testable actions to change routines and reduce avoidance. This helps with addictions, anxiety, and low motivation by creating clear next steps.Another approach centers on cognitive awareness - noticing the thoughts that fuel guilt and shame and testing whether they are accurate or helpful. This involves tracking situations, thoughts, and responses, then trying alternative responses to see what shifts in mood or behavior.
Finding the right mix of approaches is part of the work. Patrick collaborates with clients to decide which techniques to try based on their goals and preferences. He reviews progress and adjusts plans so methods fit the person’s life and needs.
Confirm the specific session formats before booking since the biography does not list them. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when schedules are tight, and avoid travel time. For some people, phone sessions mean less need for video; for others, a longer video session is useful for deeper conversation. Licensed professionals can adapt pacing and tasks so therapy fits into everyday life without promising a particular outcome.
Areas of expertise
Additional focus areas
Experience
9+ years
Listed in
Ohio
Languages
English
Frequently asked questions
What kinds of problems does he address?
He works with stress, anxiety, addictions, grief, self-esteem, and coping with life changes, including guilt and shame.
How does he approach feelings of guilt or shame?
He helps clients name the feelings, trace patterns that keep them stuck, and try small practical steps to reduce their impact on daily life.
What is his background and experience?
He holds an Ohio LPCC and has nine years of professional experience working with adults on addiction, loss, and life transitions.
Where is he licensed to practice?
He is licensed as an LPCC in Ohio and practices under that credential.
Does he offer sessions in other languages or to international clients?
Sessions are offered in English and he does not accept international clients at this time.
What session formats are available?
The biography does not specify session formats; please confirm current session options before booking.
How are sessions paid for and what does it cost?
Cost varies with location; sessions use a subscription model that can be canceled at any time.
How do I begin working with him?
Choose the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.