Shellby Custer , LCSW

Shellby Custer is a licensed clinical social worker with 23 years of experience. She focuses on practical, step-by-step work to help people manage anxiety, depression, stress, and trauma. She often supports issues that commonly affect women and centers care on restoring self-worth and resilience.

Her sessions tend to be straightforward and collaborative. She helps people name patterns, track what makes symptoms worse, and try small changes that add up. Clients can expect a balance of talking and concrete tools for coping with daily life.

Shellby draws on approaches that look at relationships and patterns from early life, as well as practical thinking skills and mindfulness. She uses these methods to address attachment concerns, mood shifts like seasonal affective disorder, and trauma-related struggles. The work includes building skills to manage emotions and to notice unhelpful thoughts.

She also helps with issues such as grief, addiction, chronic pain or illness, and career stress. Parenting strain, intimacy-related concerns, and feelings of emptiness or isolation are common topics in sessions. Shellby pays attention to family of origin patterns and how they shape current relationships.

As a Pennsylvania LCSW Shellby brings long-term clinical experience to each case. She works by listening carefully, asking practical questions, and tailoring strategies to a person’s daily life. Her goal is steady improvement rather than quick fixes.

How clinical approaches translate to online care

Attachment-Based Therapy looks at how early relationships shape current behavior and emotions. Online work uses conversation to identify recurring patterns, then tries new ways of relating that feel safer and more connected. Cognitive Behavioral Therapy, or CBT, focuses on how thoughts, feelings, and actions interact. In teletherapy this often includes tracking thoughts between sessions and testing small behavior changes to reduce anxiety or depression.

Choosing an approach is a collaborative effort. The therapist will talk with the client about goals, symptoms, and preferences, then suggest a mix of methods to try. Together they review what helps and adjust the plan as work progresses, so the approach fits the person not the other way around.

Online formats offered include video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face work and visual cues, phone sessions can be easier when bandwidth is limited, live chat suits quick check-ins, and text messaging supports ongoing coaching-style reminders and brief reflections. The different formats make scheduling flexible and let people fit therapy into busy or changing lives.