Stephanie Casto , LICSW

Stephanie Casto is a Licensed Independent Clinical Social Worker (LICSW) practicing in West Virginia. She has five years of clinical experience and offers therapy both online and by phone or messaging. She focuses on helping people manage stress, anxiety, trauma, grief, depression, and anger. Stephanie often works with people affected by complex trauma, including abuse and neglect. She emphasizes emotional regulation and helps clients process difficult experiences so past events stop limiting daily life. Her approach is calm and steady, aimed at small, workable steps. She also supports parents and individuals facing family and parenting strains, attachment concerns, blended family challenges, and caregiver stress. Practical skills for communication and managing strong emotions are common parts of sessions. Stephanie helps people build tools they can use between meetings. Her work includes addressing mood and panic-related symptoms, feelings of isolation, guilt or shame, and challenges around life purpose and career. She draws on methods that focus on thoughts, behaviors, and trauma processing to tailor support to each person’s situation. Stephanie uses a combination of evidence-informed approaches and collaborative planning to set goals with each client. She describes therapy as a partnership where the client’s needs and pace guide decisions. Sessions aim to be straightforward and focused on what will help day to day.

How Stephanie’s Approaches Work Online

CBT - Cognitive Behavioral Therapy helps people notice unhelpful thoughts and try different behaviors. It is often used for anxiety, depression, panic, and stress to build concrete coping skills.

EMDR - Eye Movement Desensitization and Reprocessing helps people process painful memories by pairing focused attention with guided bilateral stimulation. It is commonly used for post-traumatic stress and other trauma-related symptoms.

Finding the right approach is part of the work. Stephanie will talk with each person about goals, symptoms, and preferences, and then recommend ways to proceed. Decisions about using CBT, EMDR, or another method are made together and can change as progress is made.

Online therapy offers flexible ways to connect. Video calls let people meet face to face when visual cues matter. Phone sessions can fit into a work break or be easier when bandwidth is limited. Live chat and text messaging provide shorter check-ins and allow continued support between sessions. These options make it simpler to keep therapy consistent around life demands.