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 works with people who have faced trauma, stress, anxiety, grief, depression, and anger. Stephanie has provided care in agency settings and in private practice, and she has worked with children, teens, and adults.

Her background includes focused work with complex trauma from abuse and neglect. She uses a trauma-informed stance to help people build skills for emotional regulation. Sessions emphasize processing difficult memories so past events have less hold over daily life.

Stephanie also supports people coping with caregiver strain, parenting challenges, blended family issues, adoption and foster care concerns, and family of origin patterns. She helps with specific problems such as panic attacks, mood disorders, feelings of guilt or shame, and isolation.

In sessions she draws on approaches like Cognitive Behavioral Therapy, Eye Movement Desensitization and Reprocessing, Motivational Interviewing, and Trauma-Focused Therapy. The work tends to be practical and paced to each person's needs, with attention to safety and stability before processing painful material.

Stephanie describes starting therapy as an act of courage and aims to offer steady support during that process. To begin, readers are asked to use the site Start Therapy button and complete a short matching questionnaire before scheduling.

How therapeutic approaches translate to online care

CBT, or Cognitive Behavioral Therapy, focuses on identifying unhelpful thoughts and changing behaviors to reduce anxiety and depression symptoms. It uses practical exercises and short skill-building assignments that translate well to online work. EMDR, Eye Movement Desensitization and Reprocessing, helps people process traumatic memories by pairing focused attention with guided techniques to lessen the emotional charge of a memory; when used carefully it can be part of remote trauma work under a clinician's guidance.

Finding the right approach is a collaborative process. The therapist will discuss goals, preferences, and what feels manageable, then try techniques that match those needs. Progress is reviewed together and the plan is adjusted based on what helps most.

Specific session formats are not listed here, so confirm current options before booking. Online sessions can make it easier to fit therapy into a busy life by reducing travel time and allowing more flexible scheduling. They also allow brief check-ins when full-length sessions are hard to arrange. Talk with the therapist during the matching process about session length, pacing, and whether remote work fits your needs.