About Keith
Keith Gostel is a licensed clinical social worker with 31 years of experience helping people manage stress, anxiety, depression, and addiction-related concerns. He focuses on practical support for adults who are feeling isolated, weighed down by guilt, or uncertain about life direction. Keith is based in Virginia and offers services in English, including to international clients.
He keeps sessions straightforward and goal-oriented. Conversations focus on what is happening now and on steps clients can try between sessions.
Background and approach
Keith uses tools from cognitive behavioral work and mindfulness to help people notice patterns and make small, useful changes. Many people come to him during big life shifts or when caregiving responsibilities become overwhelming. He also helps with communication problems and strained family situations by teaching clearer ways to express needs and set boundaries.
Sessions often blend short-term problem solving with attention to longer-term life purpose questions. Keith aims to create a calm, respectful space for honest conversation. He invites clients to test out practical strategies, track what works, and adjust plans together.
That hands-on approach is designed to move people from feeling stuck to feeling more capable. Over three decades, he has kept the work accessible and down-to-earth. Clients can expect straightforward guidance, clear tools, and steady support while they work through stress, anxiety, or a midlife crossroads.
How cognitive and mindfulness work online
Keith uses Cognitive Behavioral Therapy to help people spot unhelpful thoughts and try different behaviors. CBT techniques are easy to teach in a video or phone session and lend themselves to homework between meetings to practice new ways of responding to stress and anxiety.He also uses Mindfulness Therapy to teach simple attention exercises that reduce reactivity to difficult feelings. Mindfulness practices can be guided in a live session and then repeated on the client’s own schedule to build calm and focus over time.
Finding the right approach is a collaborative process. The therapist and client review goals, try techniques, and adjust the plan together. That lets sessions stay practical and focused on what the person needs right now.
Online formats make this flexible. Video calls support face-to-face conversation and guided exercises. Phone sessions work well when bandwidth is limited or when someone prefers not to be on camera. Live chat and text-based messaging are useful for brief check-ins, between-session coaching, or for people who express themselves better in writing. These options help fit therapy into busy lives while preserving continuity of care.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Addictions
- Family conflicts
Also listed
Therapeutic approaches
- Experience
- 31 years
- Licensed
- Virginia
- Languages
- English
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