SC Portrait of Stephanie Casto

Stephanie Casto, LICSW

Practical support for anxiety and trauma recovery

5 years in practice · based in West Virginia · sessions in English · online sessions

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About Stephanie

Stephanie Casto is a Licensed Independent Clinical Social Worker (LICSW) practicing in West Virginia. She has five years of experience and offers online and in-person care. Her work often centers on helping people manage stress and anxiety.

She also supports those coping with trauma, grief, depression, and anger. Her background includes substantial work with people affected by complex trauma from abuse and neglect. She emphasizes emotional regulation and processing hard experiences so past events have less hold on daily life.

Book with Stephanie Now Review online therapy options and next steps.

Background and approach

That means learning skills to calm intense feelings and slowly telling the story of what happened when the client is ready. Stephanie uses methods that match the person's needs and pace. She draws on cognitive behavioral ideas to change unhelpful thinking and behavior.

She also uses trauma-focused tools to guide recovery from painful memories. Sessions can include practical skill building, paced trauma work, and goal-focused conversations about school, work, parenting, or family roles. She has experience with adoption and foster care concerns, attachment and family of origin issues, and caregiver stress.

Stephanie supports people facing panic attacks, mood disorders, and feelings of isolation. Her approach is collaborative and straightforward. She aims to create a calm, predictable space where clients learn tools they can use between sessions.

Starting therapy is framed as a step-by-step process toward clearer goals and better day-to-day coping.

How online approaches like CBT and EMDR work

Stephanie uses cognitive behavioral therapy to help people spot and change thoughts and behaviors that keep anxiety and depression going. CBT sessions usually involve setting clear goals, practicing new skills, and checking progress over time.

She also uses EMDR for trauma-focused work when processing painful memories becomes helpful and manageable. EMDR involves guided attention and stepwise processing so memories feel less raw, and it can reduce the power of distressing images and body sensations.

Finding the right approach is a shared process. The therapist will review symptoms, goals, and prior experiences and suggest options. Together they decide whether to focus first on skill building, trauma work, or a mix of methods that fit the client's needs and pace.

Online therapy offers flexible ways to connect. Video calls let sessions feel much like an in-person meeting. 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, practicing coping skills between sessions, or fitting therapy into a busy day. These formats make it easier to keep regular contact and continue progress when schedules are tight.
Book with Stephanie Now Review online therapy options and next steps.

Questions people ask

What concerns does she address?
She helps with stress, anxiety, trauma and abuse, grief, anger, depression, parenting and family concerns, self-esteem, career issues, and coping with life changes.
What is her therapy style like?
Her style is direct and practical. Sessions focus on teaching calming skills, changing unhelpful thoughts, and working through difficult experiences at a safe pace.
How much clinical experience does she have?
She has five years of experience providing therapy in both agency settings and independent practice, working with people across the lifespan.
What are her credentials and where is she located?
She holds a WV LICSW and practices in West Virginia.
Which languages are offered for sessions?
Sessions are offered in English.
Can people outside the U.S. work with her?
International clients are not currently accepted.
What formats are available for sessions?
Therapy is available by video calls, phone sessions, live chat, or text-based messaging.
How does billing and getting started work?
Cost varies by location and therapist availability and uses a subscription that can be canceled at any time. To begin, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

What this therapist works with

Experience
5 years
Licensed
West Virginia
Languages
English

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