- CBT techniques
- Mindfulness practice
- Solution-focused work
About Keith
Keith Gostel is a Licensed Clinical Social Worker (LCSW) practicing in Virginia with 31 years of experience. He works with adults facing stress, anxiety, depression, addictions, and life purpose questions. He also helps people dealing with caregiver strain, communication problems, guilt and shame, isolation, and midlife difficulties.
Clients meet a clinician who focuses on clear, practical steps rather than abstract theories. Sessions often involve looking at patterns that keep stress and anxiety active. He talks through concrete tools to manage cravings, mood dips, and overwhelming days.
When life shifts - a career change, caregiving demands, or a sense of something missing - he helps people examine priorities and daily habits. The work is aimed at identifying small changes that make routines feel more manageable. He uses short-term problem solving alongside practices that build steadier habits over time.
Keith integrates Cognitive Behavioral Therapy approaches with mindfulness practices and solution-focused work. That mix lets him target distressing thoughts, teach attention skills, and set measurable short-term goals. He uses these methods to help people reduce symptoms and find clearer next steps when decisions feel stalled.
Sessions are conversational and goal-oriented. People can expect direct feedback, practical exercises between meetings, and a focus on what can be tried right away. To begin, prospective clients follow the site’s matching process and schedule an initial appointment.
How his approaches translate to online work
Keith commonly uses Cognitive Behavioral Therapy to help people notice and change unhelpful thoughts and behaviors. CBT sessions online focus on tracking patterns, testing new responses, and practicing skills between meetings. Mindfulness Therapy is used to teach simple attention and breathing exercises that reduce rumination and calm the nervous system. These practices can be guided in session and assigned as brief daily exercises. Solution-Focused Therapy targets small, achievable goals and builds on what already works; online meetings can concentrate on quick progress and next-step tasks.Choosing the right approach is a collaborative process. He will review your concerns, try methods that fit your preferences, and adjust plans based on what helps. The aim is to find practical methods that feel useful rather than fitting you to a single model.
The biography does not list specific session formats, so confirm current options before booking. Many people find online sessions help fit therapy into their routine by avoiding travel and allowing appointments from a wider range of locations. Online work can make it easier to schedule shorter check-ins, use screen-shared worksheets, and practice in real-life settings between sessions. Licensed professionals can adapt these approaches to how you prefer to meet and what you need to address.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
31+ years
Listed in
Virginia
Languages
English
Frequently asked questions
What kinds of concerns does he work with?
He supports adults with stress, anxiety, depression, addictions, and questions about life purpose. He also focuses on caregiver stress, communication problems, guilt and loneliness.
How does he approach someone who feels stuck?
He uses a mix of Cognitive Behavioral Therapy, mindfulness, and solution-focused techniques to identify small, practical changes. The approach emphasizes concrete steps and measurable goals.
How much clinical experience does he have?
He has 31 years of clinical experience working with adults on emotional and life-transition issues.
What are his credentials and where is he based?
He is a Licensed Clinical Social Worker, LCSW, licensed in Virginia and practices there.
Can I work with him if I live outside the United States?
He accepts international clients. Sessions are offered in English.
What session formats are offered?
The original biography does not specify session formats. Confirm current session options before booking through the site.
How does pricing work for sessions?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin working with him?
Use the See online therapy options button, complete the short matching questionnaire, and then schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.