- Stress and anxiety
- Grief and loss
- LGBT issues
About Mark
Mark Casagrande is a Delaware licensed clinical social worker (LCSW) with 29 years of experience helping people who feel stuck after big life changes. He works with stress, anxiety, grief, depression, trauma and LGBT concerns. His practice also includes work on forgiveness, guilt and shame, life purpose, sexuality, and social anxiety.
He frames therapy as a collaborative, practical process. Sessions focus on identifying strengths and building on them. He pays attention to how past events affect current choices and mood. He also coordinates with psychiatrists for medication management when that can help a person function better in daily life.
Mark aims to create a steady therapeutic relationship where people can try new ways of coping. He supports clients who want to explore what matters next in work, relationships or personal meaning. Conversations are direct and focused on concrete steps rather than promises of instant change.
When trauma or sexual abuse are part of someone's history, he addresses those experiences alongside mood and anxiety symptoms. He also helps people who carry heavy feelings of shame or guilt, and those seeking clearer directions about life purpose after major transitions.
Clients can expect sessions that mix practical problem-solving with attention to emotional patterns. He highlights strengths and suggests methods to increase daily functioning. To begin, people fill out a short matching questionnaire and schedule an initial session.
Therapeutic approaches and how they translate to online work
Mark uses evidence-based therapeutic techniques to address mood and anxiety problems and trauma-related distress. One approach focuses on identifying and changing unhelpful thought patterns and behaviors that keep stress and depression active, using practical exercises to test new ways of reacting. Another approach attends to trauma and its effects, helping people process distressing memories and reduce the intensity of triggers through structured methods.Choosing the right approach is part of the process. He works collaboratively with each person to decide which techniques fit their situation and goals, adjusting methods over time based on how someone responds and what they want to achieve from sessions.
If you are considering online sessions, confirm the current session options before booking. Online work can make it easier to fit therapy into a busy week, allow more flexible scheduling, and reduce travel time. It can also let someone opt for a shorter check-in or an audio-only meeting when that better suits a particular day or need.
Areas of expertise
Primary focus
Additional focus areas
Experience
29+ years
Listed in
Delaware
Languages
English
Frequently asked questions
What kinds of concerns does he address?
He works with stress, anxiety, grief, depression, trauma and LGBT issues, plus related topics like life purpose, shame and sexuality.
How does he approach feeling stuck or directionless?
He uses a practical, collaborative approach that focuses on strengths and small, concrete steps to change patterns and improve daily functioning.
How much experience does he have?
He has 29 years of clinical experience as a social worker providing care for mood and anxiety concerns and trauma-related issues.
What are his credentials and where is he based?
He is a Delaware LCSW, practicing in Delaware and working from that professional credential.
What languages are sessions offered in?
Sessions are offered in English.
Can people outside the United States work with him?
International clients are not currently accepted.
How are sessions paid for?
Cost varies with location and sessions use a subscription that can be canceled at any time.
What steps should I take to begin working together?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.