Patrick Casale


Hi! I'm Patrick. I'm an upstate NY transplant in WNC. I offer telehealth and in-person therapy. Free phone consults to ensure a good fit.

Counselor in asheville, NC

  • Free Initial Consultation
  • Contact
  • Individual

About My Clients

I tend to be the best fit for people who appreciate someone who is empathetic but direct. I often bring humor into the therapy office (swearing encouraged). I offer in person and online therapy for those of you located in North Carolina. My clients tend to be struggling with addiction, low self-esteem, issues with guilt and shame, anger, depression and anxiety. Whether you need a sounding board or need to learn new skills, I'll provide a non-judgmental, safe space to help you process & heal.

My Background and Approach

I'm a Licensed Clinical Addiction Specialist and Licensed Professional Counselor. I obtained my Master's in Clinical Mental Health Counseling at Lenoir-Rhyne University in 2015. I've always been drawn to the human services field. When in New York I worked at a traumatic brain injury facility teaching life skills. In Western North Carolina I've worked with the homeless population, the opioid epidemic in a harm reduction capacity, and a walk-in crisis center. One thing that that remains consistent is that human beings need help and connection. We can't do it on our own, even if that's the message we've received our entire lives. I work from an attachment and trauma-informed perspective while always trying to maintain cultural sensitivity. I tailor my approach individually because I believe there is no one size fits all approach to helping. I can help you learn skills to combat trauma, depression, reduce anxiety, low self-esteem, and control your anger.

My Personal Beliefs and Interests

I believe that the counseling relationship is incredibly healing. I also believe that having your own personal time to vent, process, and be heard is critically important. Addiction is the opposite of connection. I've gone through my own battle with addiction and mental health and understand what it's like to reach out to a stranger for support. Feeling vulnerable can be uncomfortable but necessary in the healing process. I believe that all people can heal, and all people can grow. We just need the right environment to function optimally. Counseling is a journey. Healing is lifelong and is not always a linear process. With vulnerability and discomfort comes pain and uncertainty, but also where growth and change occurs. The human spirit is unbelievably resilient. We can tolerate and endure more than we ever thought possible.

Insurance Plans Accepted
  • Aetna
  • Blue Cross Blue Shield (BCBS)

At A Glance

  • Experience: 6 years of practice
  • Rate: $100 - 150/session


828-515-1246 Email Patrick
41 Clayton St
asheville, NC 28801

Contact Patrick