Keith Gostel

Keith Gostel is a Licensed Clinical Social Worker (LCSW) in Virginia with 31 years of experience. He works with adults who are facing stress, anxiety, depression, addiction concerns, and questions about life purpose. He also helps people dealing with caregiver strain, communication problems, guilt and shame, isolation, and midlife change.

Keith uses clear, practical methods in sessions. He talks through what is happening now and looks for small steps that make daily life easier. Sessions focus on skills that reduce worry, improve communication, and address habits related to addiction or low mood.

His approach blends Cognitive Behavioral Therapy, mindfulness practices, and solution-focused work. That means clients learn to spot patterns of thinking, practice present-moment awareness, and try experiments that test what works. These methods are used to address immediate problems and to build ways of coping that hold up over time.

Keith’s bedside manner is direct and steady. He pays attention to how stress shows up in routines, relationships, and responsibilities. Many people coming to him are questioning what matters next in midlife or feeling stuck after a big change; he helps them sort options and set manageable goals.

He accepts clients in English and will work with international clients. To start, people are asked to complete a short matching questionnaire and schedule a first session. Fees vary with location and sessions use a subscription that can be canceled at any time.

How Keith uses CBT, mindfulness, and solution-focused work online

Keith describes Cognitive Behavioral Therapy as a way to notice unhelpful thoughts and try different responses. CBT helps with anxiety, low mood, and patterns that keep problems going by breaking them into manageable parts.

Mindfulness Therapy in his work focuses on simple awareness exercises. These practices teach attention to the present moment and can reduce reactivity to stress and difficult feelings.

Solution-Focused Therapy is about identifying small, practical steps that move a person toward their goals. This approach suits people who want short-term experiments and measurable change in everyday life.

Keith treats finding the right approach as a collaborative process. He will discuss the options, test methods in sessions, and adjust based on the client’s needs and preferences. The goal is to find approaches that fit the client’s situation rather than sticking to one method by default.

The biography does not list specific session formats, so please confirm the available options before booking. Online work can make it easier to fit sessions into a busy schedule, allow for shorter check-ins when time is limited, and avoid travel on work days. Many people find that doing skill practice between sessions is simpler to maintain when sessions can be scheduled around daily life.