Keith Gostel, LCSW

Keith Gostel is a licensed clinical social worker (LCSW) in Virginia with 31 years of experience helping people cope with stress, anxiety, depression, and addiction-related concerns. He focuses on practical steps to reduce overwhelm and improve daily functioning. He also supports people who are facing midlife transitions, caregiver strain, or trouble finding life purpose.

Keith listens for what matters most and helps clients map small changes that add up. He works in plain language and uses tools that people can try between sessions. Conversations are aimed at clearer communication, less isolation, and managing guilt or shame so life feels more balanced.

His background includes long-term clinical experience with adults dealing with family dynamics and communication problems. He draws on cognitive behavioral techniques to shift unhelpful thinking and on mindfulness practices to build calm and focus. He also uses solution-focused methods to identify immediate steps clients can take toward goals.

People who want straightforward, goal-oriented work often find his style helpful. Sessions mix talking, skill practice, and planning concrete next steps. Keith frames therapy as collaborative work where the client’s values guide the priorities.

He accepts clients from outside the U.S. and conducts sessions in English. Pricing varies by location and uses a subscription model that can be canceled at any time. Prospective clients complete a short questionnaire to begin and schedule sessions according to therapist availability.

How his approaches work in online therapy

Keith uses cognitive behavioral therapy to help people spot thinking patterns that increase stress and anxiety, then replace them with more helpful actions and habits. CBT is practical and often focuses on small changes that improve daily life.

He also draws on mindfulness therapy to teach attention and breathing practices that reduce reactivity and build focus. Mindfulness can help with tension, rumination, and impulse-driven behavior related to addiction or stress.

Finding the right approach is part of the process. He works together with each person to pick methods that match their goals and comfort level. That teamwork guides whether sessions emphasize skill practice, mindful exercises, or short-term solution planning.

The main practical benefit of online work is fitting therapy into a busy life. Online sessions can make it easier to meet around work, caregiving, or travel and can reduce time spent commuting. If you need specific session formats, please confirm the current options before booking so you know what will best fit your schedule and needs.