- Stress and anxiety
- Addictions support
- Social anxiety issues
About Kay
Kay Carsto is a Florida licensed mental health counselor (LMHC) with 26 years of professional experience. She helps people who are dealing with stress, anxiety, addictions, LGBTQ concerns, intimacy issues, and depression. Her practice also addresses social anxiety and phobia alongside related struggles such as panic attacks and feelings of isolation.
Kay emphasizes straightforward, practical conversations. She listens to what feels most pressing and helps people name the immediate problems. Sessions focus on small steps that are doable between meetings, not long lists of tasks.
Her work covers patterns like codependency, emptiness, dissociation, and substance-related problems. She also supports people navigating questions about gender, sexuality, and non-monogamous relationships. The aim is to clarify what matters to each person and reduce the moments that cause distress.
In session she encourages honest talk about relationships, sexual concerns, and life direction. People leave with concrete ideas for handling difficult moments, managing panic, or reducing avoidance in social situations. She uses evidence-based therapeutic techniques suited to the presenting issue.
Kay practices in Florida and conducts work in English. To begin, clients choose an online therapy option, complete a short matching questionnaire, and schedule a first session. Costs vary with location and sessions use a subscription that can be canceled at any time.
Approaches and how online sessions work
Kay uses evidence-based therapeutic techniques to address anxiety, mood challenges, and addiction-related concerns. One common approach focuses on learning specific coping skills for anxious moments and panic symptoms, such as breathing and grounding practices and short behavioral experiments to reduce avoidance. Another approach works on patterns in relationships and intimacy, helping people notice unhelpful interaction styles and try new ways of expressing needs and boundaries.Choosing the best method is a collaborative process. The therapist and client review the presenting problems, goals, and what feels manageable. Together they try techniques and adjust the plan over time based on what is helping and what is not.
Practical benefits of remote sessions include fitting meetings into a workday or family schedule and avoiding travel time. Because session formats are not specified in the biography, confirm the available online options before booking. The therapist’s process aims to make therapy fit daily life through regular check-ins, focused skill work, and scheduling that minimizes disruption.
Areas of expertise
Additional focus areas
Experience
26+ years
Listed in
Florida
Languages
English
Frequently asked questions
What kinds of concerns does she help with?
She works with stress, anxiety, addictions, LGBTQ issues, intimacy concerns, and depression, including social anxiety and panic-related problems.
What is her approach in sessions?
Sessions are practical and conversational, focusing on clear steps and coping strategies that a person can use between meetings.
How much experience does Kay have?
She has 26 years of professional experience as a counselor.
What are her credentials and location?
She is a Florida LMHC and practices in Florida.
In which languages are sessions offered?
Sessions are offered in English.
Can people from other countries work with her?
International clients are not currently accepted.
How are sessions arranged and what about formats?
Confirm current session options before booking by following the platform steps; the profile directs clients to select an online therapy option and complete a matching questionnaire.
How is cost handled?
Cost varies with location and sessions use a subscription model that can be canceled at any time.