About Keith
Keith Gostel is a licensed clinical social worker (LCSW) in Virginia with 31 years of experience. He helps people who are feeling stressed, anxious, depressed, or stuck because of addiction or major life shifts. He also supports those dealing with caregiving strain, communication problems, guilt, or loneliness.
Keith keeps sessions straightforward and practical. He listens first, then helps people name what matters most to them. Sessions often focus on small, clear steps that can reduce stress and improve daily functioning.
Background and approach
He mixes talk, practical strategies, and mindfulness skills so people can try different ways to cope. Over three decades of practice inform his approach. That experience helps him spot patterns and offer concrete tools for change.
He pays attention to life stage issues such as midlife transitions and choices about purpose and meaning. Keith uses Cognitive Behavioral Therapy, Mindfulness Therapy, and Solution-Focused Therapy to guide sessions. Those approaches are used to reframe thoughts, practice awareness, and build short-term plans that move people forward.
He adapts techniques to each person’s pace and needs. People who work with Keith typically leave sessions with clear actions to try between meetings. He emphasizes communication skills and manageable routines that reduce overwhelm.
His aim is steady progress rather than quick fixes.
Approaches that translate well to online care
Keith commonly uses Cognitive Behavioral Therapy and Mindfulness Therapy in remote sessions. Cognitive Behavioral Therapy focuses on identifying unhelpful thought patterns and testing practical changes in behavior to reduce anxiety and depression. Mindfulness Therapy teaches simple attention and breathing practices to help people notice stress and respond differently.Finding the right approach is part of the work together. The therapist will talk with each person about goals, struggles, and what feels doable. Together they decide whether to emphasize thinking-skills, awareness practices, or short solution-focused plans based on the person’s needs and preferences.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video lets people use visual cues and deeper conversation. Phone calls work well when bandwidth is limited or for a quick check-in. Live chat and messaging are useful for brief updates, homework discussion, or arranging next steps. These options make therapy more flexible and easier to fit into busy lives, while keeping the focus on practical strategies and steady progress.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Addictions
- Family conflicts
Also works with
Therapeutic approaches
- Experience
- 31 years
- Licensed
- Virginia
- Languages
- English