Sheet 1
- Stress and anxiety
- Addiction concerns
- LGBT and intimacy
About Kay
LMHC Kay Carsto is a Florida Licensed Mental Health Counselor with 26 years of experience working with stress, anxiety, addictions, LGBT concerns, intimacy-related issues, and depression. She speaks English and practices from Florida. The bio describes her primary focus as helping people manage emotional and relational difficulties over long-term work.
Kay approaches sessions in a straightforward, open way. She encourages clients to talk about thoughts and feelings without judgment. Sessions emphasize practical steps toward change, and she supports clients as they try new ways of coping and relating. Conversations are collaborative and paced to what each person can handle.
Her work covers a wide range of concerns beyond the headline areas. Kay helps people facing codependency, dissociation, drug and alcohol addiction, feelings of emptiness, gender dysphoria, isolation and loneliness, and questions about life purpose and midlife change. She also addresses mood disorders, narcissism-related patterns, panic disorder and panic attacks, sexual issues, polyamory and non-monogamous relationship questions, and social anxiety.
Across these topics she uses evidence-based therapeutic techniques. The focus is on clear goals, skill-building, and tracking progress over time. She aims to make the therapy process understandable and useful, not abstract.
To begin, readers are encouraged to use the site’s matching flow and schedule an initial session. That first meeting is used to review goals and plan next steps together.
Sheet 2
Evidence-based approaches and how they fit into online work
Two evidence-based techniques commonly used with the issues she treats are cognitive-behavioral approaches and skills-based relapse prevention. Cognitive-behavioral methods involve identifying unhelpful thoughts and testing them with small behavioral experiments; these approaches are often used for anxiety, panic, social fears, and mood problems. Skills-focused relapse prevention teaches concrete strategies to recognize triggers, build coping skills, and plan responses to reduce substance use or addictive patterns.Another relevant approach is interpersonal and insight-oriented work that looks at relationship patterns and intimacy difficulties. This work helps people name repeating patterns, try different ways of relating, and practice communication in session. These methods can be useful for codependency, sexual and intimacy concerns, and questions about non-monogamous relationships.
Finding the right mix of approaches is part of the early work. The therapist will collaborate with each person to choose which techniques to prioritize based on their goals, symptoms, and preferences. That selection can change as progress is noted or new issues come up.
The biography does not specify which session formats are offered, so confirm the current options before booking. Online therapy can make scheduling easier and let sessions fit into work or family routines. It can also allow shorter check-ins when full sessions are not needed, or reduce travel time so therapy is simpler to keep up with.
Sheet 3
Areas of expertise
Primary focus
Additional focus areas
Experience
26+ years
Listed in
Florida
Languages
English
Sheet 4
Frequently asked questions
What concerns does this therapist address?
She works with stress, anxiety, addictions, LGBT issues, intimacy-related problems, and depression. Additional focuses include codependency, dissociation, substance addiction, emptiness, gender dysphoria, loneliness, life purpose, midlife issues, mood disorders, narcissism, panic, sexual dysfunction, sexuality, polyamory, and social anxiety.
What is her therapeutic approach like?
She uses evidence-based therapeutic techniques with practical, goal-focused conversations. Sessions emphasize skill-building and clear steps clients can try between meetings.
How long has she practiced?
She has 26 years of professional work experience. That span is described in her biography as clinical practice in Florida.
What credential does she hold and where is she based?
She is a Florida LMHC - Licensed Mental Health Counselor - and practices in Florida.
Which languages are supported?
Sessions are offered in English. International clients are not currently accepted.
What session formats are offered?
The original biography does not list specific session formats. Confirm current session options before booking to know whether remote or in-person sessions are available.
How are fees handled?
Cost varies with location and the service uses a subscription model that can be canceled at any time. Exact pricing is provided during scheduling.
How do I get started?
Use the See online therapy options button, complete the short matching questionnaire, and schedule a first session. The initial meeting is used to set goals and plan next steps.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.