Kelsey Casto, therapist

Kelsey Casto

MSW, LSWAIC • she/her • Telehealth Therapist

We gatekeep who has a right to feel things, as if suffering were a finite resource and someone else always deserves it more. You don't have to earn your way into what you're feeling. My job is to name it with you and remind you it's yours.

Caregiver Grief & Burnout Medical Trauma Grief & Loss Neurodivergence Life Transitions
Schedule with Kelsey Client Portal (Existing Clients)

About Kelsey

The idea that grief is only for those who have been touched by death is misguided. There are many kinds of loss that cause us to mourn: a diagnosis, a body that changed, a life that went somewhere you didn't plan. Any time the expected future turns out not to align with the reality of the present, there is room for grief.

I came to this work through my own version of it: a medically complex child in the NICU, and the complicated mixture of emotions that comes with that: mourning the life I'd imagined while simultaneously feeling gratitude and joy watching my child develop at their own pace, reaching milestones in their own time.

Having been diagnosed with inattentive ADHD at 38 as I raise children on the Autism spectrum, I've become all too aware of the significant lack of equity in a world that was clearly designed for neurotypical minds. Learning to navigate around barriers for my family is what makes me want to share the lessons I've learned along the way, and support others in their journeys too.

Those aren't the only hard things I've lived through. I have lived experience with medical trauma, including insurance, surgeries, recovery, and chronic illness, and with losing a loved one who was in my care. I've met with many difficult things in life, and I find catharsis in supporting others through difficult things.

So I'm at home in complicated tangles of emotion. Grief and gratitude at the same time. You don't have to pick one, and you don't have to arrive with yours sorted out.

Specializations

Neurodivergence

For individuals and for parents

Chronic Illness & Disability

Living in a body that changed

Anticipatory Grief

Mourning while they're still here

Life Transitions

When the plan stops matching reality

Anxiety

Including the health-related kind

Depression

Mood support, paced for you

Therapeutic Style

I take a trauma- and grief-informed approach in all things. Warm and nurturing, collaborative, pretty laid-back and conversational. I explain things. If there's a reason your brain or body is doing what it's doing, I want you to actually understand it. When you get stuck, my instinct is to help you reframe rather than push. I'll suggest something to try between sessions now and then, but I'm not going to assign you homework you didn't ask for.

Trauma-Informed Grief-Informed Neurodivergent Affirming CBT CPT DBT ACT Solution-Focused Motivational Interviewing Psychoeducational

Currently completing an Advanced Somatic Certificate, The Body in Grief, with grief-informed yoga teacher training to follow.

Communities I Serve

Parents & Caregivers Neurodivergent Chronic Illness & Disability LGBTQ+ BIPOC

Age groups: Teens (13–17), Young adults (18–25), Adults (26–40), Midlife adults (41–60), Older adults (60+).

In Kelsey's Words

"Perspective is everything. We are all products of our experiences, both good, and not so good."

Something she says a lot in session: "Have you had your water today? We're like houseplants with complex emotions."

Before Your First Session

I'm so glad you're here. It's hard to take the first step toward something new: a new person, a new place, a new thing. It takes courage, and I'm proud of you for taking it. Every step after this one, we can take together, at the pace that feels right for you.

Reflections & Resources

Thoughts, tips, and insights to support your journey. Each post is linkable, so share what resonates.

Your Journey With Kelsey

Kelsey is warm, steady, and unhurried. She's a strong fit if you're caring for someone, whether family, a friend, or a neighbor, moving through a medical crisis or a diagnosis, grieving something nobody around you is calling grief, or navigating neurodivergence, your own or your child's. She recognizes and honors those challenges and the adversity they represent, and she'll go at the pace that feels right for you.

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