The contact buttons don’t always work on every device. If they are not working for you, here is how to contact us and schedule your appointment.

41 Clayton St. #300, Asheville, NC 28801

Medal
Patrick Casale V2

Licensed Therapist

  • LCMHC
  • MA

Patrick Casale

  • He/Him/His
    Not Accepting New Clients

    Top Specialties:

    • Addiction
    • Anxiety
    • Autism
    • Depression
    • Gambling Addiction
    • High achievers who never feel good enough
    • Perfectionism
    • Relationship Trauma
    Quete

    “Addiction is the opposite of connection”

    ~ Johann Hari

    Accepted Insurance Providers

    • Aetna
    • BCBS
    • Medcost
    • Sliding Scale

    Rate/Fees

    • $175 Initial Intake Appointment
    • $150 60-Minute Session
    • Limited $100 – $150 Sliding Scale Sessions

    Ages I work with

    (Not Accepting New Clients)

    Languages

    • English

    My Approach & Philosophy

    When I was struggling with my gambling addiction, my life was completely out of control. The only thing I cared about was chasing that feeling, that high. Nothing else mattered to me, including relationships or my own health. It consumed half of my life and more often than not, things felt hopeless, like there was no point. Nothing was ever going to get better anyway. The guilt and shame were unbearable. I kept telling myself “if you just win enough money, you can be done with this lifestyle.” That obviously never worked because it really wasn’t about the money. Never feeling good enough causes unbearable pain. You can find yourself people-pleasing, chasing accomplishments, feeling like you don’t belong, becoming highly self-critical, or finding unhealthy ways to numb out the suffering.


    Going through my own therapy and finding out how to better handle my emotions and learning healthy coping skills was life-saving. I began to understand why I struggled with perfectionism and never feeling good enough. I learned how to cope with life on life’s terms and to be kinder to myself. I’ve been in and out of therapy my entire life. I get what it feels like to be on the other side of the couch. Therapy allows us to heal and grow. It allows us to recover. It creates a light at the end of the tunnel and, with it, hope.


    I know how hard it can be to reach out for help. I also know that change and recovery are possible. I love the resiliency of the human spirit. The ability to bounce back, even in the most difficult of situations is incredible. We all have the ability to bounce back, sometimes we just lack the tools and the support. Vulnerability is fucking scary, but it’s also necessary. We don’t grow when we’re in our comfort zone, especially when that comfort zone is unhealthy.


    I’ve learned that all people struggle and addiction and mental health issues do not discriminate. It doesn’t matter what you look like or what you’ve been through. Everyone has a unique story and needs help sometimes. I offer an empathetic, person-centered approach.


    I enjoy playing soccer, watching sports, re-watching The Lord Of The Rings on repeat, traveling all over the world, and reciting lines to funny TV shows.


    I have gone through my own challenges with addiction and mental health. If you want to come to counseling in a judgment-free zone, please reach out.

    Patrick Casale V2

    Get in touch with Patrick Casale, MA, LCMHC

    Reach out to Patrick Casale, MA, LCMHC, for compassionate, client-centered support. He’s here to listen, understand, and guide you on your path toward healing and growth.

    HEALING TESTIMONIALS

    Stories of Resilience

    Every voice matters. These testimonials highlight real experiences of healing, hope, and the strength found in connection.

    Ratings:

    Erin Klender
    Erin Klender
    4 months ago
    As a Psych NP in the Lake Norman area, I can’t say enough good things about this practice. I often send my Asheville clients their way. Time and again my clients share how comfortable they felt and how well-matched they were with their therapist.
    Liz Westphal
    Liz Westphal
    1 year ago
    I was told I would get a meet and great call. I was sent a text with the therapist information/ number they’d be contacting me from. Definitely a little disappointed that I had to wait a month for this meet and greet phone call. When the date came… nothing- no call or text or email. Still haven’t received any response.
    Xander Burgess
    Xander Burgess
    1 year ago
    Resilient Mind Counseling is an amazing group of people. They are so kind, caring, and really understand what it's like to be ND. They really believe in treating the whole person, not just the symptoms. I cannot recommend them enough.
    Becca Granda
    Becca Granda
    1 year ago
    Highly recommend working with Resilient Mind Counseling. You cannot go wrong with a group led by Patrick Casale, with all he offers the community and extended network of therapists, you are only going to find the best quality services here.
    Elizabeth Blose
    Elizabeth Blose
    1 year ago
    Jennifer Garrett may be one of the most caring, thoughtful and self-less humans I have ever known. She can hold space for you like no other. In that space, you feel safe, heard and supported. I recommend Jennifer and the many other therapists of Resilient Mind Counseling.
    Trusted Counseling Asheville

    Frequently Asked Fee
    & Insurance Questions

    We accept payment through a HIPAA compliant payment processing software.
    This ensures that your financial information remains encrypted and protected.

    How Do I Discover What My Insurance Will Cover?

    To find out what your insurance may cover, contact your insurance and ask if you have out-of-network mental health coverage.

    You may also want to mention the type of license that I have to ensure services with my type of credential are covered.

    Other things you may want to ask about are:

    • What your deductible is
    • What your co-insurance payment will be
    • How many visits you get per year
    • If you need authorization for your visits
    • Details on how to submit a superbill

    Contact me if you would like more guidance on how to figure out what your insurance will cover.

    Every client will receive a Good Faith Estimate. The Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill.

    The Good Faith Estimate is not a contract and therefore does not require you to obtain the items or services provided by Resilient Mind Counseling PLLC. The foundation of a good therapeutic relationship between a client and therapist is the client’s right to autonomy and self-determination. Therefore, you (as the client) have the right to terminate services at any time.

    If you are billed for more than the Good Faith Estimate, you have the right to dispute the bill.

    You may contact the health care provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available.

    You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill.

    There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on the Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount.

    To learn more about disputes and get a form to start the process, go to www.cms.gov/nosurprises or call 1-800-985-3059.

    For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call 1-800-985-3059.

    We can provide a monthly superbill that you may submit to your insurance for potential reimbursement.

    To cancel a scheduled Counseling session, a minimum of 24 hours in advance of your session is required. If prior and timely notification is not given, you will be charged the full session fee for the missed session.

    LET'S TALK

    Your Next Step for
    Healing Journey

    Sometimes the hardest part is getting started. We’re here to make it easier with a free consultation—just a conversation, no pressure, only support.

    Get In Touch