Leonardo Custidiano , LMHC

Leonardo Custidiano is a Licensed Mental Health Counselor (LMHC) based in Florida who brings seven years of experience across diverse counseling settings. He has worked in a residential program providing housing and treatment for adults facing mental illness and substance-use challenges, and he has delivered family counseling to parents and teenagers dealing with behavioral concerns. Currently, he focuses on family counseling and prevention services for households involved with the Department of Children & Families, working with issues that include domestic violence, trauma, parenting, life transitions, addictions, and coping with mental illness.

Leonardo draws on an eclectic, integrative approach that adapts to each person’s needs rather than relying on a single method. He may use cognitive behavioral techniques when clients need symptom relief and will move toward psychodynamic principles when the goal is to explore underlying causes of emotional distress. Across approaches he emphasizes the therapeutic relationship, attention to the here and now, and the relevance of personal history when it affects present functioning.

Goal setting is central to his practice, and he incorporates practical strategies to help clients make measurable progress. Fluent in English and Spanish, Leonardo tailors interventions for conditions such as anxiety, depression, ADHD, bipolar disorder, grief, relationship and family problems, addictions, impulsivity, self-harm, and other challenges related to attachment and personality. His training and varied experience support flexible care that aligns clinical methods with each client’s goals and circumstances.

Integrative Therapeutic Approaches for Online Care

Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thoughts and behaviors and developing practical skills to reduce symptoms and improve daily functioning. It is often used for issues such as anxiety, depression, and coping with stress.

Psychodynamic therapy explores patterns in relationships and emotional life to understand how past experiences influence present feelings and behaviors. It can help clients who want to address underlying causes of recurring difficulties, including attachment-related concerns and issues rooted in personal history.

Dialectical Behavior Therapy, or DBT, teaches concrete skills for emotion regulation, distress tolerance, and interpersonal effectiveness, which can be especially helpful for impulsivity, self-harm urges, and intense emotional reactions.

Finding the right approach is part of the therapeutic process, and Leonardo works collaboratively with each client to identify which methods best match their needs, goals, and preferences. He adapts techniques over time so therapy remains responsive and goal-oriented.

Online therapy offers flexible access to licensed professionals through video calls, phone sessions, live chat, or text-based messaging, allowing clients to choose the format that fits their schedule and comfort level. These options make it easier to maintain continuity of care across life transitions, balance work and family demands, and engage in regular sessions without travel.