Leonardo Custidiano , LMHC

Leonardo Custidiano is a licensed mental health counselor (LMHC) practicing in Florida. He brings seven years of experience supporting people through addiction, trauma, and major life changes. He speaks English and Spanish and works with individuals facing anxiety, depression, bipolar symptoms, and relationship or family stress.

He began his work in residential programs helping adults with mental illness and substance use. That experience included hands-on support for people transitioning out of intensive care. He later provided family counseling for parents and teenagers with behavioral challenges. More recently he has offered services tied to the Department of Children & Families, focusing on prevention and family stability.

His day-to-day approach mixes practical tools with deeper exploration. He often uses cognitive behavioral techniques when someone needs relief from upsetting thoughts or behaviors. He will also draw on psychodynamic ideas when it helps to trace patterns back to earlier experience.

Sessions include working on clear goals and skills practice. Leonardo emphasizes the working relationship and pays attention to what is happening in the here and now. He balances that with relevant personal history when it helps explain current problems.

Clients can expect a straightforward, goal-oriented style that also makes room for understanding deeper issues. He offers multiple online formats and can adapt methods to fit each person's needs and life circumstances.

How online approaches and tools support therapy

Leonardo often combines cognitive behavioral therapy and dialectical behavior therapy in online work. Cognitive behavioral therapy focuses on identifying unhelpful thoughts and practicing new behaviors to reduce anxiety, low mood, and impulsive reactions. Dialectical behavior therapy teaches concrete skills for emotion regulation, distress tolerance, and improving communication when emotions run high.

Finding the right mix of approaches is part of the process. The therapist works collaboratively with each person to choose methods that match their goals, symptoms, and life situation. Adjustments are made over time so sessions remain relevant and helpful.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for face-to-face interaction and longer work on emotions or relationships. Phone sessions can fit a break at work or require less bandwidth. Live chat and text messaging allow shorter check-ins, ongoing skill coaching, or quick support between appointments. These options add flexibility and make it easier to stick with therapy while managing a busy schedule.