Leonardo Custidiano , LMHC

Leonardo Custidiano is a Licensed Mental Health Counselor (LMHC) practicing in Florida. He has seven years of experience working with adults who face addiction, trauma, and family challenges. He also offers support around anxiety, depression, relationship struggles, and parenting concerns. Leonardo speaks English and Spanish and uses a mix of practical tools tailored to each person's needs.

He began working in residential programs supporting adults with mental illness and substance use. He has provided family counseling for parents and teenagers dealing with behavior problems. More recently he has worked with families involved with the Department of Children & Families, focusing on prevention and stabilizing family systems.

Leonardo uses an integrative approach and adjusts methods to what a person needs at the moment. He may use cognitive behavioral techniques when symptom relief is needed. He can also bring in psychodynamic ideas when exploring deeper patterns and history matters to current struggles.

Relationship issues, parenting strain, and coping with life transitions are common topics he addresses. He emphasizes working through goals together and paying attention to how the therapist-client relationship affects progress. Sessions focus on practical steps alongside understanding personal history.

Clients can expect short-term skill work when needed and longer conversations about patterns when appropriate. He combines tools from dialectical behavior therapy, motivational interviewing, and mindfulness to help people manage emotion, reduce impulsivity, and make concrete changes.

How therapeutic approaches shape online care

Leonardo often uses cognitive behavioral therapy, which teaches practical skills to change unhelpful thoughts and behaviors and can help with anxiety, depression, and addiction. He also draws on dialectical behavior therapy to teach emotion regulation, distress tolerance, and interpersonal effectiveness for people who struggle with intense feelings and impulsivity.

Choosing an approach is collaborative. He will talk with each person about goals and preferences and then try methods that match those goals. That may mean starting with skill-based CBT techniques and shifting later to explore personal history if that better fits the work to be done.

Confirm the current session options before booking since formats are not listed here. Online work can make it easier to fit sessions into a busy life, such as shorter check-ins during a lunch break, not needing to commute, or choosing a phone call when bandwidth is limited. Licensed professionals can adapt CBT, DBT, and mindfulness exercises to online sessions so clients can practice skills between meetings and bring what they learn back into daily routines.