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Patrick Shanahan

Patrick Shanahan, LCSW

Therapist · Missouri · 44+ years of experience

Experienced LCSW for midlife changes

Continue with Patrick

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  • Values guided work
  • Practical problem solving
  • Relationship focus

About Patrick

Patrick Shanahan is a licensed clinical social worker with 44 years of experience. He helps people facing midlife transitions, relationship struggles, grief, anxiety, and stress. He focuses on clear, practical steps to move forward rather than long, abstract theories. Shanahan centers sessions on a person’s values and life goals. He believes people can often correct their course once they get unstuck. Conversations tend to focus on problem solving, better communication, and realistic next steps that fit daily life. Early in his career he created and ran an outpatient clinic attached to a runaway and homeless youth shelter. For 18 years he offered case management, individual therapy, and family work both in the shelter and in community settings. He also trained and supervised paid staff and graduate students during that time. He later spent 18 years working in managed care, helping members use mental health benefits and providing phone-based therapy and crisis intervention. He has also worked in outpatient offices and with a professional Christian counseling group on a part-time basis. His therapeutic tools draw from cognitive behavioral therapy, acceptance and commitment ideas, attachment-based work, emotionally-focused methods, and client-centered practice. He has training and experience with brief family therapy, structural and strategic systems approaches, hypnotherapy, and addiction-related work. Shanahan’s approach is practical, respectful, and grounded in decades of varied clinical settings.

Areas of expertise

Primary focus

Relationship issuesGriefAnger managementSelf esteemDepression

Also works with

Stress, AnxietyAddictionsFamily conflictsTrauma and abuseIntimacy-related issuesParenting issuesCareer difficultiesCoping with life changesCoachingCompassion fatigue

Additional focus areas

Adoption and foster careAging and geriatric issuesBlended family issuesCaregiver issues and stressCodependencyCommunication problemsCoping with natural or human-caused disasterDivorce and separationDomestic violenceDrug and alcohol addictionFamily of origin issuesFamily problemsFatherhood issuesFirst responder issuesForgivenessGuilt and shameHospice and end-of-life counselingInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMulticultural concernsSeasonal Affective Disorder (SAD)Self-loveWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Emotionally-Focused Therapy (EFT)Existential TherapyHypnotherapyJungian TherapyMindfulness TherapyNarrative TherapyPsychodynamic TherapySolution-Focused TherapyInternal Family Systems

Experience

44+ years

Credentials

Missouri

Languages

English

How therapeutic approaches shape online work

Acceptance and Commitment Therapy (ACT) focuses on identifying personal values and taking committed actions toward them. It helps people dealing with midlife transitions, anxiety, and feeling stuck by clarifying what matters and setting small, achievable steps. Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and behaviors interact and teaches practical strategies to change unhelpful patterns. CBT is useful for depression, stress, and anxiety symptoms. Attachment-Based Therapy centers on how early relationships affect current bonds and communication; it can help people improve intimacy-related issues and relationship patterns. Finding the right approach is part of the work together. The therapist will collaborate with each person to choose methods that match their goals, needs, and preferences rather than imposing a single model. Approaches can be blended and adjusted as therapy progresses. Please confirm current session options before booking, as formats are not specified here. Online work can make it easier to fit therapy into a busy life, reduce travel time, and allow shorter check-ins when needed. It also lets people continue care when moving or when schedules change. Licensed professionals will help tailor session length and pacing so therapy fits into daily routines.

Frequently asked questions

What concerns does Patrick often help people with?

He addresses relationship difficulties, grief, anger, low self-esteem, depression, stress, anxiety, and addiction-related issues among other life challenges.

What is his general therapy style?

Sessions tend to be practical and conversational, with an emphasis on problem solving, communication skills, and values-based direction.

How long has he been practicing?

He brings 44 years of clinical experience across shelters, outpatient clinics, managed care, and community programs.

Where is he based and what credential does he hold?

He practices in Missouri and holds the LCSW credential, listed as MO LCSW.

Can sessions be conducted in languages other than English?

Sessions are offered in English.

Does he work with clients outside the United States?

He does accept international clients.

How much do sessions cost?

Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.

How do I begin working with him?

Select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Patrick Shanahan Online therapy options on BetterHelp

Continue with Patrick