- Relationship conflict
- Blended household stress
- Addiction and grief
About Patrick
Patrick Shanahan is a Licensed Clinical Social Worker (LCSW) in Missouri with 44 years of clinical experience. He works with adults on relationship problems, blended family issues, grief, anxiety, depression, addictions and stress. Patrick helps people sort practical next steps and understand how their values affect choices.
He draws on work influenced by Carl Jung and Milton Erickson and believes people can self-correct when stuck. He uses clear problem-solving methods rather than abstract theory. Conversations focus on what is getting in the way now and what concrete changes are possible next.
Early in his career he created and ran an outpatient clinic attached to a runaway and homeless youth shelter. For 18 years he provided case management, individual therapy, and family work in the shelter and the community. That experience shaped his approach to crisis work and systems-based problem solving.
He later supervised staff and graduate students and partnered with a university to research and refine clinical models. He completed 29 hours toward a Ph.D. in family therapy and was offered a fellowship at Washington University. He also worked in faith-based outpatient care providing professional Christian therapy.
Patrick spent 18 years in managed care helping members use their mental health benefits and providing phone therapy and crisis intervention. In outpatient settings he continued work on addictions, communication problems, codependency, and fatherhood issues. His practice aims to combine direct methods with attention to a person's values and relationships.
Therapeutic approaches and online sessions
Acceptance and Commitment Therapy (ACT) focuses on clarifying personal values and taking small, meaningful actions aligned with those values. It can help when blended household stress or life changes leave someone unsure how to move forward.Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behaviors and offers clear strategies to change unhelpful patterns. This approach is often useful for anxiety, depression, and managing anger or addictive urges.
Finding the best approach is part of the work together. The therapist will collaborate with the client to choose which methods fit their goals and situation and adjust as progress is made.
Confirm current session options before booking since specific formats are not listed in the biography. Online sessions can make it easier to fit therapy into a busy week, shorten check-ins, or avoid travel time. They can also allow people who live outside Missouri or in another country to connect in English, but check which formats are offered when you schedule.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
44+ years
Listed in
Missouri
Languages
English
Frequently asked questions
What concerns does he address?
He works with adults on relationship problems, grief, anger, self-esteem, depression, anxiety, addictions, family and blended family issues among other concerns.
What is his therapeutic style?
He uses practical problem solving, structural and strategic systems ideas, and hands-on methods like cognitive behavioral work and emotion-focused techniques.
How long has he been practicing?
He has 44 years of clinical experience in outpatient clinics, shelter settings, managed care, and private practice work.
What are his credentials and where is he based?
He is a Licensed Clinical Social Worker (LCSW) licensed in Missouri and practices from that state.
Can non-US or international clients work with him?
Sessions are offered in English and he accepts international clients.
What session formats are offered?
Please confirm current session options before booking, as the profile does not list specific formats.
How are fees handled?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I start a first session?
Select the See online therapy options button, complete a short matching questionnaire, and schedule the first session.
Online talk therapy is for adults and is not emergency care, mediation or legal advice. If you or a child are in danger, use the emergency numbers. Find someone else by name.