James "Chad" Settle, LCSW

James "Chad" Settle is a licensed clinical social worker (LCSW) based in Kentucky. He brings eight years of clinical practice to his work and draws on long experience in local social service systems. He describes himself as a Christian family man and uses his personal and professional background to connect with people facing stress and life changes.

Chad focuses on straightforward support for common struggles like anxiety, anger, low self-esteem, and parenting challenges. He also addresses caregiver stress, adoption and foster care concerns, attachment issues, and aging and geriatric issues when they are part of a person's story. Sessions aim to build practical skills and clearer routines that people can use day to day.

His approach is rooted in evidence-based therapeutic techniques and emphasizes strength building and compassion. Chad tends to keep sessions goal-oriented and focused on what the person needs right now. Conversations often include problem-solving, coping strategies, and ways to improve communication.

People working with him can expect a direct and respectful style. He draws on experience with schools, courts, child welfare, and regional health organizations in Kentucky to inform his perspective. The emphasis is on measurable growth through steady, practical steps.

Chad encourages clients to set clear goals and track progress. He supports people coping with chronic illness, codependency, body image concerns, and other co-occurring issues. The work is collaborative, with attention to everyday changes that add up over time.

How therapeutic approaches translate to online work

Chad uses evidence-based therapeutic techniques that focus on practical change. One common approach is structured skill building, which teaches clear coping strategies and routines to reduce anxiety and manage stress. These skills are practiced between sessions and adjusted over time to fit daily life.

Another frequent element is problem-focused talk therapy, which helps people break down a problem into steps and try specific actions. This method can help with communication problems, parenting decisions, and managing anger by turning broad issues into small, testable changes.

Finding the right approach happens together. The therapist will ask about needs, goals, and what has or hasn't worked in the past, then recommend techniques to try. The plan is reviewed regularly and adjusted based on what the client prefers and how they respond.

If you are considering online sessions, confirm the exact session formats before booking. Many people find online therapy helps fit sessions into busy schedules, makes shorter check-ins easier, and reduces travel time. It can also let someone continue care while managing caregiving duties, chronic illness, or life transitions without rearranging their whole day.