Meet Brian Casey,‍ ‍

LCSW, PhD

My path to therapy wasn’t linear—it was shaped by questions I explored across multiple disciplines. I earned masters degrees in genetics and religious studies and later completed a PhD in the history of science and medicine at Yale University. What ultimately drew me to therapy was the desire to bring that interdisciplinary curiosity into people’s lives: to help people live with greater clarity, intention, and meaning—and in doing so, ease suffering.

On a personal level, I became a therapist because I’ve seen how self-reflection, insight, and habit change can meaningfully improve one’s experience of life. What keeps me excited about this work is witnessing burdens lighten as clients choose new ways of engaging with the world, recapturing hope.

After my doctoral degree and a post doctoral position at the National Institute of Mental Health studying the history of mental health research in America, I trained as a social worker at the University of Chicago, believing in social work’s holistic focus on person-in-context. I have spent the past ten years in clinical practice, focusing on anxiety in all its forms.

I founded Fulcrum Mental Health to blend my interests in mental health with self actualization. I see mental health symptoms and hard times as not just problems to be fixed but as helpful signals of a mismatch between how one experiences one’s life and what one hopes for one’s life. Improving your life requires not only practicing better reactions to the things life throws at you, lessening your symptoms, but also honoring what you specifically hunger for by incorporating elements of what you are missing.