Anthony Butto, DSW, LCSW, ACSW

Anthony Butto, DSW, LCSW, ACSW, Director of the center, holds the designation of Clinical Fellow, former supervisor and past board member for the Pennsylvania chapter of the American Association for Marriage and Family Therapy. He earned his Doctoral degree in Clinical Social Work from the University of Pennsylvania. Dr. Butto is licensed in Pennsylvania and has practiced in the region for more than thirty-five years.


Practice Description

I began practicing psychotherapy in 1978, and have been teaching, writing, and giving presentations on marriage and family therapy since 1980. In addition to my practice at the Courtyard Counseling Center, I taught sociology and psychotherapy-related courses at Bucknell University for twenty years. I also taught post-masters and doctoral students for five years at the Harrisburg campus of Temple University’s Marriage and Family Therapy Training Program.

I offer therapy to couples, individuals, and families to treat a wide range of problems. I work with clients who suffer from depression, anxiety, mood disorders, relationship issues, social and employment challenges, and family-of-origin problems. I also perform court ordered child custody evaluations and mediation for prenuptial agreements, divorce, and child custody disputes.

While I see a fair number of individuals in therapy, my area of specialization is relationship issues and family therapy. I help families who face challenges with communication, commitment, extra-marital affairs/infidelities, parenting, substance dependence and abuse, recovery from addiction, extended family conflicts, sudden life changes that produce stress, emotional and sexual problems, step or blended family issues, elder parent issues, and retirement. I work with individuals and couples in all relationship stages, including dating, living together, engaged, married, rearing children, separation, and divorce.

My approach to therapy is quite active and supportive. I am not a passive therapist, and I do not subscribe in style to the traditional psychoanalytic model where the client speaks on freely while the therapist remains mostly silent. I am direct in suggesting new ways of seeing and thinking in order to solve life problems. I use many examples and therapeutic stories to help clients view their own situation in a less threatening way. I encourage individuals and couples to be emotionally and intellectually responsive and also to understand the meanings behind events and situations that have affected them. I believe that therapy is about a relationship and a conversation that is geared to help people help themselves. Therapy need not be serious at all times. Humor is a very important part of our lives, and can often offer a perspective that makes our problems easier to solve. Many people—men, especially—comment on their surprise that therapy is more comfortable than they imagined it would be.

Therapy can be either long or short term, depending on the severity of the problem presented and how long it has been present. Problems that have only recently developed can often be resolved in 6-12 sessions. Longstanding problems can require much longer treatment—25 or more sessions. Oftentimes, individuals, couples, and families that have been in therapy return for what I call a “thirty-thousand mile check-up.” These refresher sessions usually require only a few meetings.

I do take some insurance plans (PEBTF, GHP, Cigna, UBH, and some EAPs), but not many, so you should inform me of your insurance type when you call for an appointment. Many of my clients pay privately. My private fees are $155 for the 50-60 minute session, and $250 for the 90-minute session that many couples and families prefer. Generally, the 90-minute sessions are more productive, and therefore, often require a fewer number of sessions to completion. If I do not participate in your insurance plan I can provide you with the necessary paperwork to submit to your insurance company for possible reimbursement. Blue Shield and a few others cooperate in such an arrangement.

On a personal note, I am married, have two grown children, and five grandkids. My wife Pam, a retired college administrator, and I share our 1840s home with our rambunctious and beloved Goldendoodle dogs, Maggie and Annie.

You can reach Dr. Butto either at the clinic or email at

Education & Training

  • Doctor of Social Work, University of Pennsylvania
  • Master of Social Work, Marywood University
  • Numerous Advanced Clinical Trainings in Marriage and Family Therapy

Professional Organizational Associations

  • Clinical Fellow and Former Supervisor, The American Association for Marriage and Family Therapy
  • Past Board Member of The Pennsylvania Association of Marriage and Family Therapy
  • The Academy of Clinical Social Workers
  • The National Association of Social Workers
  • Board Certified Qualified Clinical Social Worker