Anthony Mastroianni , LCSW

Anthony Mastroianni is a Licensed Clinical Social Worker (LCSW) with more than 25 years of post-master's clinical experience, licensed to practice in Pennsylvania. His career began with training at a university-affiliated psychiatric research institute where he concentrated on therapies for substance dependence and mood disorders, laying a foundation in evidence-informed treatment approaches.

He then extended his work into family therapy, specializing in interventions for highly conflicted couples and for individuals who used aggression or violence in close relationships. Anthony is skilled in both individual and group psychotherapy and has trained in psychodynamic methods, cognitive-based techniques, dialectical approaches, and relaxation-meditative practices designed to increase mindfulness.

Having lived and worked in rural, urban, and island communities, he brings experience with people from diverse cultural backgrounds and values how culture shapes personal experience. He has also worked with active duty personnel and military veterans. His current practice emphasizes treatment for mood and anxiety concerns, post-traumatic stress, post-acute recovery from substance dependence, histories of family disruption and codependency, and highly conflicted relationships with or without intimate partner violence.

Anthony's approach is person-centered and nonjudgmental. He holds a strong belief in individuals' capacity to identify solutions, the importance of freedom of choice in pursuing those solutions, and the role of personal accountability in managing outcomes. His work is collaborative - he partners with people to clarify goals, weigh options, and build the knowledge and skills needed to move forward. He views life difficulties as opportunities for growth and frames the challenges clients bring as gateways to a more fulfilling life.

Therapeutic Approaches and Online Care

Anthony practices several evidence-informed approaches that translate well to online formats. Client-Centered Therapy focuses on the individual's perspective, offering empathetic, nonjudgmental support while empowering people to explore their values and goals - it is helpful for self-esteem, life transitions, and relationship concerns. Cognitive Behavioral Therapy (CBT) is a structured approach that identifies and modifies patterns of thinking and behavior to relieve symptoms of anxiety, depression, and some addictive behaviors. Dialectical Behavior Therapy (DBT) teaches concrete skills for emotion regulation, distress tolerance, and interpersonal effectiveness, which can be useful for managing intense emotions, anger, and relationship conflict.

Choosing the right approach is part of the therapeutic process. Anthony works collaboratively with each person and with licensed professionals when appropriate to determine which methods best match the client's needs, goals, and preferences, and then adapts those methods as the work evolves.

Online therapy offers practical flexibility - sessions may take place by video call or phone, and shorter check-ins can be handled via live chat or text-based messaging. These options make it easier to fit therapy into busy schedules, maintain continuity across locations, and access support when in-person visits are not feasible.