Mark Butkus, LISW-CP, LCSW

Mark Butkus is a licensed clinical social worker with 18 years of experience. He practices from South Carolina and helps people facing stress, anxiety, grief, depression, and issues related to trauma and abuse. He approaches sessions in a straightforward, respectful way so people feel heard from the first visit.

He uses Cognitive Behavioral Therapy to help people spot unhelpful thinking and try new behaviors. He also draws on client-centered methods to build a trusting therapeutic relationship. These approaches are practical and focused on day-to-day coping skills.

Mark supports people dealing with anger, addiction, sleep problems, and struggles around intimacy and self-esteem. He also works with those navigating career changes, parenting challenges, bipolar mood concerns, and compassion fatigue. First responder and veteran or armed forces issues are additional areas he addresses.

Sessions are aimed at clear, manageable goals. Conversations include skill practice, planning, and checking what works between meetings. Mindfulness techniques are used when helpful to reduce stress and improve attention.

He offers a calm, nonjudgmental space and encourages clients to move at their own pace. New clients complete a short matching questionnaire to start and then schedule sessions that fit their life. Mark welcomes people who prefer English and accepts international clients.

How CBT and Client-Centered Care Work Online

CBT helps people identify unhelpful thoughts and try different behaviors. Online sessions can include short skill-building exercises, thought records, and practical homework to use between meetings. Client-centered therapy focuses on listening and building trust so people can speak openly about difficult feelings and make decisions that feel right for them.

Finding the right approach is a collaborative process. The therapist will talk with each person about goals, preferences, and what has worked before. Together they adjust methods and pace so the work fits the client’s needs and life circumstances.

Online formats offer flexible ways to connect. Video calls allow face-to-face conversation and visual cues. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging work for brief updates, check-ins, or when writing feels more comfortable. These options make it simpler to keep consistent contact and keep therapy in step with daily life.