Dr. Thomas Mackarevich, LCSW

Dr. Thomas Mackarevich is a licensed clinical social worker with 35 years of experience who helps people manage stress, anxiety, addiction struggles, trauma, anger, and grief. He writes plainly about teaching people skills to change how they respond to upsetting situations. His tone is direct and practical, aimed at helping someone who feels overwhelmed regain a sense of control and calm.

He uses Cognitive Behavioral Therapy to help people notice and change unhelpful thoughts and behaviors. He also draws on Client-Centered Therapy to offer a respectful, empathetic space where people can talk through hard feelings. Sessions focus on small, doable steps rather than big promises.

Dr. Mackarevich works in New Jersey and holds the credential LCSW, Licensed Clinical Social Worker. His background spans multiple clinical settings over three and a half decades, giving him experience with a wide range of emotional and behavioral issues.

In sessions he balances validation with clear guidance. People can expect practical tools to cope better, along with chances to practice new responses between meetings. The aim is steady progress rather than instant fixes.

He also brings attention to related concerns such as attachment or avoidant patterns, caregiving stress, chronic illness, communication problems, and grief that can accompany major life changes. The approach is collaborative and focused on what a person wants to change next.

How his approaches fit into online therapy

Dr. Mackarevich uses Cognitive Behavioral Therapy to help people identify unhelpful thoughts and try new behaviors. CBT tends to focus on practical exercises and homework that can be reviewed during sessions to reduce anxiety, manage anger, or address addictive patterns.

He also uses Client-Centered Therapy, which emphasizes listening, respect, and accepting the person's experience. That approach helps people feel heard and work at their own pace while deciding what changes matter most to them.

Finding the right approach is part of the work. The therapist will discuss goals, preferences, and daily routines and then recommend ways of working together. That collaboration helps decide whether CBT exercises, a more reflective client-centered style, or a blend fits best.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video lets people work face-to-face and review worksheets together. Phone sessions are useful when video isn't possible or bandwidth is limited. Live chat and messaging allow quick check-ins, brief coaching, or ongoing support between longer sessions. These options make it easier to fit therapy into busy schedules and different lifestyles.