Margaret Sicari , LCSW

Margaret Sicari, who often prefers to be called Peggy, is a Licensed Clinical Social Worker (LCSW) practicing in New York with 34 years of professional experience. She has held roles in private practice, agency settings, high school social work, clinical supervision, and as a program director, bringing a broad perspective to her clinical work. Her practice includes individual, couple, family, and group therapy, informed by decades of hands-on experience across varied service environments.

Margaret has worked with a wide range of life challenges, with many clients seeking help for anxiety and depression, relationship difficulties, emotional abuse, and childhood trauma. She has substantial experience addressing damaged self-esteem and limited coping skills, and she has worked extensively with people and families affected by substance use disorders, supporting both recovery efforts and the family members impacted by addiction including adult children of people with addiction.

She approaches counseling as an interactive and collaborative process, focusing on what clients and she agree will best achieve their goals. Building a trusting relationship and creating a comfortable therapeutic space are central to her work. Margaret aims to broaden clients' understanding of themselves, build on existing strengths, introduce new coping tools, and help identify practical paths toward resolving current life challenges.

Having reached out for help, prospective clients will find a seasoned clinician who prioritizes partnership and steady guidance as they take the next steps in their care.

Therapeutic Approaches and Online Care

Margaret Sicari integrates client-centered therapy, cognitive behavioral therapy (CBT), and mindfulness-based techniques into her online practice. Client-centered therapy emphasizes empathy and collaboration, helping clients explore their feelings and build self-awareness so they can clarify goals and make meaningful changes. Cognitive behavioral therapy focuses on identifying and adjusting unhelpful thoughts and behaviors, often helping with anxiety, depression, and relationship patterns by teaching practical skills and coping strategies. Mindfulness therapy introduces present-moment awareness and simple attention practices to reduce reactivity and improve emotional regulation, which can be useful for stress, trauma symptoms, and chronic mood concerns.

Choosing the right approach is part of the therapeutic process. Margaret works collaboratively with clients to determine which methods best align with their needs, goals, and personal preferences, and she adapts strategies over time as progress unfolds. This partnership helps ensure that treatment feels relevant and achievable.

Online therapy with Margaret is offered via video calls, phone sessions, live chat, or text-based messaging, providing flexible options to fit different schedules and comfort levels. These remote formats make steady access to a licensed professional possible for clients who need adaptable care or cannot attend in-person appointments, while preserving the collaborative, skill-based, and reflective elements central to her work.