Dr. Thomas Mackarevich , LCSW

Dr. Thomas Mackarevich brings a practical, change-focused perspective to therapy built on decades of clinical work. He emphasizes the personal responsibility individuals have in shaping their emotional responses and teaches skills that help people regain control over feelings that once felt overwhelming. Dr. Mackarevich blends validation with compassionate challenge, encouraging clients to confront unhelpful patterns while also feeling heard and understood.

With 35 years of professional experience, he is dually licensed and double board certified in New Jersey. He holds the LCSW credential - Licensed Clinical Social Worker - which reflects advanced training in social work and clinical practice. His practice spans individual, couples, marital, and family counseling, and he has helped people address stress, anxiety, addictions, trauma and abuse, anger, low self-esteem, and grief.

Dr. Mackarevich works from evidence-informed methods, including cognitive behavioral techniques and client-centered principles, to tailor interventions to each person’s needs. He believes everyone has the capacity to change and that the therapist’s role is to support and catalyze that growth. His approach is direct yet compassionate, aimed at helping people develop practical coping skills and sustainable behavior change as they move toward greater contentment and stability.

Approaches that Guide Online Care

Dr. Thomas Mackarevich uses client-centered and cognitive behavioral approaches to help people manage practical problems and emotional challenges. Client-centered therapy focuses on creating a supportive, empathic environment where the individual’s experience is respected and explored; this approach helps people build self-awareness, self-acceptance, and resilience. Cognitive Behavioral Therapy (CBT) targets the thoughts and behaviors that maintain distress, teaching concrete skills to reduce anxiety, manage anger, address addictive patterns, and cope with trauma-related reactions.

Finding the right approach is part of the therapeutic process, and Dr. Mackarevich treats this as a collaborative effort. He works with clients to assess their needs, goals, and preferences, then adapts strategies so therapy fits the person rather than forcing a single model. This partnership helps determine whether more skill-focused CBT work, a client-centered stance, or a blend of both will be most helpful.

Online sessions by video, phone, live chat, or text-based messaging offer flexibility for different schedules and needs. These formats make it easier to maintain regular contact, practice skills between sessions, and access care from home or work, while still working with licensed professionals and therapists to pursue meaningful change.