Dr. Thomas Mackarevich , LCSW

Dr. Thomas Mackarevich is a Licensed Clinical Social Worker (LCSW) based in New Jersey who brings 35 years of experience to his therapeutic work. He combines evidence-based techniques from cognitive behavioral therapy with a client-centered stance, offering practical skills for managing stress, anxiety, addictions, trauma, anger, and grief. His practice includes individual, couples, marital, and family counseling, with focused experience addressing issues such as PTSD, attachment and abandonment concerns, codependency, and chronic illness.

He emphasizes a balance of validation and compassionate, direct feedback to help clients examine how thoughts and beliefs shape emotions and behavior. Dr. Mackarevich encourages personal responsibility for emotional response while supporting clients as they learn new coping strategies and make meaningful change. That belief in people’s capacity to adapt underpins his approach to helping clients build resilience and healthier relationships.

Throughout his career he has worked across a wide range of presenting problems, including caregiver stress, communication problems, and blended family transitions. His style blends warmth with clear guidance aimed at helping individuals reach their fullest potential.

Therapeutic Approaches and Online Support

Dr. Thomas Mackarevich draws on client-centered therapy and cognitive behavioral therapy to guide online work. Client-centered therapy emphasizes empathy and collaboration, helping clients explore their feelings and values while the therapist offers acceptance and understanding to support self-directed growth. Cognitive behavioral therapy focuses on identifying and reshaping unhelpful thoughts and behaviors, offering tools for managing anxiety, stress, anger, and addictive patterns.

Finding the right approach is a collaborative process. Dr. Mackarevich works with each person to identify goals, preferences, and practical needs, then adapts techniques to create a treatment plan that fits the individual. This collaborative stance helps clients try strategies and adjust them based on what works best.

Online therapy offers flexibility for people with busy schedules, mobility limits, or geographic constraints. Dr. Mackarevich provides sessions by video call, phone, live chat, or text-based messaging, allowing care to continue in a format that fits daily life. These options make it easier to engage in consistent work toward emotional well-being and relationship improvement with licensed professionals and therapists guiding the process.