Dr. Thomas Mackarevich , LCSW

Dr. Thomas Mackarevich offers straightforward help for people under stress or feeling overwhelmed. He focuses on practical ways to reduce anxiety, manage anger, and cope with grief and addiction. He is described as an LCSW with 35 years of experience and practices in New Jersey.

He uses clear, direct conversation to identify what is causing distress. Sessions concentrate on what feels most urgent and on small changes that make daily life easier. The tone is practical rather than academic, with an emphasis on honesty and steady progress.

Dr. Mackarevich draws on client-centered principles to stay attuned to each person's experience. He also uses cognitive behavioral techniques to help people notice unhelpful thoughts and try different responses. Those methods are applied to stress, trauma and abuse, and self-esteem concerns among other issues.

His background includes work across a range of challenges such as caregiving stress, chronic illness, abandonment issues, and communication problems. He has long experience supporting people facing the emotional impacts of cancer and aging as well as those dealing with addiction or co-morbid conditions.

Sessions are offered in English from New Jersey, and the approach is framed as a partnership. People who choose him can expect direct feedback, practical strategies, and a focus on concrete steps toward feeling more settled and in control.

How his approaches translate to online therapy

Client-Centered Therapy focuses on listening closely and reflecting what matters to the person. In online sessions this means the therapist follows the client's lead, clarifies concerns, and offers support that matches the person's pace and values. Cognitive Behavioral Therapy (CBT) targets unhelpful thinking and small behavior changes. Through video or phone sessions CBT techniques can be taught, practiced, and adapted to everyday situations to reduce anxiety and manage anger.

Choosing the right approach is a collaborative process. The therapist will work with the client to identify goals and try methods that fit their needs and preferences. He adjusts strategies over time based on what proves most useful to the individual.

Online formats offer practical flexibility. Video calls allow face-to-face conversation and visual cues. Phone sessions can fit into a short break or be used when bandwidth is limited. Live chat or text-based messaging supports brief check-ins, journaling-style reflections, or ongoing reminders between longer sessions. These options make it easier to maintain regular contact and try therapy methods in real life situations.