About Thomas
Dr. Thomas Mackarevich offers direct, practical help for people feeling overwhelmed by stress, anxiety, grief, or addiction. He writes plainly and focuses on clear steps that make day-to-day life easier.
His first priority is helping someone regain a sense of control over strong emotions. He brings 35 years of experience as a Licensed Clinical Social Worker, LCSW. Dr.
Mackarevich uses a mix of client-centered methods and cognitive behavioral approaches. In sessions he blends empathetic listening with pointed feedback to help people notice unhelpful thoughts and try different behaviors.
Background and approach
People can expect conversations that aim to be straightforward and respectful. He emphasizes personal responsibility for mood and behavior while offering practical tools for coping. That includes ways to reduce anxiety, handle anger, and manage cravings related to addictions.
His background includes long-term work in New Jersey settings with people facing trauma, chronic illness, caregiver stress, and relationship communication problems. He has also worked with those dealing with loss, abandonment concerns, and issues tied to aging. Sessions focus on setting clear, realistic goals and testing small changes between meetings.
Progress is reviewed step by step so plans are adjusted to what actually helps. The overall aim is to build skills that make everyday life calmer and more manageable.
How client-centered and CBT work online
Dr. Mackarevich combines client-centered methods and cognitive behavioral work in remote sessions. Client-centered Therapy emphasizes listening closely, reflecting what someone says, and letting the person lead the pace of change. It helps when someone needs a steady, understanding presence to sort through feelings.Cognitive Behavioral Therapy focuses on how thoughts, feelings, and actions connect. It includes practical exercises to test new behaviors and to change unhelpful thinking patterns, which can be useful for anxiety, anger, and addictive urges.
Choosing a therapeutic approach is a collaborative process. The therapist will discuss goals, try methods that fit the person’s needs, and adjust based on what helps. That way the plan evolves from real results rather than assumptions.
Online formats include video calls, phone sessions, live chat, and text-based messaging to offer flexibility. Video calls are useful for face-to-face dialogue, phone sessions work when bandwidth or visual focus is limited, and messaging or live chat can provide brief check-ins or written exercises. These options make it easier to fit counseling into a busy week and to keep momentum between meetings.
Questions people ask
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What this therapist works with
Also listed
- Abandonment
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Attachment issues
- Avoidant personality
- Blended family issues
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Coping with natural or human-caused disaster
- Dependent personality
- Dissociation
- Divorce and separation
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- First responder issues
- Forgiveness
- Grief
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Social anxiety and phobia
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 35 years
- Licensed
- New Jersey
- Languages
- English
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