Dr. Thomas Mackarevich , LCSW

Dr. Thomas Mackarevich brings 35 years of clinical experience to his practice in New Jersey, focusing on helping people regain control over emotions that interfere with daily life. He teaches practical strategies so that feelings no longer dictate behavior, and supports clients in developing healthier responses to stressors related to anxiety, addictions, trauma and abuse, anger, self-esteem, and grief.

He integrates Rational Emotive and cognitive behavioral methods with a client-centered stance, blending validation and compassionate, direct challenge to help individuals move toward lasting change. He believes everyone has the capacity to adapt and grow, and he works to encourage that change by holding clients to constructive standards while offering empathic support.

Dr. Mackarevich is a Licensed Clinical Social Worker - LCSW - licensed in New Jersey, and he has worked across individual, couples, marital, and family counseling settings. His practice also addresses related concerns such as abandonment, attachment and personality issues, caregiver stress, chronic illness, and coping with loss. He offers professional guidance for those seeking steady, experienced support on their path to greater emotional balance and resilience.

Online Work with Client-Centered and Cognitive Behavioral Care

Dr. Thomas Mackarevich combines Client-Centered Therapy and Cognitive Behavioral Therapy to address emotional and behavioral concerns in an online format. Client-Centered Therapy emphasizes empathy, respect, and listening so that clients feel understood and can explore their goals at their own pace; this approach is helpful for issues like self-esteem, grief, and relationship difficulties. Cognitive Behavioral Therapy focuses on identifying and changing unhelpful thinking and behavior patterns, offering practical tools for managing anxiety, stress, anger, and addictive urges.

Choosing the right approach is a collaborative process. Dr. Mackarevich works with each person to assess needs, preferences, and goals, and then adapts methods so therapy feels constructive and personally fitting. He values a balance of validation and targeted challenge to support growth.

Online therapy with him is available through video calls, phone sessions, live chat, or text-based messaging, providing flexibility for scheduling and communication style. These options make it easier to access consistent care without compromising the therapeutic focus, enabling continuity of support across different life circumstances.