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TM Portrait of Dr. Thomas Mackarevich

Dr. Thomas Mackarevich

Calm, practical care for emotional control

LCSW New Jersey

Experience
35 years in practice
Focus areas
Stress, Anxiety, Addictions, Trauma and abuse
Approaches
Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages
English

About Thomas

Dr. Thomas Mackarevich helps people who are weighed down by persistent stress, anxiety, addiction, traumatic memories, anger, low self-esteem, and grief find clearer ways to manage their emotions and daily challenges.

Background and approach

With a direct belief in personal responsibility for emotional and behavioral change, he supports clients in shifting patterns that keep them stuck and in building skills to increase calm and resilience. He draws on a mix of cognitive-behavioral methods and client-centered principles, combining evidence-informed techniques with validation and empathic, compassionate but straightforward feedback.

This blend aims to help clients recognize how thoughts shape feelings and behaviors while also honoring the person’s experience and strengths. Dr.

Mackarevich brings 35 years of clinical practice as an LCSW in New Jersey, and he has worked extensively with people confronting addictions, trauma and abuse, chronic illness and caregiving stress, and a range of personality and attachment-related concerns. Sessions focus on practical skill-building, clearer communication, and problem-solving tailored to each person’s goals.

His approach emphasizes collaboration, steady encouragement, and measurable steps toward greater emotional control and life satisfaction.

Approaches for Online Change and Emotional Skills

Dr. Mackarevich uses Cognitive Behavioral Therapy to help people understand how thoughts influence feelings and behaviors; in online sessions this often translates into practical exercises and thought-restructuring strategies to reduce anxiety, manage anger, and address addictive patterns. He also integrates Client-Centered Therapy, providing empathic listening and validation so clients feel heard while exploring their goals and building coping skills.

Deciding which approach to emphasize is a collaborative process. The therapist works with each person to identify goals, preferences, and the strategies that feel most useful, adjusting methods over time to match progress and changing needs.

Online formats including video calls, phone sessions, live chat, and text-based messaging offer flexibility for different rhythms of life and communication styles. These options make it easier to fit regular work on stress, grief, trauma recovery, or habit change into a busy schedule, and they allow licensed professionals to use worksheets, skill practice, and focused conversations in ways that suit the individual client.

Frequently asked questions

What kinds of concerns does he help with?
He works with people facing stress, anxiety, addictions, trauma and abuse, anger, self-esteem struggles, and grief, along with related issues such as attachment difficulties, codependency, chronic pain and caregiver stress.
What is his therapeutic style like?
His style blends client-centered empathy with cognitive-behavioral techniques and candid, compassionate confrontation to promote insight and behavior change.
How long has he practiced clinically?
He has 35 years of professional experience supporting people through a wide range of emotional and behavioral challenges.
What credentials and location are listed?
He is an LCSW licensed in New Jersey with credential NJ LCSW 44SC04807300 LCSW, NJ and he practices in New Jersey.
Can sessions be conducted in other languages?
Sessions are offered in English only, and he is not accepting international clients at this time.
Which session formats are available?
He offers video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and needs.
How are costs and subscriptions handled?
Cost varies with location and therapist availability, and sessions are provided through a subscription that can be canceled at any time.
What are the first steps to begin therapy?
To get started select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.

Areas of expertise

Also works with

Additional focus areas

AbandonmentAging and geriatric issuesAntisocial personalityAttachment issuesAvoidant personalityBlended family issuesCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsCoping with natural or human-caused disasterDependent personalityDissociationDivorce and separationDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFirst responder issuesForgivenessGuilt and shameHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPost-traumatic stressProcess addiction (porn, exercise, gambling)Self-harmSelf-loveSex addictionSexual assault and abuseSocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)

Experience

35+ years

Licensed

New Jersey

Languages

English