Margaret Sicari , LCSW

Margaret Sicari is a Licensed Clinical Social Worker (LCSW) based in New York with 34 years of professional experience helping individuals, couples, families, and groups navigate life’s challenges. She goes by Peggy and brings a wide-ranging clinical background that includes private practice, agency work, high school social work, clinical supervision, and program directorship, which has shaped a flexible, informed approach to care.

Throughout her career she has supported people facing anxiety and depression, relationship difficulties, emotional abuse, childhood trauma, diminished self-esteem, and limited coping skills. She has also worked extensively with individuals and families affected by substance use disorders, helping clients pursue and sustain recovery while offering support to family members, including Adult Children of Alcoholics (ACOA) and others impacted by addiction.

Her work is collaborative and goal-oriented; she partners with clients to clarify priorities, build on existing strengths, and introduce practical tools to manage current concerns. Building trust and a comfortable therapeutic connection is a central focus from the first session. She aims to broaden clients’ self-understanding and identify realistic paths toward improved functioning and well-being.

Margaret values a respectful, empathic stance and looks forward to taking the next step alongside those who reach out for help.

Approaches and Benefits of Online Therapeutic Care

Margaret integrates client-centered therapy, cognitive behavioral therapy (CBT), and mindfulness-based techniques into her online practice. Client-centered therapy focuses on creating a supportive, nonjudgmental environment where the therapist follows the client’s lead to explore concerns and strengthen personal resources; it is well suited for building trust, improving self-esteem, and addressing relationship issues. CBT helps identify and shift unhelpful thought patterns and behaviors through practical strategies and structured exercises, making it useful for anxiety, depression, and mood management. Mindfulness therapy teaches present-moment awareness and stress-reduction practices that can improve emotional regulation and coping with chronic worry or trauma symptoms.

Finding the right approach is part of the therapeutic journey, and Margaret works collaboratively with each person to determine which methods fit their needs, goals, and preferences. She tailors interventions over time, combining approaches when appropriate to support recovery and personal growth.

Online therapy with Margaret is available via video calls, phone sessions, live chat, or text-based messaging, offering flexibility for scheduling and access from different locations. These options make it easier to maintain continuity of care during life transitions, manage busy schedules, and engage in regular sessions without the need to travel, while still working with licensed professionals committed to effective treatment.