Dr. Thomas Mackarevich , LCSW

Dr. Thomas Mackarevich is a Licensed Clinical Social Worker (LCSW) practicing in New Jersey with 35 years of professional experience. He blends Rational Emotive therapy and Cognitive Behavioral Therapy with a client-centered stance, offering both empathetic validation and direct, compassionate challenge to help people gain greater control over their emotions and behavior. He emphasizes the idea that feelings often shape responses and that learning to manage those responses can lead to greater calm and satisfaction in daily life.

Throughout his career he has worked with individuals, couples, and families in settings focused on stress, anxiety, addictions, trauma and abuse, PTSD, anger management, self-esteem, and grief. He also offers clinical attention to related concerns such as abandonment, attachment issues, chronic illness and pain, caregiver stress, communication problems, and codependency. His approach is rooted in the belief that change is possible and that nurturing a client’s agency is central to lasting progress.

As a clinician who is dually licensed and double board certified in New Jersey, he draws on decades of experience to tailor interventions to each person’s needs and goals. He aims to support growth through practical strategies, encouragement, and a clear focus on coping skills and emotional regulation.

Integrating Client-Centered and CBT Methods for Online Care

Dr. Thomas Mackarevich draws on Client-Centered Therapy and Cognitive Behavioral Therapy (CBT) to shape online sessions that address both emotions and practical skills. Client-Centered Therapy emphasizes a respectful, nonjudgmental therapeutic relationship where the therapist listens deeply and follows the client’s lead - this approach supports work on self-esteem, attachment concerns, relationship challenges, and life transitions. Cognitive Behavioral Therapy offers structured, goal-oriented techniques that examine how thoughts, feelings, and behaviors interact - it is useful for managing anxiety, stress, anger, and patterns that contribute to addictive behavior.

Finding the most effective approach is part of the therapeutic process. He works collaboratively with each person to identify what methods fit their needs, goals, and preferences, and adjusts strategies over time so the work remains relevant and practical.

Online therapy options such as video calls, phone sessions, live chat, and text-based messaging provide flexibility and easier access to care. These formats make it simpler to schedule consistent sessions around busy lives, to maintain continuity with therapists when in-person visits are difficult, and to use therapy techniques in real time as challenges arise. Licensed professionals can adapt evidence-informed methods to these formats to support steady progress and skill development.