Dr. Thomas Mackarevich, LCSW

LCSW helping people manage stress and trauma

CBT and rational emotive therapy
35 years experience
Individual and family counseling

About Dr. Thomas Mackarevich

Dr. Thomas Mackarevich is a Licensed Clinical Social Worker (LCSW) practicing in New Jersey with 35 years of professional experience. He approaches emotional struggles as skills that can be developed rather than problems that must control a life, encouraging clients to take responsibility for their feelings and behavior so they can move toward greater calm and satisfaction. He emphasizes practical change - helping people see how situations, places, or relationships only dictate emotional responses when one allows them to do so, and then teaching ways to shift those responses.

His practice relies on Rational Emotive and Cognitive Behavioral therapies, paired with a balance of validation and compassionate, gently confrontational feedback to help clients reach their fullest potential. He has a long record of work with stress and anxiety, addictions, trauma and abuse, PTSD, and anger management, and he provides services in individual, couples, marital, and family counseling settings. Dr. Mackarevich believes in each person’s capacity for change and emphasizes encouragement and clear guidance as central elements of therapeutic progress. As a dually licensed and double board certified professional in New Jersey, he brings steady experience and a results-oriented mindset to the work of growth and recovery.

Areas of Expertise

Primary Focus

Stress, Anxiety Addictions Trauma and abuseAnger managementSelf esteem

Also Specializes In

Grief

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 Approach

Client-Centered Therapy Cognitive Behavioral Therapy (CBT)

Frequently Asked Questions

How much experience does Dr. Thomas Mackarevich have?

Dr. Thomas Mackarevich has 35 years of professional experience.

Is Dr. Thomas Mackarevich a licensed therapist?

Yes. He holds the LCSW credential, which stands for Licensed Clinical Social Worker. License details: NJ LCSW 44SC04807300 LCSW, NJ.

In which languages does Dr. Thomas Mackarevich provide therapy?

He provides therapy in English.

Where is Dr. Thomas Mackarevich located?

He is located in New Jersey.

How can I work with Dr. Thomas Mackarevich as my therapist?

You can work with Dr. Thomas Mackarevich through video calls, phone sessions, live chat, or text-based messaging.

Does Dr. Thomas Mackarevich work with international clients?

Dr. Thomas Mackarevich does not currently work with international clients.

How much does therapy with Dr. Thomas Mackarevich cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Client-Centered and CBT Approaches for Online Care

Client-Centered Therapy emphasizes an empathetic, non-directive stance in which the therapist offers acceptance and support to help clients explore their feelings and values. This approach can be especially helpful for issues like self-esteem, grief, attachment concerns, and navigating relationship or life transitions. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thought patterns and behaviors, providing structured strategies and skills for managing stress, anxiety, anger, and repetitive patterns associated with addiction or trauma.

Finding the right approach is part of the therapeutic process. Dr. Thomas Mackarevich works collaboratively with each person to assess needs, goals, and preferences and then selects or blends methods that fit the client’s situation. The aim is to tailor care rather than force a single model on every client.

Online therapy expands access to those tailored approaches by offering flexible session options - including video calls, phone sessions, live chat, and text-based messaging. These formats make it easier to fit therapy into a busy life, maintain continuity when schedules change, and access licensed professionals from different locations while preserving the collaborative, skill-focused work that supports meaningful progress.

Ready to start therapy with Dr. Thomas Mackarevich?

Take the first step toward a better you.

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