Anxiety Insights
TM Portrait of Dr. Thomas Mackarevich

Dr. Thomas Mackarevich, LCSW

Seasoned LCSW helping people manage anxiety

35 years in practice · based in New Jersey · sessions in English · online sessions

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About Thomas

Dr. Thomas Mackarevich is a licensed clinical social worker with 35 years of experience. He speaks plainly about anxiety and stress and helps people learn practical ways to manage strong feelings.

His approach focuses on teaching skills people can use day to day to feel more in control. He draws on client-centered therapy to listen closely and build a collaborative relationship. That means the person's experience guides the work and sessions focus on what matters most right now.

Book with Thomas Now Review online therapy options and next steps.

Background and approach

Cognitive behavioral therapy, or CBT, is used to identify unhelpful thoughts and try new behaviors that reduce anxiety and stress. Mackarevich also brings long experience addressing addictions, trauma and abuse, anger, low self-esteem, and grief. He works with people coping with chronic illness, caregiving stress, cancer, and age-related concerns.

Other focused areas in his work include attachment and abandonment issues, codependency, and communication problems. Sessions aim to blend validation with clear, direct feedback. The goal is to offer support while encouraging practical change.

That may mean learning new ways to respond to upsetting situations, practicing skills between sessions, or adjusting expectations to reduce ongoing strain. He practices in New Jersey and holds the LCSW credential, New Jersey LCSW. People who want to start are invited to complete a short matching questionnaire and schedule a session based on availability.

Approaches for anxiety and online care

Client-centered therapy places the person's experience first. The therapist listens carefully, reflects what he hears, and lets the person's goals shape each session. This approach helps people feel understood and decide what change they want to try.

Cognitive behavioral therapy, or CBT, focuses on the link between thoughts, feelings, and actions. Sessions identify thoughts that increase anxiety and test new behaviors to reduce distress. CBT is often used for stress, anxiety, anger, and problems with coping after trauma.

Finding the right approach is a collaborative process. The therapist will work with each person to match methods to their needs and preferences. That may mean blending client-centered work with CBT techniques or shifting the plan as goals evolve.

Online sessions are offered by video call, phone, live chat, or text-based messaging to increase flexibility. Video calls allow face-to-face conversation, phone sessions may fit during a break, live chat can be useful for shorter check-ins, and messaging is handy for ongoing support between meetings. These options make it easier to fit therapy into a busy life while focusing on practical skills for anxiety and stress management.
Book with Thomas Now Review online therapy options and next steps.

Questions people ask

What kinds of concerns does he address?
He works with stress, anxiety, addictions, trauma and abuse, anger, low self-esteem, and grief. Additional focus areas include caregiving stress, chronic illness, attachment and abandonment issues, and communication problems.
How would you describe his therapy style?
He combines client-centered listening with clear, direct feedback. Sessions focus on practical skills and changing unhelpful thinking patterns using a supportive stance.
What is his clinical background?
He has 35 years of professional experience working with people facing anxiety, addiction, trauma, anger, and related concerns. His long career includes work across multiple care settings.
Where is he licensed and based?
He holds the LCSW credential and is licensed as NJ LCSW in New Jersey.
Which languages are offered for sessions?
Sessions are offered in English.
Can international clients work with him?
He is not currently accepting international clients.
What session formats does he use?
He offers video calls, phone sessions, live chat, and text-based messaging. These options let people choose what fits their schedule and communication style.
How are costs and subscription handled?
Cost varies with location and therapist availability and sessions use a subscription model that can be canceled at any time. To begin, select Start Therapy, complete the short matching questionnaire, and schedule according to availability.

What this therapist works with

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Therapeutic approaches

Experience
35 years
Licensed
New Jersey
Languages
English

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