Dr. Thomas Mackarevich, LCSW

Licensed in New Jersey · 35 years in practice

Dr. Thomas Mackarevich focuses on helping people regain calm and day-to-day balance when life feels overwhelming.

License and registration

LCSW, New Jersey: 44SC04807300 LCSW, NJ · expires August 2026
NPI: 1043400252 · national provider identifier
Years in practice: 35
Languages: English

Details are as listed on the therapist's public professional profile. You can check any license with the state board and any NPI with the national registry.

About Thomas

Dr. Thomas Mackarevich focuses on helping people regain calm and day-to-day balance when life feels overwhelming. He aims to make emotional responses easier to manage so people can move forward with less distress.

Many who meet him are looking for clear, practical steps rather than theory-heavy sessions. He draws on what he calls rational and cognitive-based methods alongside a client-centered stance. That means conversations center on the person in front of him while also using tools to change unhelpful thoughts and behaviors.

Background and approach

Sessions mix validation with direct feedback to challenge patterns that keep someone stuck. With 35 years of clinical experience and a Licensed Clinical Social Worker credential, he has worked across a wide range of concerns. His practice includes stress, anxiety, addictions, trauma and abuse, anger, self-esteem, and grief.

He also addresses related issues such as attachment struggles, caregiver stress, chronic illness, and commitment or communication problems. People who come for help can expect a straightforward approach. The therapist aims to identify practical steps, try new strategies between sessions, and track what helps most.

He explains techniques in plain language and adjusts pace to each person's needs. Dr. Mackarevich practices in New Jersey and carries the LCSW designation.

Sessions are offered in English and arranged to fit the client's schedule and the formats the practice supports.

Focus areas and approaches

Everything Thomas lists on their public professional profile, in their own terms.

Stress, Anxiety
Addictions
Trauma and abuse
Anger management
Self esteem
Grief
Abandonment
Aging and geriatric issues
Antisocial personality
Attachment issues
Avoidant personality
Blended family issues
Cancer
Caregiver issues and stress
Chronic pain, illness, and disability
Co-morbidity
Codependency
Commitment issues
Communication problems
Coping with natural or human-caused disaster
Dependent personality
Dissociation
Divorce and separation
Drug and alcohol addiction
Eating and food-related issues
Emptiness
Family of origin issues
Family problems
First responder issues
Forgiveness
Guilt and shame
Hospice and end-of-life counseling
Impulsivity
Infidelity
Isolation / loneliness
Life purpose
Men's issues
Midlife crisis
Veteran and Armed Forces Issues
Money and financial issues
Mood disorders
Narcissism
Obsessions, compulsions, and OCD
Panic disorder and panic attacks
Paranoia
Personality disorders
Phobias
Post-traumatic stress
Process addiction (porn, exercise, gambling)
Self-harm
Self-love
Sex addiction
Sexual assault and abuse
Social anxiety and phobia
Women's issues
Workplace issues
Young adult issues

Approaches Thomas names

Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.

Online support

How these approaches work online

Client-Centered Therapy emphasizes a respectful, listening stance where the therapist follows the client's lead and reflects back what matters most. This approach helps people feel heard and clearer about their priorities, which supports work on stress, grief, and relationship issues.

Cognitive Behavioral Therapy, or CBT, focuses on identifying patterns of thinking and behavior that contribute to distress. It uses concrete tools and exercises to test new ways of responding, which can help with anxiety, anger, and addictive patterns.

Choosing the right approach is a collaborative process. The therapist will talk with each person about their goals and try methods that fit those goals and preferences. Together they check what works and adjust the plan over time.

Online therapy here is offered through video calls, phone sessions, live chat, and text-based messaging to give practical options. Video allows visual connection for deeper conversation, phone calls work well when bandwidth is limited, and chat or messaging can fit shorter check-ins or busy schedules. These formats make it easier to get consistent care while balancing work, caregiving, or other commitments.

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Questions people ask

What concerns does this therapist address?

He focuses on stress, anxiety, addictions, trauma and abuse, anger, self-esteem, and grief. He also addresses related areas like caregiver stress, chronic illness, attachment issues, and communication problems.

What is the therapist's general approach in sessions?

Sessions combine client-centered conversation with cognitive strategies. The work includes listening, validation, and practical techniques to change unhelpful thoughts and behaviors.

How much clinical experience does he have?

He brings 35 years of professional experience to his practice. That background includes long-term clinical work with a range of emotional and behavioral concerns.

What credential and location are listed?

He is a Licensed Clinical Social Worker - LCSW - practicing in New Jersey. The profile notes his New Jersey licensure.

Which languages are supported and can international clients access services?

Sessions are offered in English. International clients are not currently accepted.

What session formats are available?

Sessions may be conducted via video calls, phone sessions, live chat, or text-based messaging. Multiple formats allow flexibility for different preferences and schedules.

How is cost handled for sessions?

Cost varies with location and therapist arrangements. Therapy uses a subscription model that can be canceled at any time.

How do I begin working with this therapist?

Start by selecting the Start Therapy button and completing a short matching questionnaire. After that you can schedule sessions according to the therapist's availability.

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